Qual o primeiro sinal de morte?

Summary of the Article: Signs and Symptoms of Approaching Death

Tremors, involuntary movements, changes in heart rate, and loss of reflexes are signs that indicate the end of life is near.

The first sign of death is when the limbs become cold and develop a bluish or discolored appearance. Irregular breathing, confusion, and drowsiness may occur in the final hours. Secretions in the throat or relaxation of throat muscles can cause noisy breathing, known as death rattle.

Death rattle, also known as “sororoca,” is a noisy breathing caused by the accumulation of secretions in the upper respiratory tract. It is prevalent in the last hours or days of life.

The duration of palliative sedation varies, but it usually takes around 24 hours to control symptoms. Sedation does not imply that the patient will be kept until death. In a palliative care unit, 23% of patients who received palliative sedation were discharged.

Auditory sense is the last to shut down at the moment of death, according to research conducted by the University of British Columbia.

The five stages of a terminal patient include denial, anger, bargaining, depression, and acceptance.

Without activity in the brainstem, human life can be considered extinct. Even in the absence of a functioning brainstem, the heart continues to beat, providing oxygen to the rest of the body.

The signs of certain death include unconsciousness, muscle tone loss, respiratory arrest, relaxation of the sphincters with possible elimination of urine and feces, and absence of reflex responses.

Signs that indicate a person is in a terminal state include pain, dyspnea, anorexia, nausea and vomiting, constipation, pressure injuries, delirium and confusion, depression, and suicide.

In cases of sedation or superficial coma, it is likely that the patient can hear the voices of family members, although their understanding may be limited.

During sedation, the patient mostly sleeps, breathes normally, and responds to verbal commands. Sedation provides relief from patient stress.

The last organ to cease functioning differs depending on the specifics of each case and the underlying health conditions.

Questions and Answers:

1. What is the first sign of death?
   The first sign of death is when the limbs become cold and develop a bluish or discolored appearance. Irregular breathing, confusion, and drowsiness may occur in the final hours. Secretions in the throat or relaxation of throat muscles can cause noisy breathing, known as death rattle.
2. What is death rattle?
   Death rattle, also known as “sororoca,” is a noisy breathing caused by the accumulation of secretions in the upper respiratory tract. It is prevalent in the last hours or days of life.
3. How long does palliative sedation last?
   The duration of palliative sedation varies, but it usually takes around 24 hours to control symptoms. Sedation does not imply that the patient will be kept until death. In a palliative care unit, 23% of patients who received palliative sedation were discharged.
4. What is the last sense to go before death?
   According to research conducted by the University of British Columbia, the auditory sense is the last to shut down at the moment of death.
5. What are the five stages of a terminal patient?
   The five stages of a terminal patient include denial, anger, bargaining, depression, and acceptance.
6. What is the first organ to stop functioning?
   Without activity in the brainstem, human life can be considered extinct. Even in the absence of a functioning brainstem, the heart continues to beat, providing oxygen to the rest of the body.
7. What are the definitive signs of death?
   The definitive signs of death include unconsciousness, muscle tone loss, respiratory arrest, relaxation of the sphincters with possible elimination of urine and feces, and absence of reflex responses.
8. How can you tell if a person is in a terminal state?
   Signs that indicate a person is in a terminal state include pain, dyspnea, anorexia, nausea and vomiting, constipation, pressure injuries, delirium and confusion, depression, and suicide.
9. Can a sedated patient hear?
   In cases of sedation or superficial coma, it is likely that the patient can hear the voices of family members, although their understanding may be limited.
10. What does a person feel when sedated?
    During sedation, the patient mostly sleeps, breathes normally, and responds to verbal commands. Sedation provides relief from patient stress.