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Hospice nurse shares one comforting sign that someone is going to die within 4 weeks

'Visioning' is often a great comfort to people who may be scared of death.

via Canva Photos

A nurse explains how 'visioning' 3-4 weeks before death works.

Death is the final mystery that we all must face and it’s natural to be scared about going through the process. Experts say a few things can help, including using our fear to live a purposeful life and even making jokes, or using 'gallows humor'. One bit of good news is that we tend to get a little bit less afraid of death as we age. But in general, it helps to not shy away from death completely. Learning and talking about it is actually a good thing.

A new video by a hospice nurse shows an excellent reason for people to feel comfortable facing the unknown. Julie McFadden posts videos helping to demystify the dying process and bring comfort to people with a loved one in hospice care, or who may be dying themselves. Her profile reads, "Helping understand death to live better and die better." McFadden is also the author of the bestselling book, “Nothing to Fear.”

Hospice Nurse Julie has earned over half a million subscribers and has witnessed over a hundred deaths. In a recent video, she reveals that people are often comforted by friends and relatives who have passed away in their final days.

She says that when people begin experiencing these visions, it’s a sign that they will be passing away within a few weeks.

"Here's one sign that someone is close to death that most people don't believe happens,” Julie begins the video.

- YouTubewww.youtube.com

"Usually a few weeks to a month before someone dies, if they're on hospice, they will start seeing dead loved ones, dead relatives, dead pets. This happens so often that we actually put it in our educational packets that we give to patients and their families when they come on hospice so they aren't surprised or scared when it happens,” she continues.

The experience is called visioning; although no one knows how or why it happens, it’s common among all her patients.

"We don't know why it happens, but we see it in definitely more than half of our patients," she continues.

People often believe that the visions are caused by a lack of oxygen to the brain. However, Julie says that isn’t true. “Because when it does happen, most people are alert and oriented and are at least a month from death, so they don't have low oxygen," she said.

The good news is that the visioning experience is almost always comforting for those who are nearing the end.


death, dying, hospice, fear of dying, hospice nurse, mortality, aging, seniors, spirituality, visions Dying patients may be visited 3-4 weeks before death by loved ones, deceased spouses, or even dead pets. Photo by Anirudh on Unsplash

It often involves relatives who 'come from the other side' to let them know everything will be okay and encourage them to let go and pass away. People also experience being taken on journeys with loved ones or having sensory experiences from the past, such as smelling their grandmother's perfume or father’s cigar.

These visitors can also appear several at a time. Patients might report the room feeling 'crowded' like they are being joined by many people at once. It's possible they may be visited by 'spirits' or people they don't know, though that's less common.

Christopher Kerr, a CEO of Hospice & Palliative Care, an organization that provides palliative care in Buffalo, New York, says that the relatives that often appear in these visions are people who protected and comforted the dying parent when they were alive. So, they may see a parent who nurtured them but not one they feared.

Kerr has extensively studied the mysterious phenomena that happen when people die but has no real explanation for why the visioning experience happens. “I have witnessed cases where what I was seeing was so profound, and the meaning for the patient was so clear and precise, that I almost felt like an intruder,” he told BBC Brazil. “And trying to decipher the etiology, the cause, seemed futile. I concluded that it was simply important to have reverence, that the fact that I could not explain the origin and process did not invalidate the experience for the patient.”

In a more in-depth video, Hospice Nurse Julie shares a real video of a dying woman experience visioning. It's extremely powerful:

- YouTubewww.youtube.com

Again, experts agree that once your loved one begins experiencing these visions, it's likely that they will pass on in the next 3-4 weeks. Remember that they are not a symptom to be treated or a concern to be addressed, as long as they aren't causing distress. They are simply a comforting sign of things to come.

It's comforting to know that for many, the final days of life may not be filled with pain and fear but instead with a sense of peace and joy. While we may never fully understand the reasons behind these mysterious visions, if they bring calm during such a daunting time, we can simply be grateful for their presence. They’re kind of like life, in general. In the end, we may not really know what it was all about, but we can be happy that it happened.

