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How will I know that the end is near?
For many people, dying happens gradually. As the body slowly shuts down, energy and concentration levels change. There will be good days along with days when you can’t do much. Your appetite will reduce, and sips of water or a spoon of food here and there may be enough.
As death gets closer, it’s common to lose interest in talking and the outside world. You may want to be alone more, or away from family and friends, and you may sleep more throughout the day and night.
Near the end, some people may need pain relief or other medicine to keep them comfortable, which may have a sedative effect. Many people slip into unconsciousness before dying, although some remain alert almost until the end. Others may have periods of being awake, and then slip back into unconsciousness.
No one knows how a dying person experiences the moment of death. Whatever happens, in many cultures it is thought to be a peaceful moment. There is often a couple of deep breaths or sighs before the final breath, when breathing stops.
For more on the dying process, see Caring for someone nearing the end of life. This information may be confronting, so consider if this is the right time to read it.
→ READ MORE: What if I feel distressed?
Podcast: Living with Dying
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Fiona Wiseman, Senior Social Worker, Peter MacCallum Cancer Centre, VIC; Grace Berwald, Consumer; Peta Brydon, Metastatic McGrath Breast Care Clinical Nurse Consultant, The Kinghorn Cancer Centre, NSW; Kate Bunyan, Social Worker, Psychosocial Lead, Cancer and Palliative Supportive Care, Canberra Region Cancer Centre, ACT; Hayden Christie, Medical Oncologist and Clinical Director Cancer Care Service and Clinical Lead of the VAD Service for Wide Bay Hospital and Health Service, QLD; John Clements, Consumer; Claire Davies, Spiritual Care Practitioner, Peter MacCallum Cancer Centre, VIC; Joanne Dean, Nurse Practitioner, PEACE Team, Clare Holland House, ACT; A/Prof Michael Franco, Medical Oncologist and Palliative Medicine Physician, Deputy Head – Monash Medical School, Monash University, VIC; Dr Sally Greenaway, WSLHD Director of Supportive and Palliative Care, Senior Staff Specialist Clinical Haematology and Clinical Ethics Service, NSW; Maree Grier, Clinical Psychologist, Royal Brisbane and Women’s Hospital, QLD; Dr Catherine Joyce, National Manager, Advance Care Planning Australia; Mattesse Kitchin, Consumer; Penny Neller, Project Manager, End of Life Law for Clinicians, Australian Centre for Health Law Research, Queensland University of Technology, QLD; Caitriona Nienaber 13 11 20 Consultant, Cancer Council WA; Palliative Care Australia; A/Prof Joel Rhee, Head of Discipline of General Practice, School of Clinical Medicine, University of New South Wales, NSW.
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