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

  Рет қаралды 118,841

St Johns Hospice

St Johns Hospice

Күн бұрын

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

Пікірлер: 73
@lindacheragotti7730
@lindacheragotti7730 3 жыл бұрын
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.
@sallyclay1974
@sallyclay1974 3 жыл бұрын
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!
@mariannecarey9698
@mariannecarey9698 Жыл бұрын
Wonderful
@jtoland2333
@jtoland2333 Жыл бұрын
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.
@delphinium5555
@delphinium5555 Жыл бұрын
We are going through this. It's really tough. I hope you get some respite soon.
@jtoland2333
@jtoland2333 Жыл бұрын
@@delphinium5555 Thank you
@sweetiepie4328
@sweetiepie4328 2 ай бұрын
Because you are family you probably spend alot of time with her. In a home your family will be tended to regularly but we walk away. You don't. We have other pts to tend to and you don't so you feel tied to one person. In a home you'll have rest and your family will be comfortable but they will be lonely. 🙁
@donnaveirs8930
@donnaveirs8930 2 жыл бұрын
God Bless Hospice. They are truly Special Angels, and helped me tremendously with my Mother.
@michellegiampaoli40
@michellegiampaoli40 2 жыл бұрын
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
@tenzeb615
@tenzeb615 3 жыл бұрын
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.
@normanchristie4524
@normanchristie4524 Ай бұрын
Very useful observations; my wife is now in a nursing home and beginning to show symptoms ....
@christhomas9000
@christhomas9000 2 ай бұрын
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 .
@poliver12345
@poliver12345 2 жыл бұрын
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
@Jewel-ju2qz 2 жыл бұрын
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 💔
@normanchristie4524
@normanchristie4524 2 ай бұрын
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....
@mrs5046
@mrs5046 2 жыл бұрын
Thank you for taking the time to explain this. This I needed to know. 🙏
@jojozepofthejungle2655
@jojozepofthejungle2655 2 жыл бұрын
Thank you very much for this. Blessings from our universe to you.
@anitahaynes6171
@anitahaynes6171 3 жыл бұрын
Thank you.
@Sariah
@Sariah 3 жыл бұрын
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.
@lindaguida4074
@lindaguida4074 Ай бұрын
Hospice can go to rehabilitation!
@gurvinderkaur3607
@gurvinderkaur3607 3 жыл бұрын
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
@annettebertora4434
@annettebertora4434 2 жыл бұрын
God bless you all. XXXXXXOOOOOO
@TallulahBelle3276
@TallulahBelle3276 2 жыл бұрын
Thank you. 🙏🏽💝🌎
@annadilebo9105
@annadilebo9105 3 жыл бұрын
Death is so scary.it seems like dying in itself is painful.we will see and feel it when we get there I guess
@angelh8262
@angelh8262 3 жыл бұрын
Most people die peacefully in their sleep. I think you must be referring to symptoms of illness which can cause discomfort. It’s a person’s thoughts that cause them anxiety. When a person can learn to relax and live in the present moment there is nothing to fear. Fear comes from thinking about the past, having regrets or guilt or worrying about the future; what might happen. There are many free relaxing meditations I would recommend on Utube ie the mindful movement. Trust and know all is well.
@annettebertora4434
@annettebertora4434 2 жыл бұрын
@@angelh8262 And prey the Holy Spirit.
@first9_yt
@first9_yt 2 жыл бұрын
@@annettebertora4434 1) kzfaq.info/get/bejne/ed6imNWbyL2sl2g.html 2) kzfaq.info/get/bejne/gaueeceTsK63ip8.html 3) kzfaq.info/get/bejne/qb6Ymcx8lrXFeo0.html
@IwasBlueb4
@IwasBlueb4 2 жыл бұрын
@@angelh8262 The nurse on here talked about PHYSICAL symptoms , such as secretions, causing agitation....and she also said these secretions are quite frequent.... So, where , Angel, do u get the " most people die peacefully in their sleep from " ?
@cherryred584
@cherryred584 2 жыл бұрын
There is no dying. The flesh dies our spirit goes back home. It's a continuation day. NOTHING at all to fear.
@bethakapima
@bethakapima 3 жыл бұрын
Thank you!
@jojo_mcelwee6591
@jojo_mcelwee6591 3 жыл бұрын
I'm going through this with my mum the now. I hate cancer
@irishravr632
@irishravr632 3 жыл бұрын
Prayers offered for you and you're mum, God bless.
@BecD1983
@BecD1983 3 жыл бұрын
Me too
@Dragonhunter1400
@Dragonhunter1400 3 жыл бұрын
Same me with my dad. Stay strong mate
@iffybaker5013
@iffybaker5013 2 жыл бұрын
It is SO SAD!!
