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Is it possible to know someone is going to die soon?

Death is a mystery in so many ways, despite the fact that we all know for sure it's going to happen. We don’t know when we will go and can't really be sure of what comes next, so whether we’re thinking about ourselves or a loved one, there’s understandably a lot of fear and uncertainty around death.

That’s why Julie McFadden's work is so important. As a palliative care nurse in the Los Angeles area, who has seen over a hundred people die, her videos shed light on the process to make us all a bit more comfortable with the inevitable. McFadden is also the author of the bestseller, “Nothing to Fear.” The nurse’s experience helping people in their final stages has given her a unique perspective on the process.

In one video, she shared how she can see the first symptoms that someone is going to die a natural death about 6 months before they finally do. In other words, she can determine that someone only has half a year left to live when most of us have no idea they have entered the final stages of life.

@hospicenursejulie

Replying to @Mariah educating yourself about scary topics will help decrease fear. ✨Nothing to Fear ✨- my book- out june 11th #hospicenursejulie #hospicenurse #caregiversoftiktok #medicaltiktok #learnontiktok #nothingtofearbook

What are the signs a person is dying at the 6-month mark?

McFadden says that people who are dying are usually placed in hospice care when the symptoms begin to appear around the 6-month mark.

"You will have very generalized symptoms. Those symptoms will usually be, one, you will be less social. So you'll be more introverted than extroverted," McFadden said. "Two, you will be sleeping a lot more. And three, you will be eating and drinking a lot less. Literally, everyone on hospice, I see this happen to."

death, dying, afterlife, hospice, signs of dying What happens when we die is one of life's great mysteries.via PIxbay/Pexels

What are the signs a person is dying at the 3-month mark?

You are going to notice more debility,” McFadden continues. “They will be staying in their house most of the time. It's going to be difficult getting up and just going to the bathroom. Again, sleeping a lot more and eating and drinking a lot less.”

What are the signs a person is dying at the 1-month mark?

Something usually begins to happen in the final month of someone’s life. They start to believe they are in contact with others they have lost. It’s like they are there to make the dying person feel comfortable with their final transition.

"Usually around the one month mark is when people will start seeing 'the unseen', they have the visioning. They'll be seeing dead relatives, dead loved ones, dead pets, old friends who have died,” McFadden said. “Again, not everyone — but many, many people will start seeing these things at around one month."

death, dying, afterlife, hospice, signs of dying Many people start to talk to people and pets who have passed when they're approaching the end of life.via PixaBay/Pexels

Angela Morrow, a registered nurse at Verywell Health, agrees that people in the final stage of life often hear from those who have passed before them. Morrow says we should refrain from correcting the patients when they share their stories of talking to people and pets who have died. "You might feel frustrated because you can't know for sure whether they're hallucinating, having a spiritual experience, or just getting confused. The uncertainty can be unsettling, but it's part of the process," Morrow writes.

At the end of the video, McFadden says that the most important factors palliative care nurses look at to determine the stage of death are eating, drinking and sleeping. “Most people, a few weeks out from death, will be sleeping more than they are awake. And they will be barely eating and barely drinking,” McFadden said.

death, dying, afterlife, hospice, signs of dying Hospice workers deal with death more than most of us do. i.giphy.com

In the end, hospice nurses “allow the body to be the guide” as they help their patients transition from life to death.

McFadden’s work has brought a lot of peace to her followers as they go through trying times. "My mom is in hospice right now and she’s currently, I think, hours or days from death. YourTikToks have helped me out tremendously," Deb wrote. "My grandma passed away in February, and she experienced all of this. this page brings me peace knowing everything she went through was natural," Jaida added.

"Thanks, Julie. I volunteer in a hospice end-of-life facility, and this helps educate the families. Your posts are wonderful," Grandma Nita wrote.

One of the things that makes death so scary is the number of unknowns surrounding the process, so it's important that McFadden shares her stories of helping people to the next side. She shows that death is a natural process and that hospice nurses are here to help make the transition as peaceful as possible.

This article originally appeared last year.

Photo by Helena Lopes on Unsplash

Friends watch a sunset together.

Until the time comes, (and it will come) we can't possibly know how we will feel in our final moments on this Earth. What will run through our minds? Who will run through our minds? Will there be enough dopamine to make it all make sense, or will we be filled with 'what ifs?'

Over the years, many hospital and hospice workers have paid close attention to what people who are on their deathbeds say. What they're most proud of, and yes, what are their main regrets.

The lens through which these caregivers can often see is wiped clear by vulnerability, and what they relay to us could alter the very courses of our lives, if we take heed.

In an online series called 365 Lessons from Strangers, host David Eng interviews people on the street whom he doesn't know for life lessons. In a recent one (life lesson 228), he meets a woman named Kassi who shares a beautiful sentiment.

