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Nikki850 Asked May 2018

What are the signs of decline in hospice patients?

Can anyone tells me from experience what are the signs and symptoms of decline in hospice patients?

shad250 May 2018
Not eating little to no interest in food seems to be the common signs.

Nikki850 May 2018
Well not of that happening yet. He always have low appetite. It’s jusr that he started having sundowning. Just today he said he’s having little blurry vision. Little bit of this and that. I know everyone’s gonna tell me to call hospice and have him evaluate but he ain’t getting there yet. He always said he don’t feels like eating but when I make him something he eats it all. Why can’t we just get well or get going? Why that lingering stages with pain and memory loss and sundowning, etc etc...?

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worriedinCali May 2018
Joann29 thank you for sharing your experience, I was wondering how long one might live after they stop eating and lose the ability to swallow. I’m trying to figure out much time my MIL might have left. Her nurse comes once a week.

Nikki, wanted to add to my initial reply and say that in my MILs case her digestive system started shutting down 3-4 weeks ago. She’s got some mottling, still drinks a little and takes in a few bites of food. It’s hard to say how much longer she has but the first signs of decline that we observed were no appetite and decreased urine and bowel movements. Blood pressure dropping is another sign but I don’t know if my MILs is dropping yet.

JoAnn29 May 2018
You have to call a nurse? Doesn't she visit 2 or 3 x a week?

JoAnn29 May 2018
Heres my experience. They stop eating. They cannot swallow. They no longer can drink. The body starts shutting down. My Mom closed her eyes and never opened them again. She didn't want to get out of bed. She could hear but that sense is the last to go. She lived a week longer.

Sendhelp May 2018
I agree Lizzywho, a private conversation, away from her Dad. Good answer.

lizzywho61 May 2018
Nikki,
Everyone that has posted is correct. Each situation IS different.

Please, if you see change, any change in your Dad, ask for a Hospice Nurse to come evaluate your Dad. Then sit down in private, away from your Dad, and have a conversation with the Nurse. You can ask them what they are seeing and what to expect next to the best of their ability.

Hospice is not only there for your Dad. They are there for you too. They should answer ANY questions you have and try to make you feel as comfortable as possible under the circumstances.

Sendhelp May 2018
Nikki,
Google Cheyne-Stokes breathing for the medical facts.  Death would be happening within hours....
"A pattern of interrupted breathing called “Cheyne-Stokes breathing” may occur and for some there may be noisy breathing sometimes called “the death rattle”. Cheyne-Stokes breathing is a pattern of breathing often present in dying. The person takes several breaths followed by a pause in breathing of several seconds."

So sorry if this is what you are seeing in your loved one.

Please ask yourself, "Are some things better if we don't know?".
I just don't want you to go through this alone, so do ask your hospice nurses and doctors when they are there.  Dispensing  "end of life questions" by phone is to be avoided, imo.

You did right by coming here also to ask.  There are some very special people who can walk you through this with compassion.

worriedinCali May 2018
It’s different for everyone. There is a booklet by a hospice nurse called “gone before my sight” and it gives a 3 month time line. It’s just a general timeline of signs/symptoms you might observe 3 months before, 2 weeks before, days and hours before. and I can tell you, my MIL is at the end of her journey and the signs have been all over the place, she is not following the 3 month timeline but she has had many of the signs.

freqflyer May 2018
My answer to you a few months ago:  https://www.agingcare.com/questions/is-death-near-434161.htm

Also found another for another posting:  https://www.agingcare.com/questions/end-of-the-road-434005.htm

So sorry you are going through this.

Nikki850 May 2018
It’s annoying to ask hospice nurse everything. I have to go through call center answered all sorts of questions etc....it’s like repeated episode. Of course the hospice nurse can tell when he’s declining but I want to hear from those who experienced it.

freqflyer May 2018
Nikki, each patient is different, thus it is always best to ask the Hospice Nurse what decline is she/he seeing.

cwillie May 2018
I've bookmarked this site because in all my web surfing I've found the information presented there to be the most detailed and easy to understand.

kokuamau.org/the-last-stages-of-life/

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