the actively dying phase john mulder, md vp of medical services faith hospice

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The Actively Dying Phase The Actively Dying Phase John Mulder, MD VP of Medical Services Faith Hospice

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Page 1: The Actively Dying Phase John Mulder, MD VP of Medical Services Faith Hospice

The Actively Dying PhaseThe Actively Dying Phase

John Mulder, MDVP of Medical Services

Faith Hospice

Page 2: The Actively Dying Phase John Mulder, MD VP of Medical Services Faith Hospice

End of Life Signs and Symptoms End of Life Signs and Symptoms

Page 3: The Actively Dying Phase John Mulder, MD VP of Medical Services Faith Hospice

One to Three Months One to Three Months

Withdrawal from the world and people Decreased food intake Increase in sleep Going inside of self Less Communication

Page 4: The Actively Dying Phase John Mulder, MD VP of Medical Services Faith Hospice

One to Two Weeks One to Two Weeks

Agitation Talking with the unseen Confusion Picking at clothes

Disorientation

Page 5: The Actively Dying Phase John Mulder, MD VP of Medical Services Faith Hospice

One to Two WeeksOne to Two Weeks

Decreased blood pressure Pulse increase or decrease Color changed, pale, bluish Increased perspiration Respiration irregularities

Physical

Page 6: The Actively Dying Phase John Mulder, MD VP of Medical Services Faith Hospice

Congestion Sleeping but responding Complaints of body tired and heavy Not eating, takings little fluid Body temperature, hot/cold

Physical

One to Two WeeksOne to Two Weeks

Page 7: The Actively Dying Phase John Mulder, MD VP of Medical Services Faith Hospice

Days or HoursDays or Hours

Intensification of one to two week sings Surge of energy Decrease in blood pressure Eyes glassy, tearing , half open Irregular breathing, stop/start

Page 8: The Actively Dying Phase John Mulder, MD VP of Medical Services Faith Hospice

Restlessness or no activity Purplish knees, feet, hands, blotchy Pulse weak and hard to find Decrease urine output May wet or stool in bed

Days or HoursDays or Hours

Page 9: The Actively Dying Phase John Mulder, MD VP of Medical Services Faith Hospice

MinutesMinutes

“Fish out of water” breathing

Cannot be awakened

Page 10: The Actively Dying Phase John Mulder, MD VP of Medical Services Faith Hospice

“What we once enjoyed and deeply loved we can never lose,

for all that we love deeply becomes part of us.”

-Helen Keller

Page 11: The Actively Dying Phase John Mulder, MD VP of Medical Services Faith Hospice

John Mulder, MDJohn Mulder, MD

[email protected] [email protected]