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There is a three hour window of time when most dying people pass away.

Death is hard to think about and harder still to talk about. Some people get panic attacks just imagining the inevitable end of their life. It's an extremely uncomfortable and inescapable fact of living. For some people, learning as much as they can about what it's like and how it works is the one thing that brings them a little bit of comfort.

That's where Julie McFadden comes in. McFadden has been working as a hospice nurse for nine years. She has been educating people about the dying process on social media for almost as long, racking up millions of views with her gentle, reassuring, and highly informative FAQs.

In a recent video, Hospice Nurse Julie tackles a big, scary question: What time do people usually die? And can we actually predict someone's time of death?

"When is the most common time to die? I think you might be surprised what research says," she begins the video.

McFadden says even she was surprised when she started digging into the data and research. She noted that in her own work, she hasn't really seen a trend, but after poring through studies and speaking to colleagues throughout the hospice industry, she was taken aback to discover there was a clear answer to her question.

"Research and anecdotal evidence... it does show that most people die between 2 a.m. and 5 a.m.," she says. She explains that some professionals refer to this window as the "letting go hour."

Other studies and experts have a slightly different take, citing the most common time as 6 a.m.—8 a.m., or even peaking at 11 a.m. But the truth remains that there is a definitive pattern of a high percentage of people passing away in the wee hours of the morning or middle of the night.

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"So, why does that happen? That's where my brain went. And to me, the reason why is the most fascinating part," she explains.

There are a few different factors, McFadden says, that explain such a narrow death window. The first relates to the normal cycle of our body's energy and alertness.

"Biologically, we have a circadian rhythm... And between the hours of two and five, that is when our body's energy level is the lowest. Our temperatures drop, our blood pressure drops, and our breathing slows."

She mentions that those late night/early morning hours are also typically very quiet, without a lot of interruption and stimulation that might unwittingly keep a patient engaged with the outside world. "There's less people kind of trying to hold you there."

The dying person's personality also plays a role. McFadden says she sees over and over that some patients will wait until the entire family arrives before they "let go," while others will wait until things are quiet and they're alone. More outgoing people may wait to be surrounded before they pass, while introverts may prefer to pass in solitude. For the folks who prefer peace and quiet, those nighttime hours make a lot of sense.

death, dying, death doula, hospice, hospice nurse, mortality, aging, seniors, love, family, fear, afterlifeLearning about death is uncomfortable, but it helps us in the long run. Photo by Sijmen van Hooff on Unsplash

McFadden then shared a pretty wild story of a patient of hers who "chose" when to die. Viewers then chimed in with their own.

Most people who have lost a loved one absolutely insist that dying people are aware of, and have some level of control over, when they decide to let go. You should watch McFadden's video to hear her best story, but the comments were full of even more.

"My good friend Donna was dying in hospice from a brain tumor and a week before she passed things looked pretty grave so she wasn't expected to last another 2 days. Her sister was by her side and said it's okay you can go but she opened her eyes and said no I'm not going yet I'm waiting for my birthday, I'm dying on my birthday. Her birthday was a week away and no one thought she would make it but she did. Her sister whispered in her ear 'today is your Birthday Sis you made it' and then she passed within the hour," one user shared.

"My grandmother was actively dying for two weeks and held on until the wee hours of the first of the month. She was concerned about getting her social security check to help the family," said another.

"About a week before my 93 year old mom died, she adamently said a few times to me and others she was leaving the following Tuesday. At first I thought she meant she's going out... That Tuesday comes and it was clear she was probably not going to make it to end of the week. I was aware of her comments from the week before but didn't think it would happen that day. She died at 11:12 pm that night, on the day she said she was leaving. She knew."

"While not quite the same thing as 'predicted,' my mother said 'they' told her when she was going to pass away -- to the minute. 'They' being the people visiting her and promising to help her during her visioning experiences. She said they had shown her where she was going to go. She died at exactly the time her visioning-visitors had told her."