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

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Woman on flight sees something wrong with seatmate, stands up to clear the aisle for final goodbye

There's still good in the world.

Screenshots courtesy of Hailey Sand

Woman clears aisle on flight to help passenger see dying grandfather

Even when your life feels like it's falling apart, other people's lives are still going on as normal. Unfortunately, the world doesn't stop because tragedy strikes someone's family, but recently on a United Airlines flight, one woman had a pretty close equivalent. Hailey Ann Sand recently took an unexpected trip after finding out her grandfather was being placed on comfort care as he was nearing the end of his life.

Sand knew she wanted to be there for his final moments, so she booked a last-minute flight and headed out. What was supposed to be a smooth trip wound up being stress-inducing due to the flight landing behind schedule. The airline was aware that some passengers had connecting flights taking off in a few minutes so they made the announcement asking for passengers to extend courtesy to those with tight connections.

airplane, flight airport, airplane passenger, sky, commercial jet blue and white airplane in the sky during daytime Photo by Avel Chuklanov on Unsplash

Sand was one of those with an extremely tight connection when the flight landed in Denver, but as airline passengers often do, many stood up, not allowing others to get off the plane first. It was then that the grieving granddaughter was reminded that there are still good people in the world. The woman shares in a video that she was in seat 31A and another woman, whom she didn't know was in seat 31B noticed the urgency on Sand's face prompting the woman to inquire if something was wrong. After Sand explained that she was in a hurry to catch her next flight so she could be there with her grandfather in his last moments, the stranger sprung into action.

Sand's connecting flight was scheduled to depart in 25 minutes but the aisle was completely blocked. That is, until her seatmate got everyone to clear it.

airports, airplanes, denver, foot traffic, takeoff, airport gate People walking inside an airport. Photo by CHUTTERSNAP on Unsplash

"You didn't owe me anything but you stepped out in the aisle and you announced very loudly to everybody to please step aside so that I can get off the plane in a timely manner," Sand says hoping her words reach the woman who helped her. "We landed 25 minutes before my next flight was supposed to depart, and it was a 22-minute walk across the Denver airport. We flew into gate 73ish, and I was flying out of 12. I had to walk all the way across. I just want you to know that I made that flight and I got to be there last night. And I got to tell my grandfather how much I loved him and he got to tell me back and he understood what I was saying."

The grieving granddaughter was able to be there along with the rest of her family until her grandfather passed. She continues the video with an emotional thank you to the stranger saying that her act of kindness changed her life, hoping the video would reach the kind stranger. While the video didn't reach her, the video did reach United Airlines causing several flight attendants and crew to reach out to Sand. Through some detective work, they connected her with a relative who connected her with the stranger, Katie.

@haileyannsand

@United Airlines

Turns out Katie wasn't just an average passenger, she's a hospice nurse who deeply understands a family's need to be together during someone's final hours. Sand tells Upworthy it look less than 24 hours to track Katie down and get in touch with her. While the flight they shared was from San Antonio to Denver, Katie just happened to be traveling from work and isn't from either city and Sand lives in San Antonio but is from Washington. The chance seating assignment seemed meant to be.

Once Sand reached her family she left her chance encounter with a hospice nurse to feel the warmth and comfort of the hospice nurses at Samaritan Hospital in Moses Lake, Washington, "They did an excellent job for my grandfather in his final moments but also my whole family in helping us through a difficult time."

@haileyannsand

@United Airlines the long awaited, long winded update.

Sand shares that her grandfather was "a husband of 62 years, a father, a grandfather, a great-grandfather, a brother, a friend, a mentor. He served in the Army and worked his whole life as a farmer. He was the most hardworking man. He loved to travel and has been all over the world. He was very involved in his community, and the world would be better with more people like him in it."

While the woman hoped the video would reach the passenger that helped her on the plane, she likely didn't expect it to reach over 9 million people but since it has she hopes people leave her video with a message of kindness.

"I hope this story continues to resonate with people and inspire them to love each other more, and think twice when the flight crew asks you to stay seated so that people who have a tight connection can get off the plane. You never know why someone is traveling and it’s not always for a happy reason."