She is asked, "How can we all live more happily?" and responds, "I've always been struck by the fact that we don't really value platonic relationships in society, the way that we should. I read this wonderful article. It was a person who worked as a hospice nurse, and they asked many, many people who were dying their top regrets in life. And when she averaged it out, the number one regret that people have on their deathbeds is not spending more time with their friends."

Though she didn't name the author, she might be referring to Jancee Dunn's New York Times article, "3 Lessons for Living Well, from the Dying." In it, she discusses her friend who is a hospice volunteer. "She hears one regret over and over from patients: letting relationships wither. They wish that they had made more plans with good friends, or they thought about getting back in touch with an old buddy, and talked themselves out of it."

Kassi continues, "Not that romantic or familial relationships aren't important. But in good times or bad, it's your friends that you want around you."

She makes the distinction between obligatory love (or love that might be perceived that way) and chosen love. "You've got to have somebody that you know loves you. And that doesn’t have any reason to be with you other than that they love you. I think in romantic relationships, there's always that fear that they're with you for sexual reasons or whatever. And that they don't really love and care about you.

But the friend who has no ulterior motives? Who you always know has your best interest at heart. And you can trust that they love you. The rule of thumb is everybody should treat you with respect. There's no reason for anybody to disrespect you. And anybody who really loves you will always treat you with respect. When you find a person who's a good friend, who treats you with respect and loves you for who you are, grab a hold of them and don't ever let them go."

She concludes with a simple, yet lovely thought. "We're here to love and be loved. And to touch others and to be touched by other people. Everything else is secondary. Life is beautiful and it offers a lot of beautiful experiences: nice food, great music. But none of that offers anything near the people that you love and who love you. That's the most important thing. And that's what we're here for."

friendship, love, plutonic love, life lessons three women walking on brown wooden dock. Photo by Priscilla Du Preez 🇨🇦 on Unsplash

The comments under her clip are touching. One wrote, "My mother always told me, 'Your friends will get you through life.'"

Another notes, "Platonic relationships are often the unsung heroes of emotional life. Deeply valuable, often more stable than romantic ones and chosen more freely than familial ones."

Many others took the moment to tag their friends in the thread and tell them they loved them.

One commenter mentions author Bronnie Ware who wrote the bestseller The Top Five Regrets of the Dying – A Life Transformed by the Dearly Departing. They share the list, one which also includes keeping in touch with friends:


"I wish I’d had the courage to live a life true to myself, not the life others expected of me.
I wish I hadn’t worked so hard.
I wish I’d had the courage to express my feelings.
I wish I had stayed in touch with my friends.
I wish I had let myself be happier."

via Ketut Subiyanto/Pexels and Dinielle De Veyra/Pexels

How long can you hang out? The answer may say a lot about your potential lifespan.

Would you really want to know how long you have to live? On one hand, it’d probably inspire you to go out and complete your bucket list. On the other, it may be depressing to know just how many days you have left. Well, science has yet to discover a way to determine the average person's life expectancy, but some indicators can show whether someone is in danger of having their life cut short by deteriorating health.

You could, if you were so inspired, shell out a bunch of money for fancy genetic and biological testing. Chasing immortality is all the rage with billionaires, so if you've got the money, you can find out an awful lot about how long you're likely to live.

Or you could just hit the gym or local playground and find out for free.

A study published by Clinical Interventions in Aging in 2019 determined that handgrip strength can be a reliable proxy for how long one has to live, or longevity.

One of the best ways to judge handgrip strength is to time how long you can hang from a bar. To test your grip strength, find yourself a pull-up bar, whether at a gym or local park, take a deep breath, and start hanging. Don't worry, you don't need to be able to do a pull up!

Ironically, the move is called a "dead hang." So-called, because you literally just hang there for as long as possible.

The literature revealed that 30 seconds is a good target for women and 60 is an excellent goal for men.

Therefore, if you go longer than the goal, you’re looking at a long life. But if you can’t quite get there, your life may be shorter than you’d like.

longevity, aging, living long, getting older, seniors, dying, mortality, health, fitness, longevity test Cats are undefeated in grip strength. Giphy

Dr. Peter Attia, founder of Early Medical and author of Outlive: The Science and Art of Longevity (2023), believes that grip strength is a great way to determine one’s overall health.

“It's just a great proxy for overall body strength and muscle mass, but I think it's also a very functional form of strength,” he said on The Drive podcast. “Basically, everything in your upper body is mediated through your hands. And if your grip is weak, everything downstream of that is weak. When you watch someone who's got a weak grip deadlifting it's very difficult for them to deadlift correctly because they don't create a proper wedge."

There are may ways to measure grip strength, but the dead hang is likely the simplest. When you think about it, it requires an incredible combination of shoulder mobility, spinal stability, core strength, and overall fitness. Not only are these all positive biological health markers, they're also all key to preventing falls as we get older.

Regularly practicing the dead hang, on the other hand, has incredible benefits including stretching your muscles and deloading your joints and spine, giving them a much needed rest.

