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Nurse explains why patients experience ‘death rattle’

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  • Nurse clarifies ‘death rattle’ misconceptions
  • Patients experience no discomfort from the sound
  • Understanding eases fear of loved ones’ passing

A hospice nurse is educating people about the “death rattle” that terminally ill patients emit and why it shouldn’t be concerning.

End-of-life care administrator in Los Angeles, Julie McFadden, stated that the sound, which resembles a gurgling or damp, crackling sensation, is an ordinary aspect of the dying process.

Patients, who are typically unconscious, experience no discomfort as a result of air passing through the accumulation of fluid in the mouth during respiration.

However, despite this, numerous family members remain “traumatized” and persuaded that their loved ones perished in agony due to the noise.

Ms. McFadden stated online, “The death rattle is an expected and common occurrence at the end of life.” Nevertheless, in the absence of familiarity, it may appear to be the most terrifying sound one has ever encountered.

Many people have written to me to tell me that the “death rattle” upset them.

‘However, I believe that having been informed about this prior to its occurrence and understanding its nature could have somewhat mitigated that dread.’

The body normally continuously produces mouth mucus, which the brain clears when it sends unconscious signals to the pharynx to swallow.

Those nearing the end of their lifetimes, however, experience a breakdown of this system; they can no longer swallow saliva, which accumulates in the mouth. Subsequently, this begins to “rattle” as air enters and exits during an individual’s final breath.

Ms. McFadden revealed the recommendation in a TikTok post that has received over 1.8 million views to date.

One viewer remarked, “My father was the worst.” It sounded as though he had trapped mucous. That cacophony will be with me forever.

Another individual stated, “I always believed my mother was choking to death.” I am now convinced that she was not experiencing agony. Your gratitude is appreciated.

Furthermore, a third individual stated, “My mother passed away three weeks ago, and I felt helpless and terrified when I saw her do this; the hospice nurse never informed us of this.” We believed that she was suffocating.

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The death rattle serves as an imminent death omen, with an average survival time of 25 hours after its onset.

Approximately forty percent of individuals experience this condition as they approach death, according to studies.

You can reduce the disturbance by drying the mouth with medications or by turning a patient onto their side to allow fluids to drain.

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In general, units refrain from employing vacuums because they may stimulate the body’s mucus production, thereby exacerbating the condition.

Doctors report that in the days to hours preceding mortality, patients may experience a brief and sudden surge in energy, followed by a sharp decline.

Their pulse may diminish, and their hands and feet may become cold, purple, and blotchy, in addition to experiencing a trembling breath.

The minutes preceding mortality are characterized by an open mouth and eyes, as well as increased gasping for air.

Constant salivation in the oral cavity maintains the gums’ moisture level and aids in the digestion and elimination of food particles from the area.

Cilia, tiny hairs that propel fluids up the respiratory tract, also transport mucus from the lungs to the pharynx.

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