This article originally appeared in May.

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Hospice nurse shares clue she uses to know if someone is dying 6 months before it happens

"Allow the body to be the guide."

via Sabinevanerp/Pixabay

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.

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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.

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Hospice nurses share their patients' wildest death bed confessions, and it's eye-opening

Sometimes people wait until the very end to deliver a "mic drop" moment.

Photo credit: Canva

Impending death is the ultimate confessional, it seems.

Death comes for us all, and with it often comes one last opportunity to speak our full truth. Whether for religious reasons or to finally release psychological baggage, many find themselves wishing to expose long held secrets once they know the end is drawing near.

Of course, there are reasons why people wait until they are on their deathbed to make such confessions. Often they revolve around illegal activity, abuse, cheating, or other choices that might either incriminate themselves or hurt relationships if shared while they are still living.

Most of the time, these confessions aren’t even made to a family member or loved one, but to strangers providing hospice care. This undoubtedly offers an additional level of safety while disclosing sensitive information. However, for the nurses and other hospice workers, hearing these stories can’t be an easy part of the job.

Recently, nurses shared some of the more shocking deathbed confessions they’ve heard in their professional careers, and while the conversation shines a light on the darker side of humanity, it’s also a glimpse into the beauty of this brief candle that is life.

Many nurses shared moments when their patients simply knew the end had come.

This isn’t a confession, per se, but clearly a common phenomenon:

“I've had a few people casually tell me, "I'm going to die today." The first time someone who was awake, alert and not-in-distress told me that (then died later that day), I was spooked. Then, I learned to believe them.”

hospice nurse and patient talking to each other "I took her to the bathroom and right there in my arms she went home…Photo credit: Canva

“Brought a pediatric patient back for emergency heart surgery (about 14yrs old). He was very nervous. Outlook looked grim. I held his hand as they began to induce anesthesia. He looked like he was about to cry. I told him there was nothing to worry about. He was gonna be just fine. He gripped my hand super tight as the propfol took hold, looked me in the eye and said 'I'm going to die, aren't I?' I told him I would be there in PACU when he woke up. He died on the table. I was the last thing he ever saw. 8 years later I still think about that kid. I still see his face. The fear in his eyes. I still feel guilty that I lied right to his face…”

“I don’t know if this fits in here, but the first death I witnessed was in a dementia ward. The patient has been sad and depressed as long as I’d known her. No matter what we did to cheer her up, it just didn’t stick. One morning I went in to her room to get her out of bed and make her ready for the day, she sat up in her bed with her feet straight out. She somehow looked like a little child and she was smiling. Delighted that she looked happy I exclaimed : 'Are you already up, friend?' She answered, so happy and so smiley: 'yes, I’m going home today' I took her to the bathroom and right there in my arms she went home…I was young and it scared me back then, but now I cherish that memory. We should all be so lucky to leave the world happy and content.”

Then there are other signs, such as seeing an already deceased loved one, or seeing celestial beings.

“When they tell me this or that deceased relative visited them the day or night before, I know something will go down.”

“I’m a nurse now and honestly have seen much more sudden and traumatic deaths since this one, but this one always is the first I think of…There was this one resident who was much younger than most there, only in her mid 60s. She was in really rough physical and mental shape due to severe liver failure and other compounding issues for years…The day I was wearing new scrubs and in there cleaning her like normal, she suddenly looked right at me and in a very soft, clear voice said, ‘you look like an angel.’ I remember being pretty shocked that she spoke out loud and kinda just said, ‘isn’t this a pretty color??’ She went back to being nonverbal the rest of the shift and I remember thinking about it a lot until I went home. When I got back 2 days later I found out she had died in her sleep that night.”

As hinted at earlier, there were a LOT of death bed confessions involving, well, salacious secrets.

“An old lady told me she had a 22 year long affair with a bus driver, and all five of her adult children might be his."Photo credit: Canva

“Working in oncology at the time, had an older gentleman with liver cancer that had spread everywhere including his brain. Having brain mets made him very vague, often nonsensical, he was in and out of consciousness…He also had a thick Eastern European accent…Anyways, one day I’m taking his vitals and he grabs my hand, looks me straight in the eyes and just says to me ‘you know, I have killed so many people’ in his very strong accent. I kind of just froze and didn’t know what to say but he let go and went back to sleep/reduced consciousness.”

