Vigil & Bereavement

The final act of your loved one's independence is their passing—an event that cannot be precisely predicted. As the end nears, focus on creating an environment of safety, privacy, and peace. Stay open and genuine, offering reassurance and comfort. Your hospice team is experienced, compassionate, and ready to respond when needed—don’t hesitate to reach out. Lean on their support and expertise during this time. Now is the time to be fully present, knowing that our hospice care team is here to guide and support you every step of the way.

Recognizing End-of-Life Signs & Notifying Hospice

  • Sometimes, the patient has a surge of energy or a “rally”. When this happens, you may feel renewed hope that your loved one’s health is improving. This may be an opportunity to listen to or talk with them. Often, the “rally” doesn’t last very long. You may find that they:

    • Speak with clear conversation

    • Respond to questions and attentive

    • Can sit up or enjoy their favorite meal

    Other signs include:

    • Patient may appear to be in a coma or a non-responsive state.

    • Patient may no longer take in food or fluid.

    • Patient may reach out, pick at clothing or have busy hands.

    • The patient’s breathing patterns may come and go:

      • Blowing of the lips

      • Stopping and resuming of rhythmic breathing

      • Congestion/rattling sound in lungs and upper throat

    • Patient’s vital signs (pulse, blood pressure, respiration) may increase and decrease.

    • Patient may show increased perspiration and clamminess.

    • Changes in the patient such as restlessness or anxiety, changes in breathing, pain or discomfort

    • Need for spiritual support or guidance for the person or family

    • Concerns that may need help from the social worker, chaplain or other members of our hospice team

    • Religious, cultural or ethnic traditions important to your family

    • Information about the funeral home and other arrangements that are wishes of the person, such as organ donation

    It is important to talk to our hospice/palliative care team about any concerns you have. During this difficult and stressful time it is important that caregivers take care of themselves while caring for the person who is dying. The team will be there to provide support and comfort.