@veronicaconway9362
@veronicaconway9362 2 жыл бұрын
Thank you for the info about Tramadol. mum stopped that as it was making her symptoms worse. once it was out of her system she had a few weeks where she felt much better. now this last week, she has had acid and pain in her chest. she also has a bad heart as well as vascular disease. so far three times in these past three days she has had episodes of not being able to breath properly. as though she couldn't get air in her lungs. she is also clammy and her face is pale. she has other symptoms to, not much bodily control. and she is very weak. I heard that the health of a dying patient can go up and down. that's what mum ahs been doing, now again she is on a down. I don't know how long she has. but these last few days dont look good. is the acid, nausea and burping normal. my dad had the this about four months before he died. she keeps taking the rennie, but I think it's her heart.
@myrahouse2368
@myrahouse2368 Жыл бұрын
Feeling really sad the very elderly I care about …she is 98, she’s recently just not interested in much at all. She looks up at me & smiles but very quickly returns to sleep, she won’t hardly talk to me anymore. Her breathing seems more laboured recently too, her legs and ankles where swollen. (That’s improved) She chocks a bit when she eats & coughs. She’s very comfortable and is much loved bed ridden totally, she has carers 4 times a day and family visit often. We enjoy music together 🎶 but she’s just not interested at all now. We have been told many times over the last few years this is it …she’s dying she ends up fine. 😊 But this time it feels so different to me. Sad to see her so passive it’s so still compared to than hyperactive stage delirium she use to get that was distressing 😞
@richricogranada9647
@richricogranada9647 2 жыл бұрын
A big mistake hospitals and other facilities make is not taking patients out from bed and make them walk with the assistance of 2 male therapists. How a pt can recuperate laying in bed long term?
@IwasBlueb4
@IwasBlueb4 2 жыл бұрын
They arent going to recuperate if theyre dying.. They are often too weak to walk.....Let them go....peacefully.... I would raise the head somewhat, so secretions do not over accumulate, and turn the patient over , to avoid bed wounds.....But dont make them walk,....unless they can and want to
@carolzippel5021
@carolzippel5021 Жыл бұрын
If they are actively dying there is no turning back the clock.
@Beachboy-sg4qx
@Beachboy-sg4qx 2 жыл бұрын
Those was old people my friend she was 54 years old walking and talking not showing no sign of sickness but she did say she had pain here and there maybe the doctor told her what was wrong because she was sick all thru aug 2020 lost weight and pick it back up fast had a heart attack Saturday died on Sunday Jan 31 2021 rip Monique I still can’t believe it I will never believe it never
@theforensicastrologer
@theforensicastrologer 2 жыл бұрын
So so sorry to hear , my husband is only 47 and was diagnosed with stage 4 pancreatic cancer and tbh ...life sucks 💔
@paddywhack9261
@paddywhack9261 2 жыл бұрын
Why are those patients lying prone in bed. Their upper body should be elevated at 30° or more: lying flat causes secretions to accumulate and often leads to pneumonia. Seems like a no-brainer.
@IwasBlueb4
@IwasBlueb4 2 жыл бұрын
I often wonder the same as you, Paddy
@NunayoBisnez
@NunayoBisnez 2 жыл бұрын
They're probably trying to make them die sooner.
@wilarransom2545
@wilarransom2545 10 ай бұрын
I don’t disagree about the elevation need but I don’t think pneumonia is an issue by the time a person gets to this point. 😔
@ventilator98
@ventilator98 2 жыл бұрын
I'd like to know stuff that was obviously NOT discussed. I want to know more medical perspective. So let's say an elderly gentleman is dying in ICU. He's not on a ventilator. He's not on advanced therapies such as ECMO, IABP. He's on a pulse oximeter, ECG monitor, and the ECG monitor incorperates Respiratory Monitoring. Let's say, this patient is an elderly gentleman dying due to Sepsis. His Vasopressors were removed a couple of hours ago. His family is there, by his side. The alarms have been turned down to a low volume. The pulse beep has been turned off. What are the most common end of life rhythms you would see in such a case? Like how often will yo see tachycardia go into V-Tach, then V-Fib to Asystole? What are some other rhythms, you might see in this patient, near death? Do you always see the agonal rhythm, right before Asystole? And does the Agonal come between V-Tach, and V-Fib, or does it come before the V-Tach? I want to know some common rhythms, you might see in these end of life cases.
@mariannatexas
@mariannatexas 3 жыл бұрын
How do I know when to ask for hospice help?
@officetechtyping
@officetechtyping 3 жыл бұрын
Well, maybe if there is decline and you really don't feel good anymore. Anytime you feel you need assistance.
@peachygal4153
@peachygal4153 2 жыл бұрын
My MIL's doctor told us when it was time. She was on hospice about 2 months when she died. She was sick 5 months.
