Julie McFadden, a nurse specializing in end-of-life care, has shared some of

the most unsettling things people experience as they approach death. She aims

to demystify the dying process and help families understand what to expect,

Two of the most unsettling things families might witness, according to McFadden,

are changes in breathing patterns and the death rattle.

Changes in Breathing

As a person nears death, their breathing can become irregular, which can be alarming for loved ones.

This shift is known as Cheyne-Stokes breathing, characterized by periods of rapid breathing followed

by long pauses. McFadden reassures that this pattern is caused by changes in the body’s metabolism

and does not indicate that the person is in pain. Though it may look distressing, it’s a natural part of the dying process.

The Death Rattle
Another common and unsettling occurrence is the death rattle, a gurgling sound caused by saliva

collecting in the mouth. This happens because, toward the end of life, the brain no longer signals

the body to swallow the saliva. McFadden emphasizes that it’s not a sign of suffocation or lung failure,

but simply a buildup of saliva. Although it can sound distressing, it doesn’t cause the person any discomfort, as their body is relaxed.

McFadden’s insights help reassure people that these phenomena, though unsettling, are normal

parts of the dying process and are not signs of suffering. She also points out that medications

can be used to ease discomfort if necessary. Through her work, McFadden is helping families better