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hospice care

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.