Harbingers of imminent death. Death from lung cancer. Predictors of death according to scientists

Oncological diseases in most cases are not treatable. Cancer can affect absolutely any human organ. Unfortunately, it is not always possible to save the patient. The last stage of the disease turns into a real torment for him, in the end, a fatal outcome is inevitable. Close people who are close to cancer patients should know what symptoms and signs characterize given period. Thus, they will be able to create the proper conditions for the dying, support him and provide assistance.

All cancers progress in stages. The disease develops in four stages. The last fourth stage is characterized by the appearance of irreversible processes. At this stage, it is no longer possible to save a person.

The last stage of cancer is the process by which cancer cells begin to spread throughout the body and infect healthy organs. lethal outcome at this stage, it will not be possible to avoid, but doctors will be able to alleviate the patient's condition and slightly extend his life. The fourth stage of cancer is characterized by the following signs:

• emergence malignant formations throughout the body;
• damage to the liver, lungs, brain, esophagus;
• the occurrence of aggressive forms of cancer, such as myeloma, melanoma, etc.).

The fact that the patient cannot be saved at this stage does not mean that he will not need any therapy. On the contrary, properly selected treatment will allow a person to live longer and greatly alleviate his condition.

Symptoms before death

Cancer diseases strike various organs, in connection with which, signs of an approaching imminent death can be expressed in different ways. However, in addition to the symptoms characteristic of each type of disease, there are common features that may occur in a patient before death:

1. Weakness, drowsiness. Most hallmark coming death is constant fatigue. This is due to the fact that the patient's metabolism slows down. He constantly wants to sleep. Do not disturb him, let the body rest. During sleep, the sick person rests from pain and suffering.
2. Decreased appetite. The body does not need in large numbers energy, so the patient does not feel like eating or drinking. No need to insist and force him to eat by force.
3. Difficulty breathing. The patient may suffer from lack of air, wheezing and heavy breathing.
4. Disorientation. Human organs lose their ability to function normally, so the patient becomes disoriented in reality, forgets elementary things, does not recognize his relatives and friends.
5. Immediately before death, a person's limbs become cold, they may even acquire a bluish tint. This is due to the fact that the blood begins to flow to the vital organs.
6. Before death, in cancer patients, characteristic venous spots begin to appear on the legs, the reason for this is poor circulation. The appearance of such spots on the feet signal an imminent death.

Stages of death

In general, the process of death from oncological diseases takes place sequentially in several stages.

1. Predagonia. At this stage, there are significant disturbances in the activity of the central nervous system. Physical and emotional functions are drastically reduced. Skin turn blue, blood pressure drops sharply.
2. Agony. At this stage comes oxygen starvation, as a result of which breathing stops and the process of blood circulation slows down. This period lasts no more than three hours.
3. clinical death. There is a critical decrease in the activity of metabolic processes, all body functions stop their activity.
4. biological death. The vital activity of the brain stops, the body dies.

Such near-death symptoms characteristic of all cancer patients. But these symptoms can be supplemented by other signs, which depend on which organs have been affected by oncological formations.

Death from lung cancer

Lung cancer is the most common disease among all cancers. It proceeds almost asymptomatically and is detected very late, when it is no longer possible to save a person.

Before dying from lung cancer, the patient experiences unbearable pain when breathing. The closer death is, the more pain in the lungs becomes stronger and more painful. The patient does not have enough air, he is dizzy. An epileptic seizure may begin.

The main cause of liver cancer can be considered a disease - cirrhosis of the liver. Viral hepatitis is another disease that leads to liver cancer.

Death from liver cancer is very painful. The disease progresses quite quickly. In addition, pain in the liver is accompanied by nausea and general weakness. The temperature rises to critical levels. The patient experiences excruciating suffering before the onset of imminent death from liver cancer.

Esophageal carcinoma

Esophageal cancer is very dangerous disease. In the fourth stage of esophageal cancer, the tumor grows and affects all nearby organs. That's why pain symptoms can be felt not only in the esophagus, but even in the lungs. Death can occur from exhaustion of the body, since a patient suffering from cancer of the esophagus cannot eat food in any form. Food is made only through a probe. eat regular products such patients will not be able to.

Before death, all those suffering from liver cancer experience great agony. They open severe vomiting most often with blood. Sharp chest pains cause discomfort.