The stories shared by the hundreds in the comments to McFadden's video are heart-wrenching, but ultimately extremely hopeful.

@hospicenursejulie

Replying to @skinnysketch19 the transitioning phase #hospicenursejulie #caregiversoftiktok #dementia #education #medicaltok #learnontiktok #science #STEM

McFadden doesn't want her viewers who may have a loved one who's dying to be more anxious and nervous during the night, worrying and potentially losing sleep.

"People are going to do it when they do it. Their body is going to let go when the body is ready to let go. All you can do is be there for your loved one the best you can."

She reiterates that, even for someone like her who has seen and helped many patients cross over from this world to the next, that death is a mystery. As much as we can continue to learn and understand new aspects of it, we'll never fully know what it's like until we experience it ourselves.

Alua Arthur and a man in hospice care.

Death is a highly complicated and mysterious subject that rightfully makes a lot of us uncomfortable. But, according to Alua Arthur, a death doula who is an expert on the topic and works closely with the dying and their families, by embracing this uncomfortable fact of life, we can all find more joy in the time that we have left.

Arthur, a former lawyer, experienced a life-changing moment in Cuba when he met a traveler battling uterine cancer. Their time together changed her perspective on life. “We spent the 14-hour bus ride talking about her life and also her death,” she recounted in a 2023 TED Talk. “And it was a highly illuminating conversation. I heard firsthand how hard it was for her even to be able to talk about her fears around mortality and her disease because people censored their own discomfort with mortality rather than make space for her.”

Arthur says the woman helped her “see that I did not like the life that I was living.” After that interaction and the death of her brother from cancer, she left her law career and decided to work with those who are dying and their families. Arthur’s experiences with the dying led her to an important life lesson: "I took that invitation to start living like I was dying,” she told Simon Sinek on his “A Bit of Optimism” podcast.

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As a death doula, Arthur provides non-medical support for people at the end of their lives, as well as their friends and family. This support can include anything from legal advice to counseling. She says she’s like a birth doula, but “for the other side” of life.

Ten years of working with those transitioning out of life have profoundly changed how Arthur sees the world. "I think I speak a little bit more clearly about how I feel. I brush up against my vulnerability a lot more often. The idea of individualism seems to be fading in me. I'm more comfortable being needed and needing people in my life because I see how communal our lives are and can be, and I want that for myself,” she told Sinek.

Arthur also embraces a lot more pleasures in life. “I eat more delicious foods, I'm not as concerned about my weight, if we're going to be silly about it. Like, I eat whatever I want because this life is short, and I want to use my taste buds as long as I got them. I love French fries and cake, so I'm trying to get 'em while I can,” she admits.

The death doula is skeptical of those with rigid habits who want to increase their longevity. "I think it's death denial at its core. I think we live in a highly death-avoidant culture, and that tells you if you pop enough supplements and if you drink enough baby's blood, you'll live to 177,” she told Sinek. “But why do you want to live to 117 anyway? What is it that we're trying to avoid by wanting to live forever, and what are you doing with that extra time that you wouldn't do now with the finite time that you have?"

As a death doula, Arthur often counsels people in their final days to help them understand their lives, and in doing so, she found meaning in her own. "Tomorrow could be it, and if that's the case, why not live my life right now with the fullness that I can while I'm still here?" she told Sinek.

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Heroes

Volunteer uses her incredible singing voice to comfort dying patient on 'final journey home'

The woman requested her and her husband's favorite song, "The Power of Love."

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What a beautiful way to show up for others.

There's something really magical about what music does to our brains. Have you ever found yourself remembering a commercial jingle you haven't heard in decades? Or have you ever wondered why you can't remember what you ate yesterday but you can recite the lyrics of thousands of songs on-demand without even thinking?

