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End-of-life nurse shares the most disturbing behaviors seen in those nearing death

Julie McFadden, a hospice nurse, has witnessed many deaths and works to reduce fear and stigma surrounding death. She shares her insights on dying through social media and a book, explaining behaviors seen in those nearing death.

One common phenomenon is Cheyne-Stokes breathing, where the breathing becomes rapid, followed by pauses. This is a normal metabolic change and doesn’t indicate suffering, though families often mistake it for distress.

Another behavior is the “death rattle,” caused by saliva in the mouth that the brain no longer signals the body to swallow, creating a gurgling sound. This is not a sign of suffocation and doesn’t cause discomfort.

Julie emphasizes that the body naturally prepares for death, helping to alleviate fears for loved ones.

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