@peachygal4153
@peachygal4153 2 жыл бұрын
She was only unresponsive the last 10 days before that she was aware of things around her. It was so much easier for her that the nurse came to her home and no more doctor visits. Before that she was having 3 or 4 r. visits a week and we were all worn out from that. Us and her. We had known she was dying and nothing could be done for about 6 weeks before she went on hospice.
@IwasBlueb4
@IwasBlueb4 2 жыл бұрын
@@peachygal4153 If you KNEW she was dying, why did you keep taking her for more and more doctor's visits ??
@cheryljune1603
@cheryljune1603 2 жыл бұрын
My husband passed 3 weeks ago
@jennimc898
@jennimc898 2 жыл бұрын
Sorry for your loss Cheryl, my mum is in a nursing home on the end of life pathway.
@kazbaz8645
@kazbaz8645 Жыл бұрын
My mom has been in pains she supposes is arthritis. She is mainly in bed very tired. Ahe has carers in and i visit taking supplies etc. I wondered if it’s not uncommon for what say myself and her carers see and deal with doesnt fit in with the gps expectations? He thinks she ahould be up pottering about and i should take her for hospital blood test. I see a woman who cant make downstairs lettle own a blood test out! I asked for better pin meds and he said basically shea not ill enough. She seems held back by pain! The carers have apoken to gp re pain meds as its made me feel he didnt believe me. The carers eere getting me ready for end of her life from what they saw .... the gp says shea not terminal. She has hf and has had three admissions ... the last one she had a seizure in ambulance and i wasnout in fmily room and asked re dnr! So upsetting
@JohnJLillie
@JohnJLillie Жыл бұрын
Visioning: When a person has visions and sees God do Christians claim to see Jesus? Do other religions see their specific God? Or do they simply claim to see God in a general sense? Thanks
@helenmcgillivray2337
@helenmcgillivray2337 2 жыл бұрын
Why is morphine given at the end of life
@nancypicchi9224
@nancypicchi9224 Жыл бұрын
It relieves the discomfort of short of breath, reduces agitation, has a pleasant and calming affect for patient & loved ones alike. Sometimes patients need additional meds to address their pain. Hospice care is wonderful.
@a.dibenedetti7309
@a.dibenedetti7309 3 жыл бұрын
Dying is a pricess when the body is shutting down, how sad.
@rickb8094
@rickb8094 Жыл бұрын
What Happen when a Person Die? In order to get the correct answer, let us consult the infallible word of God. And the safest way to start is to ask the question: Q. 1) How did God create or form man? A. Genesis 2:7; And God formed man from the dust of the ground, and breathed into his nostrils the breath of life, and man became a living soul. Note: In forming man, God used two substances namely: 1. Dust of the ground 2. Breath of life Note: Now that we know how God formed man, we can safely answer the above question by reversing the process in which God formed man. To illustrate: Ii At Creation: Dust of the ground plus breath of life = man or a living soul At Death: Living Soul minus breath = Dust Q. 2) What happen to these two substances when a person die? A. 1.) Ecclesiastes 12:7; Then the dust return to the earth as it was, and the spirit (or breath of life, Genesis 2:7) return to God who gave it. A. 2) Job 27:3; All the while my breath is in me, and the spirit of God is in my nostrils. A. 3) Genesis 3:19; In the sweat of thy face shalt thou eat thy bread, till thou return to the ground, for out of it was thou taken, for dust thou art, and unto dust shall thou return. Note: The three texts above clearly explained what happen to the two substances that God used in forming man at the time of death. At the same time, they also clearly answer the question. What happen when a person dies? The body return to dust of the ground where it was taken, (Genesis 3:19,)and the spirit or breath of life return to God who gave it. ( Ecclesiastes 12:7) The belief that when a person dies, there is a soul (immortal) that leave the body, and depending on how the person lived when alive, will determine where the soul will spend eternity, either in hell, to be punished and tortured for all eternity, in purgatory, with the hope of being brought to heaven or direct to heaven as the case maybe. This belief is contradictory to Ezekiel 18:20; The soul that sinneth, it shall die. The truth is, this belief is based on the Greek Philosophy called “Dualism” (pls check dualism in the internet) which teaches that the body and the mind are two separate entity, In that the body is physical while the mind is spiritual and immortal. Here lies this very dangerous belief. Why? Because if the soul is immortal, of course it is not subject to death. That is why, when a sinner die, based on this belief, the soul will go to hell to be tortured and burned forever and ever without end. What kind of punishment is this? Endless. Don’t make sense. It is because the soul is not subject to death, immortal. This is unbiblical. To dispel this erroneous belief, simple questions need to be asked. 