Bereavement Information 9 South Eastern Sydney Local Health District A person’s body temperature may change. Sometimes the person’s hands, feet and legs may become increasingly cool to touch, and at other times they may feel hot and clammy. Sometimes, parts of the person’s body may become blotchy and darker in colour. This is due to the circulation of the blood slowing down and is a normal part of the dying process. If the person indicates that they feel cold, use light bedding to keep them warm. Temperature Secretions As coughing and swallowing reflexes reduce, saliva and mucus may collect in the back of the person’s throat, causing gurgling, bubbling or other noises. As indicated above, these noises can be of concern to carers, but do not usually cause distress to the person. Medications can be given to slow down the production of saliva and mucus and thus improve the dying person’s comfort. Restlessness Due to the decrease in circulation of blood to the brain, as well as other changes happening in the body, the person may become restless or agitated. We can support people to feel calm by speaking in a quiet, natural way, lightly massaging the person’s hand or forehead, or softly playing familiar music. Let a team member know if the person becomes restless or agitated as medications can be given to reduce this. Regular breathing patterns may change. Sometimes breathing may be fast, and at other times there may be long gaps between breaths. Breathing may be shallow or noisy. This is a normal part of the dying process and is not painful or distressing for the person. These changes may prompt us as family and care givers to feel distressed, particularly when breathing appears noisy or laboured. The nursing and medical team will ensure that every measure to provide comfort to your loved one will be taken, including management of pain and their breathing. Breathing Incontinence The amount of urine that the body produces decreases due to the reduced amount of fluid the person is drinking. The urine may smell stronger and be darker in colour. Many carers are concerned that the person will lose control of their bladder and bowels. This does not happen to all people, but if it does, nursing staff can provide pads, easy to use equipment, and special absorbent sheets, to enhance comfort and hygiene. Sometimes a person may need a catheter to help drain their urine. *Not all the signs mentioned above occur with every person, nor will they occur in any particular sequence. These physical signs are part of the normal, natural process of a person’s body gradually slowing down.
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