If you've ever seen the end of the 2017 Disney movie Coco, you also know that music can trigger memories, emotions, a boost of energy, and even joy in people who are otherwise nearly unresponsive or have lost much of their will to go on. And if you're thinking that was just an incredibly emotional moment in a sweet movie, it's true; science backs it up. That makes it an amazing and mysterious therapeutic tool in medical settings, and an incredible way to comfort people who may be scared or confused.


gif from the movie CocoMiguel and Mama Coco from Coco.Giphy

Yvon Kanters, a social worker, has been volunteering in nursing homes for years. She has gone viral for her incredible interactions with patients, where she uses her beautiful voice to connect with them and bring them joy in dark moments.

In one recent video, Kanters is shown riding in the back of an ambulance with a woman on a stretcher. The woman is a cancer patient who had just been told by doctors that there was no further treatment available. This would be her last ride home from the hospital. Kanters volunteered to come along and sing the woman a song for comfort.

"When we walked into the room, she was there with her husband and was very optimistic, she was very full of life," Kanters told Newsweek. "We brought her to the ambulance and then asked her, 'I'm a singer and I'm coming along for the day, is there something you want to hear?' She and her husband, they love each other—their love is so visible. She said she and her husband's song was 'The Power of Love.'"

"The Power of Love," of course, is the hit single by Jennifer Rush from 1984. The next year year, it became the number one song in the UK. A cover by Celine Dion years later made it the biggest song in the US. It's an incredibly romantic song, and it speaks volumes about the woman's life that she would choose to hear it at this moment.

"As I sang, I saw tears well up in her eyes. A song that held so much more meaning than just words and melody. After this moment, we continued with a small, intimate living room concert... one that will stay in my heart forever," Kanters said.

Watch the incredible moment here:

@yvonkanters

𝗧𝗛𝗘 𝗣𝗢𝗪𝗘𝗥 𝗢𝗙 𝗟𝗢𝗩𝗘 | 𝗠𝗲𝗲 𝗼𝗽 𝗱𝗲 𝗮𝗺𝗯𝘂𝗹𝗮𝗻𝗰𝗲 𝗺𝗲𝘁 𝗭𝘂𝘀𝘁𝗲𝗿 𝗔𝗻𝗶𝘁𝗮 Sommige ontmoetingen blijven je altijd bij. Gisteren zong ik voor een bijzondere vrouw, een vechter vol levenslust. Ze werd door Zuster Anita van de middencomplex ambulance naar huis gebracht om haar laatste tijd met haar geliefden door te brengen. Geen spoedrit, maar een rit vol betekenis. Ze hield van álle muziek, maar toen ik vroeg of ze een speciaal liedje had samen met haar man, hoefde ze niet na te denken: "The Power of Love." Terwijl ik zong, zag ik de tranen in haar ogen verschijnen. Een lied dat zoveel meer betekende dan alleen muziek. Na dit moment deden we nog een klein huiskamerconcert.. een herinnering die voor altijd zal blijven. Dankjewel Zuster Anita, en dankjewel aan deze prachtige vrouw voor het delen van dit bijzondere moment. Liefde is de kracht die blijft. 💛✨ #ThePowerOfLove #AmbulanceZorg #MiddencomplexAmbulance #MuziekVerbindt #LiefdeEnVerbinding #MuziekInDeZorg #Muziektherapie #YvonKanters ______________________________ 𝗧𝗛𝗘 𝗣𝗢𝗪𝗘𝗥 𝗢𝗙 𝗟𝗢𝗩𝗘 | 𝗢𝗻 𝘁𝗵𝗲 𝗔𝗺𝗯𝘂𝗹𝗮𝗻𝗰𝗲 𝘄𝗶𝘁𝗵 𝗡𝘂𝗿𝘀𝗲 𝗔𝗻𝗶𝘁𝗮 Some encounters stay with you forever. Yesterday, I sang for a remarkable woman, an fighter full of life. She was being transported home by Nurse Anita and the mid-complex ambulance, a service for patients who need medical supervision but no emergency care. No sirens, but a journey filled with meaning. She loved all kinds of music, but when I asked if she had a special song with her husband, she didn’t hesitate: "The Power of Love." As I sang, I saw tears well up in her eyes. A song that held so much more meaning than just words and melody. After this moment, we continued with a small, intimate living room concert.. one that will stay in my heart forever. Thank you, Nurse Anita, and thank you to this beautiful woman for sharing this moment with me. Love is the power that never fades. 💛✨ #ThePowerOfLove #AmbulanceCare #MidComplexAmbulance #MusicUnites #HealingThroughMusic #MusicTherapy #YvonKanters

