Recognising the dying patient & End of life signs and symptoms - Care Home Support

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Published 2020-06-11
Jacqueline Edgecombe - Registered Nurse at St John's Hospice of the Hospice at Home team gives you an overview of how to recognising when a resident or patient is entering the dying process. Also covered are specific signs and symptoms to expect as they move through this process.

This video series has been produced specifically to offer support to our colleagues in care homes.
If you need further support please contact St John's Hospice:
www.sjhospice.org.uk/
Call 01524 382538

All Comments (21)
  • @sallyclay1974
    My sister had Lewy Bodies Dementia. She had 4 years with round the clock caregivers,at her house in Ridgefield, and her last 3 years, at The Residence , in Darien, CT. She died peacefully, in her sleep, on Jan 27th, 2021. God bless the medical staff, and Hospice, for taking such good care of my sister. I salute all of u!
  • Thank you for your service. I worked many years in the States as a Hospice Nurse. It taught me many things. One thing it taught me was to love my patient and their families completely, and it taught me not to be afraid if death. I loved my career immensely.
  • @jtoland2333
    My mother is dying, and I'm her caregiver but I'm not a nurse. She has started to show a lot of paranoia, and is convinced my daughter and I are trying to put her into a home. I want her to stay in her home but had to tell her, honestly, that the level of care she'll soon need is beyond what I can do. I've offered to remain a home with her, but I desperately need help. I'm not getting any younger, and I've been at this for years. I'm tired and I need to rest. This video just served to confirm that I can't do this anymore. I just can't.
  • @donnaveirs8930
    God Bless Hospice. They are truly Special Angels, and helped me tremendously with my Mother.
  • @christhomas9000
    a clear and very loving and thoughtful description ....thank you so much ..bless you carers for doing the most valuable job in society for so little reward in this life .
  • @tenzeb615
    Thanks for this video. It is very informative. We cared for my father at home during his final days. He had a sudden illness and things moved quickly. The GP and district nurses were very good but it was a shocking time. I’m not saying that one should spend time overly preparing but having a better idea of what is normal and what to expect would have helped all of us deal better with the situation. Death is part of life and not talked about enough certainly in western society. My Dad did an amazing job of dealing with his own hugely difficult circumstances and left me with the greatest gift. At no point was he a victim. He cared more for the people around him than he did himself. RIP mate, you are always with me.
  • My dear mother passed away at the age of 90 years at our local Nursing home. I looked after her for 3 years prior to that. I helped her do the shopping & call the local taxi to take her back to Resthaven. We would catch up with all the local gossip and even I showed he the latest photos of my dogs. Since had passed away, both of my dogs never said goodbye to her since then ,my dogs got a bit fretted about Mum not coming home. So I kept up the usual routine
  • Very useful observations; my wife is now in a nursing home and beginning to show symptoms ....
  • @poliver12345
    Dying people sleep more, rapid breathing or shallow breathing, chest secretions, death rattle, poo & secretions in lung airways, ensuring patient not alarmed by secretions, temperature changes, skin changes appear cool or warm varying, color changes from pale to mottled skin, discolored lips/nail beds/blue tinge on nails, symptoms escalate, degree of discomfort, agitation at presence of dying, important to assess patients, chest secreations,degree of pain, varying temperature change too hot or too cold, call nurses for assistance. Thanks Jacqueline Edgecombe for description of symtoms to be aware of!
  • @Jewel-ju2qz
    I knew my dear mom was 'changing' she was poorly for a long time and we almost lost her twice...for the next 6 months she deteriorated slowly, she hugged me impromptu and said my daughter...looking back now I see it 💔
  • @mrs5046
    Thank you for taking the time to explain this. This I needed to know. 🙏
  • You are describing my wife's lifestyle exactly. One good day next day down. She had an operation to fuse a fractured spine LI. I feel guilty about the pain that she endured after the operation. She is doubly incontinent. There is no rule book....
  • @Sariah
    This was my father. He slept more than he was awake. He was twitching. He could barely talk. I had no support as this happened at a Rehab. He was also uncomfortable. I wish I had seen this video beforehand.
  • @myrahouse2368
    OMGosh now I’m dealing with my daring big sister dying….. She’s in a lovely Hospice St John’s Bedford…I love that. I feel sad she’s afraid…. 🥹 She and I are having panic attacks…….I’m petrified I can’t live without my big sister…
  • When dying patients in deep sleep, although they can develop respiratory noisy secretions, but they are not aware of thes and doesn't affect them,they don't show agitation for this and this is normal. In my experience once dying patients develop chest/respiratory secretions it's almost impossible to remove/control them with medication like octreotide or hyoscine etc
  • @annadilebo9105
    Death is so scary.it seems like dying in itself is painful.we will see and feel it when we get there I guess