Last days of life

Patients with the fourth stage oncological disease in the walls of the hospital usually do not keep. These patients are allowed to go home. Before death, patients take strong painkillers. And yet, despite this, they continue to experience unbearable pain. Death from cancer may be accompanied by intestinal obstruction, vomiting, hallucinations, headaches, epileptic seizures, hemorrhages in the esophagus and lungs.

By the time of the onset last stage, almost the entire body is affected by metastases. The patient is supposed to sleep and rest, then the pains torment him to a lesser extent. Very important for the dying this stage caring for loved ones. It is close people who create favorable conditions for the patient, which, at least for a short time, alleviate his suffering.

Cancer is the scourge of humanity in the 21st century. At the time of 2018, there are a great many substances that can cause cancer (pesticides, nitrates, preservatives, dyes, flavor enhancers, spices, smoked meats, air pollution exhaust gases cars, etc.). The worst thing is that malignant tumors are most often detected at the terminal stage 4.

Symptoms of an approaching imminent death from cancer of the 4th degree of various localization

Cancer can affect absolutely any organs and, accordingly, symptoms malignant tumor will be different.

lung

At the final stage of the disease, all the symptoms of the pathology appear intensely and vividly.

Main manifestations:

• Worst dyspnea. The patient suffocates even in complete physical rest. The accumulated exudate interferes with the patient's breathing, making it intermittent;
• With the defeat of the cervical group of lymph nodes, it is difficult for the patient to speak;
• Paralysis due to lung cancer metastases vocal cords. It manifests itself in hoarseness of voice;
• The patient begins to eat poorly due to a decrease or complete lack of appetite;
• The patient is almost constantly asleep. This condition is explained by a violation of metabolic processes in the body;
• The patient becomes lethargic;
• Appear mental disorders as various kinds amnesia, incoherence of speech, disorientation in space and time, and the appearance of hallucinations, both visual and auditory;
• With compression of the veins by metastatic foci in the mediastinum, swelling of the face and neck appears;
• Development of a renal failure is possible;
• Unbearable pain syndrome. This condition is explained by multiple metastasis of various organs. This pain can only be relieved narcotic analgesics. And sometimes even they are not able to completely relieve the patient from pain.

stomach

The clinical picture, which is typical for people with the final stage of stomach cancer, is quite bright.

In stomach cancer, the most common symptoms are:

• Constantly present signs of organ disorder gastrointestinal tract: heartburn, nausea, belching, vomiting, diarrhea, stool retention;
• Patient feels stomach full after drinking a small amount food;
• All amazed lymphatic system sick. Lymph nodes become large and tender (pain on palpation);
• Gastric cancer often bleeds, so the patient is characterized by vomiting of the type coffee grounds and melena. Such manifestations are characteristic of gastric bleeding, since in the stomach the hemoglobin of the blood is exposed to the hydrochloric acid of gastric shock, which gives the blood a black color.
• Pain syndrome caused by multiple organ metastasis of cancer. Gastric cancer has specific metastases for it, which will also disrupt organ function and lead to severe pain syndrome. These are metastases to structures such as the ovaries (Krukenberg metastasis), pararectal tissue (Schnitzler metastasis), to the navel (metastasis of Sister Maria Joseph), to the axillary The lymph nodes(Iris metastasis) and supraclavicular lymph nodes on the left side (Virchow metastasis).

Reference. Melena - liquid stool black, indicating stomach bleeding. The closer the source of bleeding to terminal department gastrointestinal tract, the brighter the color of the blood. Bleeding from the rectum is characterized by an admixture of scarlet blood in the stool.

Esophagus

Esophageal cancer grade 4 severe course and is already poorly amenable to radical methods of treatment.

Manifestations before death, disturbing a patient with stage 4 esophageal cancer:

• Inability to swallow food due to tumor growth and the formation of multiple adhesions;
• Constant vomiting due to difficulty in passing food;
• Enlarged painful lymph nodes;
• At the last stage, the tumor often grows into the trachea, which causes severe shortness of breath and hemoptysis;
• A distinct hoarseness appears in the voice;
• Pain syndrome.

