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The Special Communication of the Dying

Toward the end of the dying process, terminally ill patients commonly experience periods of "confusion" during which they talk about going home or taking a special trip.  Sometimes the dying see and talk to people who have already died.  Health care professionals often label the sometimes jumbled and rambling communications of the dying as confusion and prescribe medication to cure their hallucinations.  There is a better way.

Those who work closely with the dying are aware the sometimes jumbled and confused statements of the dying may be final communications with very special meanings if we can decipher them.  Instead of thinking our patients have lost their minds and prescribing them more medication, we must learn to communicate with our dying patients in quiet, gentle was as we try to decipher their special communications.

The patient may be trying to tell us death is imminent.  Or, they may be asking us to take care of some last unfinished business so they can die peacefully.  If we interpret the final communications of the dying, we help relieve both the patient's and family's anxieties and contribute to a peaceful death.

In their work with the dying Maggie Callanan Pflaum and Patricia Kelley, recommend educating family members about the final communications of the dying.  When family members are aware of common themes in the special communications of the dying, they can help unravel the mysteries and share in the final gifts of the dying.

Common Themes - read about the different meanings to what the dying is trying to communicate

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