Dying

Dying is
referred to as when someone is at the point of death. It can also be referred
to as the process preceding the actual death of someone with terminal disease.
Signs of dying
Each
person’s journey to death is unique. Some people have a very gradual decline;
others will fade quickly. There are changes you can expect to see as an adult
body stops working. These are a normal part of dying. Children and teens have a
similar process, but it can be harder to predict. They often stay fairly active
and continue to ask a lot of tough-to-answer questions.

1
to 3 months before death
, the person one is likely to:
  • Sleep or doze more
  • Eat and drink less
  • Withdraw from people and stop doing things they
    used to enjoy
  • Talk less (but if they are a child, more)
1
to 2 weeks before death
, the person may feel tired and drained all the
time, so much that they don’t leave their bed. They could have:
  • Different sleep-wake patterns
  • Little appetite and thirst
  • Fewer and smaller bowel movements and urinate
    less
  • More pain
  • Changes in blood pressure, breathing, and
    heart rate
  • Body temperature ups and downs that may leave
    their skin cool, warm, moist, or pale
  • Congested breathing from the buildup in the
    back of their throat
  • Confusion or seem to be in a daze
Various stages of dying
The
five stages of dying, popularly known by the acronym DABDA, include:
  1. Denial: The first reaction is denial. In this stage, individuals believe
    the diagnosis is somehow mistaken, and cling to a false, preferable
    reality.
  2. Anger: When the individual recognizes that denial cannot continue, they
    become frustrated, especially at proximate individuals. Certain
    psychological responses of a person undergoing this phase would be:
    “Why me? It’s not fair!”; “How can this happen to
    me?”; “Who is to blame?”; “Why would this
    happen?”.
  3. Bargaining: The third stage involves the hope that the
    individual can avoid a cause of grief. Usually, the negotiation for an
    extended life is made in exchange for a reformed lifestyle. People facing
    less serious trauma can bargain or seek compromise.
  4. Depression: “I’m so sad, why bother with
    anything?”; “I’m going to die soon, so what’s the point?”;
    “I miss my loved one, why go on?”
    During the fourth stage, the individual despairs at the recognition of
    their mortality. In this state, the individual may become silent, refuse
    visitors and spend much of the time mournful and sullen.
  5. Acceptance: “It’s going to be okay.”; “I
    can’t fight it; I may as well prepare for it.” In this last stage,
    individuals embrace mortality or inevitable future, or that of a loved
    one, or other tragic event. People dying may precede the survivors in this
    state, which typically comes with a calm, retrospective view for the
    individual, and a stable condition of emotions.
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