Can you tell someone will
Julie McFadden has spent years caring for patients in hospice, using her experience to explain the physical and emotional changes that often happen near the end of life.
Through books and social media, she aims to reduce fear surrounding death by helping families better understand what their loved ones may experience in their final months and days.
McFadden explains that one common sign near death is irregular breathing, known as Cheyne–Stokes breathing, where rapid breaths are followed by long pauses. Although it can appear alarming, she says it is usually a natural part of the body’s process.
She also discusses the “death rattle,” a gurgling sound caused by saliva collecting in the mouth when swallowing slows down. According to her, this sound is generally not painful or distressing for the patient.
Julie says early signs of decline can sometimes appear six months before death, including increased sleep, reduced appetite, and less interest in social interaction. Around three months before death, many patients become weaker and spend most of their time resting at home.
In the final month, some people report seeing deceased relatives, friends, or pets. Hospice workers often describe these experiences as common and comforting rather than frightening.
McFadden believes hospice care should focus on comfort and support instead of fear. Many families and healthcare workers have praised her work for bringing clarity, reassurance, and compassion to a topic that is often difficult to discuss.
@hospicenursejulie Replying to @Mariah educating yourself about scary topics will help decrease fear. ✨Nothing to Fear ✨- my book- out june 11th #hospicenursejulie #hospicenurse #caregiversoftiktok #medicaltiktok #learnontiktok #nothingtofearbook