Over four million people watched the video and couldn't get enough of the kindness and compassion on display.

Commenters were absolutely stunned:

"It’s the most beautiful thing I saw today"

"this needs a warning, I'm at work crying"

"oh my god what a wonderful way to go"

"The look of love, care and compassion in this young lady’s eyes for her fellow human - beautiful"

"former hospice nurse here.. I absolutely love this!"

Music is an amazing tool for patients who are near death or suffering from severe dementia. It lives in parts of the brain that are usually less affected by Alzheimer's and dementia, often making music memories the last "to go" as brain function and bodily systems fail.

Even younger people with great memory loss have been shown to remember how to play music or sing lyrics or even dance despite not knowing the names of their loved ones. This phenomenon, crucially, is not just a novelty. It's a proven tool that caregivers use to connect with their patients. Studies show that mood and engagement actually improves in patients after hearing and interacting with music, not just during.

Live music, too, carries a special power. Having a real human being singing to you stimulates the brain more powerfully than listening to recorded music does, forming a unique connection between performer and audience that a speaker can't replicate.

@yvonkanters

AVE MARIA | Rudy (English below) Ik ben net zo fan van Rudy als jullie! Daarom wil ik dit prachtige gebed ook laten horen. Rudy heeft in zijn leven veel steun gehad aan muziek. Het was zijn manier van communiceren naar de buitenwereld. Het is een manier van luisteren en antwoorden op elkaar. Dat vind ik ook heel duidelijk te zien aan hem. Hij luistert zo bijzonder goed naar het notenbeeld en wat er gaat komen. Daarop reageert hij weer. Het is een dans van woorden in het Latijn. Een prachtige verbinding en kippenvel. Dank Rudy ♥️ #zingen #dementie #liefde #zorg #fyp #viral #avemaria #gounod #muziektherapie #muziek ———————— AVE MARIA | Rudy I'm just as much of a fan of Rudy as you are! That's why I want to share this beautiful prayer. Rudy has had a lot of support from music in his life. It was his way of communicating to the outside world. It is a way of listening and responding to each other. I think that is very clear in him. He listens very well to the notes and what is to come. He then responds again. It is a dance of words in Latin. A beautiful connection and goosebumps for me. Bless his soul♥️ #singing #dementia #love #care #fyp #viral #avemaria #gounod #musictherapy #music

In another clip from Kanters, she sings "Ave Maria" to an elderly man with dementia who miraculously perks up and even manages to sing along. It's incredible to watch, and it demonstrates that we're really just beginning to scratch the surface when it comes to the power of music as a therapeutic tool.

But for now, it's just amazing and heartwarming to watch a beautiful moment between a volunteer artist and someone in need.

An old woman holding a cane.

Death is the last great mystery that all of us face. We don’t know when we will go or can really be sure what comes next. So there’s understandably a lot of fear and uncertainty that most of us feel around death, whether we’re thinking about ourselves or a loved one. 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 TikTok 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 a recent 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.

Interestingly, 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 symptoms of dying at the 6-month mark?

McFadden adds 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."

heaven, clouds, ray of lightA Ray of light over a mountain. via PIxbay/Pexels



What are the symptoms of 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 symptoms of 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."

heaven, death, trumpetAn angel with a trumpet.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.

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. That’s why it’s so 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.