“An old lady told me she had a 22 year long affair with a bus driver, and all five of her adult children might be his. I didn't pass that along.”

“I work with dementia clients…A mind blowing confession I always think about was a veteran who confessed to all the war crimes he committed and how he felt so terrible for all the things he did. He said this was the reason he had no relationship with his family and to be honest I don't blame his family for not having anything to do with him.”

“I've had a few senior women who are in different stages of dementia describe violent SA they experienced as children, many of the stories were similar in the sense of when they told their parents they were blamed or not taken seriously. Really heart breaking but I never knew if they were actually true stories.”

“I once had a man who was extremely sick, confused and at the end stages of life. I had only dealt with him on 2 separate occasions a few days apart so wasn't super familiar with him. He confessed on both occasions to beating a woman to death in great detail…not sure if it was the confusion or true, but the amount of details he had and the way he said he was ready to be put away for it was really disturbing.”

“That none of her adult kids were her husband’s - and there were 4 of them , and none of them knew.”

woman helps an elderly woman walk with a cane in a room with other elderly people socializing "Approach everything with gusto ladies and gentlemen, like it might be your last time.”Photo credit: Canva

“I work in a nursing home. One of our residents was a well-known local pimp in his younger years. It involved filming videos of young girls for his rental business. Nicest man in the world now…Another resident harbored a known serial killer when there was a statewide manhunt for him. She was related by marriage and this was what women did for the men back in the day… A third resident did hard time for having stockpiled explosives in his house…Those are just a couple of backstories I know. It can make caring for people…complicated. You really have to suspend judgement and deal compassionately with what’s right in front of you.”

Then there were some that really just fell into their own category…

“That she liked Hitler because she was poor as a child and she would only get new shoes when she went to the train station to see the Jews off to the concentration camps.”

“I've got several, but this is one of my favorites. 98 yrs old guy heart failure…I asked him ‘so, 98 yrs. What have you learned?’ His response was awesome. He said ‘sex. If I knew the last time I had it was going to be the last time, I would not have been such a gentleman’…Approach everything with gusto ladies and gentlemen, like it might be your last time.”

But on a brighter note, not every daybed confession contained so much gloom and doom.

Just as many stories, though still heartbreaking in their own way, revolved around forgiveness, gratitude, and a longing to feel or express love.

hospice nurse shows elderly woman in chair something on her phone"They basically just held hands and apologized to each other and died together.”Photo credit: Canva

“A mother and son were cooking meth and the house exploded. They both had enough burns they were not going to make it. They basically just held hands and apologized to each other and died together.”

“Working in dementia care I was helping a resident with a bath having a typical conversation with him about his day, my day, etc…Near the end he thanked me [my name] for the help but then he quickly grabbed my hand saying “Thank you for being here [daughters name]”, she hadn’t visited him in a long time. He dozed off as I was cleaning up supplies and when patted his hand as a goodbye gesture not to wake him, I realized he had passed. I was 16, it really shaped my perception of both death and love.”

“Patient once told me he wished he had worked less and spent more time traveling and being with friends and family. He died the next day, not on my shift. It stuck in my head. A few years later I retired and this was one of the reasons. It changed my perspective.”

“I had an elderly lady in for shortness of breath…She had been with us for about 5 hours at this point, she's ready for imaging so the husband goes to get her an overnight bag and we head to imaging. Fully lucid…[she] asks me to tell her husband when he came back that she loves him very much and has enjoyed her life with him. 15 minutes later we return to the room, I plug her monitor back into the podium and she arrests. She didn't get to tell him she loved him that one last time like I reassured her she would. I often think about that man, I think he would have shortly passed from a broken heart. The way he looked at her after 70+ years of marriage.”

One has to wonder what holding onto such things does to our quality of life. On the other hand, maybe there never is a right time to share our secrets, until there isn’t any time left.

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