Metastases in the brain

Use of the term "brain cancer" with medical point vision is unacceptable, as cancer suspects malignant neoplasm from epithelial cells, while the brain and its structures consist of nerve cells– neurons that are not epithelial. Therefore, it is correct to say "malignant brain tumor".

Clinic for advanced brain tumors of the 4th degree of a malignant nature:

• Terrible headaches;
• Violation of consciousness up to the patient's falling into a deep coma;
• Neurological manifestations characteristic of the area of ​​brain damage.

Larynx

For 1, 2, and sometimes 3 stages of laryngeal cancer serious symptoms development of a malignant tumor, as a rule, are expressed extremely weakly. Absence symptomatic manifestations is a consequence of the fact that the tumor that develops in the larynx is small in size in the early stages, and therefore does not affect the functioning of the organ.

To characteristic manifestations Stage 4 laryngeal cancer includes:

• Inability to speak normally. The voice becomes extremely hoarse. Speech is difficult;
• The mouth smells very unpleasant;
• There is hemoptysis;
• The patient is tormented by a constant cough;
• The patient is worried about soreness in the ears;
• Because of the sore throat, the patient tries to reduce the amount of food consumed;
• There comes exhaustion, loss of body weight, characteristic of oncological patients;
• There are constant headaches and weakness. The patient tries to sleep more.

Liver

The last degree of liver oncology is determined when a person has secondary foci throughout the body.

In stage 4 liver cancer, the following disorders are observed:

• Complete violation of the digestive function;
• Jaundice;
• Severe anemia;
• Constant drowsiness, fatigue;
• Hepatic encephalopathy develops;
• Ascites;
• Frequent bleeding. It's caused by decay tumor tissue, violation of the synthesis in the liver of blood coagulation factors and the formation of platelets;
• The functions of the organs where metastasis has occurred are impaired.

Reference. No liver parenchyma nerve endings, therefore, if the tumor does not affect the liver capsule, then the liver will not hurt.

How not to miss cancer? What can help detect cancer? early stage? You will learn about it in this video:

How a person dies of cancer - 4 stages

When dying, a person goes through 4 stages: pre-agonistic state, agony, clinical death and biological death.

Predagonal state

This condition is characterized by the patient's lethargy. This is due to the inhibition of the activity of the central nervous system, circulatory system and breathing. Breathing becomes shallow and frequent. Because of this, the blood is not saturated enough oxygen, and therefore cannot deliver it to the organs that need oxygen, and especially the brain.

Oxygen starvation sets in. The pulse becomes frequent. He has weak filling. In the future, it becomes threadlike. The skin becomes pale with an earthy tint. Systolic pressure decreases to 60 mm Hg. Art., and diastolic is not determined at all.

Terminal pause

This stage does not always happen. During the terminal pause, breathing and heartbeat are depressed for a while.

However, after it there is a flash of life - agony.

death agony

This state is the last spark of life before dying. In this stage, the higher centers of the central nervous system are switched off. Vital activity is supported by the bulbar structures of the brain and some centers spinal cord. Breathing becomes pathological and acquires the following types:

• Cheyne-Stokes breathing – periodic breathing. Characterized by the beginning in the form shallow breathing. Then the respiratory movements in depth gradually increase and reach their maximum depth by the seventh breath. Then the depth decreases as gradually as it increased. After surface respiratory movements there is a short pause. Then the cycle repeats again;

• Kussmaul's breath. It is characterized by constant rhythmic deep respiratory movements;

• Breath of Biot- this is pathological appearance breathing, characterized by episodes of deep rhythmic breathing, separated by long (up to 30 seconds) pauses.

Such breathing is provided by the contraction of the muscles that provide respiratory movements. chest. Nervous regulation no more breathing. In the end, the muscles that regulate the phase of inhalation and exhalation begin to contract synchronously and breathing stops.

Heart restores normal sinus rhythm. On the large arteries you can feel the pulse. Arterial pressure starts to reappear.

clinical death

With the complete shutdown of respiratory and cardiac activity, a transitional state occurs - clinical death. Its main difference from biological is reversibility, since the central nervous system is not subject to necrotic changes.

The main characteristics of clinical death:

• Heart failure;
• Absence of pulsation in large arteries;
• Respiratory movements are not determined;
• Blood pressure cannot be measured;
• There is no reflex activity;
• The pupil of the eyes expands as much as possible and does not respond to light irritation;
• The skin is pale in color.