1. Would our gracious, loving, merciful and longsuffering God, allow eternal torture and eternal life to co-exist? Of course not, for this will contradict His nature, which is God is love. 2. What kind of sin does anyone do, to deserve this kind of endless torture? There is no such kind of sin, for the Bible says; that the wages of sin is death, not endless torture. (Romans 6:23). According to Galatians 6:7; Whatsoever a man soweth, that he also reap. The truth is, God did not create anything or anyone immortal. For had he done this, then sin would be immortalized. The Bible said, that God alone is immortal. 1 Timothy 6:15,16. The reason is obvious, God knows the end from the beginning, Isaiah 46:9,10. Thus, he knew that Adam and Eve would commit sin, Genesis 3:6. and Romans 5:12; For by one man sin enter the world, and death by sin, in the death passed to all men, for all have sinned. The wages of sin is death. (Romans 6:23) Q. When will the person that died and who return to the dust, be made alive again? A. 1. John 5:28,29; Marvel not at this, for the hour is coming in the which, all that are in the graves shall hear his voice. And shall come forth, they that have done good, unto the resurrection of life, and they that have done evil, unto the resurrection of damnation. 2. Daniel 12:2; And many of them that sleep in the dust of the earth shall awake, some to everlasting life, and some to shame and everlasting contempt. Note: The two texts, clearly explained that the dead sleep in the dust and will come to life, when the voice of the Lord is heard at His second coming. Q. What event does the Bible say, would take place, when the dead which came forth from the graves/dust, and who have done good? A. 1 Thessalonians 4:16,17; For the Lord himself, shall descend from heaven with a shout, with the voice of the Archangel, and with the trump of God, and the dead in Christ shall rise first. Then we which are alive and remain shall be caught up together with them in the clouds, to meet the Lord in the air, and so shall we ever be with the Lord. Note: The event described in the above text, is referring to the second coming of Christ. (John 14:1-3.) Q. How about those that have done evil, when will they come to life? A. Revelation 20:5; But the rest of the dead lived not again until the thousand years were finished. Note: In conclusion, with this text, the resurrection of all that died and in their graves, (John 5:28,29) from Adam and Eve at the beginning, up to the last person who will die just before Christ second coming, is hereby completed. The reward of them that hath done good, is described in 1 Thessalonians 4:16,17, and in Revelation 20:6; Blessed and holy is he who hath part in the first resurrection, for the second death hath no power. In contrast, the punishment of them that hath done evil is described in Revelation 22:8, and is called the second death. .
@isabellacicchetti6058
@isabellacicchetti6058 Жыл бұрын
How many 70 yo sons take care of their 95 yo parents? Those sons are old too, this didn't use to happen during the whole human history in the past!
@eagle7757
@eagle7757 3 жыл бұрын
For God so loved the world, that he gave his only begotten Son, that whosoever believeth in him should not perish, but have everlasting life. John 3:16 KJV, Jesus Christ is the only way........
@first9_yt
@first9_yt 2 жыл бұрын
1) kzfaq.info/get/bejne/ed6imNWbyL2sl2g.html 2) kzfaq.info/get/bejne/gaueeceTsK63ip8.html 3) kzfaq.info/get/bejne/qb6Ymcx8lrXFeo0.html
@johnbourke7528
@johnbourke7528 2 жыл бұрын
Amen
Advance Care Planning: An Introduction - Care Home Support
4:52
St Johns Hospice
Рет қаралды 1,2 М.
Differences between Hospice Care vs Palliative Care
14:56
Hospice Nurse Julie
Рет қаралды 587 М.
🌊Насколько Глубокий Океан ? #shorts
00:42
King jr
Рет қаралды 4,3 МЛН
TRY NOT TO LAUGH 😂
00:56
Feinxy
Рет қаралды 14 МЛН
UFC Vegas 93 : Алмабаев VS Джонсон
02:01
Setanta Sports UFC
Рет қаралды 190 М.
Nutrition & Fluids at End of Life - Care Home Support
5:41
St Johns Hospice
Рет қаралды 9 М.
What are the last days before death like? | Signs of approaching death
6:07
Dr. Paulien Moyaert
Рет қаралды 429 М.
What to expect at the end of life
9:19
Marie Curie
Рет қаралды 1,1 МЛН
Video about achieving dignity in end of life care
11:10
Social Care Wales TV / Gofal Cymdeithasol Cymru
Рет қаралды 33 М.
Signs of Approaching Death
3:28
ElwandaAdams
Рет қаралды 1 МЛН
End Of Life - the last hours and minutes
7:22
Legacy Hospice
Рет қаралды 52 М.
What Dying Looks Like During the Final Weeks of Life
5:13
Heart House Hospice
Рет қаралды 196 М.
Nurses on Death and Dying
8:38
Haelo UK
Рет қаралды 456 М.
🌊Насколько Глубокий Океан ? #shorts
00:42
King jr
Рет қаралды 4,3 МЛН