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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.

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"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:

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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.

Julie McFadden and former President Jimmy Carter.

Former President Jimmy Carter is known for being one of the most beloved former presidents in American history for his resolve to use his talents to help others, whether it was eradicating the Guinea worm or his work with Habitat for Humanity into his late 90s. Carter says that his faith is the big reason for his resilience. “I have one life and one chance to make it count for something,” he said. “My faith demands that I do whatever I can, wherever I am, whenever I can, for as long as I can with whatever I have to try to make a difference.”

The man who held the presidency from 1977 to 1981 went into hospice in February 2023 but has lived much longer than most expected. Carter has made 2 public appearances in that time, the first in November 2023 for the funeral of his wife of 77 years, Rosalynn and on October 1, 2024 for his 100th birthday. When Carter was wheeled into his wife’s funeral, some family members expressed shock and worry about Cartter’s appearance.

Since beginning hospice care, Carter has appeared frail and gaunt without expression and mouth agape. It shouldn’t be shocking for a person who has reached the age of 100 to appear so fragile, but it’s right to be concerned that he may be uncomfortable in such a state. However, Julie McFadden, also known as Hospice Nurse Julie, settled a lot of people’s fears in a TikTok video where she explained Carter’s appearance and why he’s most likely comfortable during his transition.

McFadden has assisted over a hundred people in their final days and is the author of the bestseller, "Nothing to Fear."

@hospicenursejulie

#greenscreenvideo #greenscreen Jimmy Carters 100th birthday! #hospicenursejulie #hospicenurse #jimmycarter #education

What is Jimmy Carter's condition?

“I have been tagged in this Jimmy Carter turns 100 years old today video,” she begins her viral TikTok with over 600,00 views. “So many times people asking me, why does he look like this? Is he okay? Does this mean anything? As a hospice nurse, this video was not alarming to me. Jimmy Carter, to me, looks just like someone who was 100 years old on hospice and getting towards the end of their life.”

She then speculated on what his life is like at age 100. “Jimmy Carter is likely sleeping 20 to 22 hours a day. He is likely not really eating and drinking, which is all normal and to be expected at the end of life. So that's why he looks so thin. He looks cachectic. His body is slowly shutting down and the more we just let his body be the guide, the better he will be.”

A lot of people are concerned about the way that Carter’s mouth seems to be permanently open. McFadden says that is due to muscle wasting. “His mouth is hanging open because it takes muscles to keep your mouth shut. And at the end of life, those muscles relax. So he is likely so relaxed that when he's sleeping, which is most of the time, even when he's in a wheelchair, he's asleep, and his muscles relax, so his mouth hangs open.”



McFadden also addressed many people's concerns: Should Carter have been brought outside to celebrate his birthday with his family in such an advanced state? Should he have been in front of the cameras?

“In my opinion, it's up to the family. The family knows that person best,” McFadden said. “From what we know of Jimmy Carter, he was a family man who loved being around his family. So why not be around him and celebrate his one hundred? One-hundredth birthday and bring family around, bring him outside. They know his personality. They must think he would love this. So let's do it. We don't have to keep dying people hidden away.”

McFadden is such an incredible gift because we tend to lock away the dying and talking about death and hospice is a very uncomfortable topic for most. This lack of information leads us to believe that someone in Carter’s position suffers. But, according to McFadden, he’s probably comfortable and relaxed. McFadden knows that when people better understand Carter’s condition, they will probably feel better about their final days as well.


A kind nurse offers a flower.

As the old saying goes, “You don’t know what you’ve got ‘til it’s gone.” Sadly, this hard truth becomes increasingly evident as we reach our final days. The things we take for granted today, such as our health, relationships, and time itself, become much more precious when we know they are about to end.

How much happier would we be every day if we lived with the perspective of those who are experiencing their final days?

Julie McFadden, known to her hundreds of thousands of followers on social media, as Hospice Nurse Julie, helps people appreciate their lives by regularly sharing her experiences with those who are living their final days.

Recently, she stopped by Rob Moore’s “The Disruptors” podcast, where she shared some of the big lessons she’s learned from the dying. Moore is a public speaker, entrepreneur and bestselling author of “Life Leverage.”


Given his background as an entrepreneur, Moore assumed that when people reach their final days, they regret the amount of time they spend working. "People definitely say that. 'I wish I didn't work my life away. I wish I didn't wait until retirement to do the things I wanted to do,'" McFadden said. However, there is another big regret that many share. “The main thing people say, that I don't hear a lot of people mention, is ‘I wish I would have appreciated my health,’” she added.

“I think the biggest thing I hear from people [who are] dying is that they wish they would have appreciated how well they how well they felt before,” she continued.

It seems that when people’s health begins to decline, they miss the vitality they never fully appreciated.

"I think most people take for granted things that have always been,” she told Moore. “You know, it's really easy to forget. We're so lucky to be alive in this moment. We're taking a breath right now. We're here on a rock that's like soaring through space. I mean, that alone can blow your mind."

McFadden believes that her profession reminds her to be grateful because dying is just as natural as living.

“I think because of my job, it's easier for me to see how once-in-a-lifetime this is. The fact that everything works together in our bodies to make us live and grow and I see that in-depth, too. I see how our bodies are biologically built to die,” she said. “That, right there, is so fascinating. We literally have built-in mechanisms to help us die. Our body can naturally do it. That's wild."

To get the most out of the miracle of life, McFadden writes a gratitude list every night so she’s sure to appreciate everything she has. Because, in the blink of an eye, it can be gone. “I like the fact that I can breathe, I'm walking around, I can feel the sunshine – little things like that,” she shared.

Our lives are filled with incredible gifts, whether it’s the people we love, the amazing things our bodies can do, or the places we get to see. But without gratitude, these beautiful gifts can easily go unnoticed and unappreciated. Practicing gratitude allows us to cherish these moments, so we’re fulfilled by what we have, instead of disillusioned by what we don’t.