With inefficiency resuscitation, which in the case of oncological pathologies are rarely effective, the next stage of dying begins.

biological death

This stage is irreversible. main reason his offensive is the death of himself important body human body- brain. At the stage of clinical death, brain cells still maintained their vital activity in conditions of terrifying hypoxia.

But every cell has its own limit. By the time biological death occurs, the brain cells are no longer able to perform their functions, and they die.

Pathogmonic signs of biological death:

• "Cat's eye". The pupil takes on a slit-like shape, like that of a cat;
• The appearance of cadaveric spots;
• Rigor mortis;
• Critical drop in body temperature.

Watch a video that details the 4 stages of human death:

The psycho-emotional state of a cancer patient

During the prevalence of the Internet, all people, even those who do not even have a hint of medical education, it is known that stage 4 cancer is almost a death sentence. This is a big blow to the psyche of the patient. Natural is the appearance of deep depressive states. Patients often "go into the disease."

They lose interest in life. Their condition is quite understandable. With the fourth stage of oncology, life becomes very short and painful in the end. In such a situation, the support of loved ones is very important. It is necessary to help solve other pressing problems of the patient, take him on a trip to those places where he has dreamed of going all his life.

You can please him with a trip to the festival, where his favorite performers perform, if the condition remains relatively satisfactory. The bottom line is that you need to make it clear to a person with oncology that he is still alive and has unfinished business here.

Important! There is no need to feel sorry for the patient. On a subconscious level, he himself understands the feelings of people close to him. Also, one should not be attached to happy memories of the past. They can make a cancer patient smile for a few minutes, but then he will become even more depressed and may even commit suicide.

Signs of agony before death

The clinical component of the agonal state has been described above. But after all, a person can regain consciousness during this outbreak of vital activity. It happens very a short time. A person can no longer realize what is happening to him.

Him complete absence psyche. He will no longer understand the words spoken by the people around him, or even who is next to him. For relatives, this is a small ray of hope, but it quickly fades when death occurs.

In conclusion, I would like to note that stage 4 cancer is very often not treatable. However, there are rare cases when you manage to beat cancer. As a rule, the person who does not give up and holds on to life will live longer.

Of course, such a life will not be as long as that of people without an illness, but still, the longer an oncological patient can live, the more he will have time to do in the life allotted to him.

If your close person is in terminal stage disease, to accept that it will soon be gone is incredibly difficult. Knowing what to expect can make things easier.

This article looks at 11 signs that death is approaching, and discusses ways to cope with the death of a loved one.

How to understand that he is dying

When a person is terminally ill, they may be in the hospital or receive palliative care. It is important for loved ones to know the signs of approaching death.

Human behavior before death

eats less

As a person approaches death, he becomes less active. This means that his the body requires less energy than before. He practically stops eating or drinking as his appetite gradually decreases.

The one who cares for the dying must allow the person to eat only when he is hungry. Offer the patient ice (possibly fruity) to keep them hydrated. A person may stop eating completely a few days before death. When this happens, you can try lubricating your lips with a moisturizing balm to keep them from drying out.

sleeps more

During the 2 or 3 months before death, the person begins to spend more and more time sleeping. The lack of wakefulness is due to the fact that the metabolism becomes weaker. Without metabolic energy

Anyone who cares for a dying loved one should do everything to make his sleep comfortable. When the patient has energy, you can try to encourage him to move or get out of bed and walk around to avoid bedsores.

Tired of people

The energy of the dying is fading away. He can't spend as much time with other people as he used to. Perhaps your society will weigh him down as well.

Vital signs change

When a person approaches death, his vital statistics may change as follows:

• Decreases blood pressure
• The breath changes
• Heartbeat becomes irregular
• Pulse is weak
• Urine may turn brown or rusty.

Changing toilet habits

Because a dying person eats and drinks less, their bowel movements may decrease. This applies to both solid waste and urine. When a person completely refuses food and water, he stops using the toilet.

These changes may upset loved ones, but they should be expected. Perhaps the hospital will install a special catheter that will alleviate the situation.