- YouTube www.youtube.com

Doctors Eve M. Glazier and Elizabeth Ko at UCLA Health say poor grip strength is connected to numerous diseases. “Research continues to link a decline in grip strength to a range of adverse health issues, including heart disease, arthritis, osteoporosis, Type 2 diabetes and certain cancers. It has also been found to be a predictor of the likelihood of post-surgical complications, post-surgical recovery time and mortality,” they wrote on the UCLA Health blog.

Weight can also significantly affect how long a person can hang from a bar. So, do lighter people have an unfair advantage over those on the heavier side? Well, weight is also an important indicator of longevity. A study published in Aging Cell found a direct correlation between increased body mass and decreased longevity.

Other studies have elaborated on the findings: More important than your absolute grip strength and dead hang ability may be how it changes over time. Losing grip strength is a negative sign for your overall health, but maintaining or even building it is associated with better outcomes.

Another good reason to hit the gym regularly, at any age. No matter where you're starting, you want to do everything you can to maintain that level of strength as long as possible.

The good news for people who didn’t quite make their hang time goal is that you can improve it by practicing dead hangs.


longevity, aging, living long, getting older, seniors, dying, mortality, health, fitness, longevity test Practicing dead hangs will help you maintain grip strength no matter what your starting point. Photo by Charlotte Karlsen on Unsplash

How to perform a dead hang (according to Healthline):

  • Use a secure overhead bar. Use a step or bench to reach the bar with your arms easily. You don’t want to jump straight into a dead hang.
  • Grip the bar with an overhand grip (palms facing away from you). Aim to keep your arms shoulder-width apart.
  • Move your feet off the step or bench so you’re hanging on to the bar.
  • Keep your arms straight and stay relaxed.
  • If you’re new to the exercise, hang for 10 seconds. Then, work your way up to 45 seconds to 1 minute at a time.
  • Slowly step back onto the step or bench before releasing your arms. Repeat up to 3 times if you wish.
Grip strength is so strongly correlated with longevity that many medical professionals advocate for it being considered a true biomarker. A biomarkers is a regularly measured state of the body that's used as a key health indicator, like blood pressure or cholesterol. Grip strength, some say, should be regularly evaluated at medical check ups as an indicator of healthy aging.

This article originally appeared last year. It has been updated.

A doctor is analyzing brain scans.

Death remains one of the greatest mysteries of life. It’s impossible to know what happens as a person passes and whether there’s anything afterward because no one has ever been able to report what happens from beyond the grave. Of course, if you ask those with a keen interest in the supernatural, they may say otherwise.

However, in 2021, researcher Dr. Raul Vicente and his colleagues at the University of Tartu, Estonia, became the first people ever to record the brainwaves of someone in the process of dying, and what they’ve come to realize should be very comforting to everyone. “We measured 900 seconds of brain activity around the time of death and set a specific focus to investigate what happened in the 30 seconds before and after the heart stopped beating,” Dr. Ajmal Zemmar, a neurosurgeon at the University of Louisville, US, who organized the study, told Frontiers.

brain scan, scan, brain,

Giphy

The patient who died while having his brain waves measured was 87 years old and had epilepsy. While researchers were studying his brain to learn more about the condition, the man had a heart attack and passed away. “Just before and after the heart stopped working, we saw changes in a specific band of neural oscillations, so-called gamma oscillations, but also in others such as delta, theta, alpha, and beta oscillations,” Zemmar said.

The different types of brain oscillations that occurred in the patient before and after the heart attack were associated with high cognitive functions, including dreaming, concentrating, memory retrieval, and memory flashbacks. Therefore, it’s possible that as the patient was dying, they had their life flash before their eyes. What an amazing and comforting experience right before leaving this mortal coil.

near death, death experience, dying, brain activity A woman in a black void confronts a great light.Canva Photos

“Through generating oscillations involved in memory retrieval, the brain may be playing a last recall of important life events just before we die, similar to the ones reported in near-death experiences,” Zemmar speculated. “These findings challenge our understanding of when exactly life ends and generate important subsequent questions, such as those related to the timing of organ donation.”

How long are people conscious after they are technically dead?

Science has found that people can remain conscious up to 20 seconds after they are declared dead. Even after the heart and breathing have stopped, the cerebral cortex can hang on for a little while without oxygen. So, some people may experience the moment when they hear themselves declared dead, but they aren’t able to move or react to the news. In cases where someone performs CPR on the deceased person, the blood pumped by the compressions can temporarily keep the brain alive as well.

Although the experience of death will probably always remain a mystery, we should take solace in the idea that, in many cases, it may not necessarily be a miserable experience but an ecstatic final burst of consciousness that welcomes us into the great beyond. “Something we may learn from this research is: although our loved ones have their eyes closed and are ready to leave us to rest, their brains may be replaying some of the nicest moments they experienced in their lives,” Zemmar concludes.

end of life, death, death experience, peace, comfort A man peacefully passes away. Canva Photos

This article originally appeared in February.