Final Days

The final act of your loved one’s independence is their death – and there is no way to precisely predict how or when they will die. As death nears, these things are important: safety, privacy and calm. Continue to be open and genuine so that your loved one feels secure. Your hospice team is knowledgeable, skilled and confident and they will respond rapidly when you call, so call when you need – and lean on them during this time. Now is the time to be fully present; remember that our hospice care team is there to support you every step of the way.

What are the signs that a person is near death?

Sometimes, the patient has a surge of energy or a “rally”. When this happens, you may feel renewed hope that your loved one’s health is improving. This may be an opportunity to listen to or talk with them. Often, the “rally” doesn’t last very long. You may find that they:

  • Speak with clear conversation
  • Respond to questions and attentive
  • Can sit up or enjoy their favorite meal

Other signs include:

  • Patient may appear to be in a coma or a non-responsive state.
  • Patient may no longer take in food or fluid.
  • Patient may reach out, pick at clothing or have busy hands.
  • The patient’s breathing patterns may come and go:
    • Blowing of the lips
    • Stopping and resuming of rhythmic breathing
    • Congestion/rattling sound in lungs and upper throat
  • Patient’s vital signs (pulse, blood pressure, respiration) may increase and decrease.
  • Patient may show increased perspiration and clamminess.

What to report to our hospice/palliative care team?

  • Changes in the patient such as restlessness or anxiety, changes in breathing, pain or discomfort
  • Need for spiritual support or guidance for the person or family
  • Concerns that may need help from the social worker, chaplain or other members of our hospice team
  • Religious, cultural or ethnic traditions important to your family
  • Information about the funeral home and other arrangements that are wishes of the person, such as organ donation

It is important to talk to our hospice/palliative care team about any concerns you have. During this difficult and stressful time it is important that caregivers take care of themselves while caring for the person who is dying. The team will be there to provide support and comfort.

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The word "hospice" was once used to describe a place of refuge for people on a difficult journey. Our excellent care and deep compassion for patients and families offer a place of comfort on the end-of-life journey. Recognizing that in hospice care the main guardians are the family caregiver and the hospice team, care is most often provided in the home setting or community setting, rather than in hospitals and hospice care facilities. The Serenity Hospice Care team will support the patient and family wherever they are to call home.

Complete the form below to inquire about our hospice care services in Wichita and Hutchinson, Kansas, and surrounding areas.

Wichita Location

3221 N Toben St
Suite 200
Wichita, Kansas 67226
(316) 669-5344
Fax: (316) 768-2519

Hutchinson Location

915 E. 30th Avenue
Hutchinson, KS 67502
(620) 899-5683
Fax: (620) 899-2202

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