Muscles lose their strength

In the days leading up to death, a person's muscles become weak. Muscle weakness means that the individual will not be able to perform even simple tasks that were previously available to him. For example, drinking from a cup, rolling over in bed, and so on. If this happens to a dying person, loved ones should help him lift things or roll over in bed.

Decreased body temperature

When a person dies, his blood circulation deteriorates, so the blood is concentrated in internal organs. This means that not enough blood will flow to the arms and legs.

Decreased circulation means that the dying person's skin will become cold to the touch. It may also appear pale or mottled with blue and purple spots. A person who is dying may not feel the cold. But if it does happen, offer him a blanket or blanket.

Consciousness gets confused

When a person dies, their brain is still very active. However, sometimes those who are near death begin to get confused or incorrectly express their thoughts. This happens when a person loses control over what is happening around him.

The breath changes

Dying people often have trouble breathing. It can become more frequent or, conversely, deep and slow. The dying person may not have enough air, and breathing itself often becomes confused.

If the person caring for a loved one notices this, do not worry. This is a normal part of the dying process and usually does not pain dying himself. In addition, if there are any worries about this, you can always consult a doctor.

Painful sensations appear

It can be difficult to come to terms with the inevitable fact that a person's pain levels can increase as they approach death. Seeing a painful expression on the face or hearing the groans that the patient makes is, of course, not easy. A person caring for a dying loved one should talk to a doctor about the possibility of using pain medication. The doctor may try to make this process as comfortable as possible.

hallucinations appear

It is quite common for people who are dying to experience visions or visions. Although this may seem quite frightening, do not worry. It is better not to try to change the patient's opinion about visions, to convince him, since this will most likely only cause additional difficulties.

How to survive the last hours with a loved one?

With the onset of death, human organs stop working, and all processes in the body stop. All you can do in this situation is just be there. Take care and try to last hours dying as comfortable as possible.

Keep talking to the dying person until he leaves, because often the dying person hears everything that happens around him until the last minute.

Other signs of death

If the dying person is connected to the monitor heart rate, loved ones will be able to see when his heart stops working, which will indicate death.

Other signs of death include:

• No pulse
• Lack of breath
• Lack of muscle tension
• fixed eyes
• bowel movement or Bladder
• Eyelid closure

After confirming the death of a person, loved ones will be able to spend some time with those who were dear to them. As soon as they say goodbye, the family usually contacts funeral home. The funeral home will then take the person's body and prepare it for burial. When a person dies in a hospice or hospital, staff will contact the funeral home on behalf of the family.

How to deal with the loss of a loved one?

Even when death was expected, it is extremely difficult to come to terms with it. It is very important that people give themselves time and space to grieve. Don't forgo the support of friends and family, either.

Unfortunately, after life there is always death. Now science is unable to prevent old age and its inevitable lethal consequences. Relatives and friends of seriously ill patients need to be prepared for this. What does a bedridden patient experience before death? How should caregivers respond to signs of approaching death? We will talk about this below.

Phases of death

There are several phases of a person's condition that occur before his death. Signs of the first stage ("pre-active phase") can begin 2 weeks before the terrible event. During this period, the patient begins to consume less food and liquid than usual, there are pauses in breathing, wound healing worsens, and swelling appears. Also, the patient can claim an imminent death and report that he saw dead people.

Then the following phases follow:

• clinical death (signs of vital activity disappear, but the cells still occur metabolic processes);
• biological death (almost complete cessation physiological processes in the body);
• final death (final phase).

Signs of approaching death

Signs of death in a bedridden patient may be different in each case. There are several main ones:

Certain diseases cause specific symptoms. Thus, the signs of death in a cancer patient are often manifested in the form of pain, nausea, confusion, restlessness and shortness of breath (with a stroke, such symptoms are less common).

It should also be noted that low blood pressure or prolonged cessation of breathing (or if the patient is constantly asleep) are not reliable indicators of imminent death in all cases. Some patients with these symptoms may recover suddenly and live for a week, a month, or even more. Only God knows when death will come.

How to behave properly with loved ones

What should relatives and friends do if they see signs of approaching death? It is always very difficult to talk to a dying person. There is no need to give false promises and hopes for recovery. Tell the patient that his last wishes will be granted. He should not think that something is being hidden from him. If a person wants to talk about life and its last moments, you need to do this, and not try to hush up the topic and say something distant. Before death, let the patient know that he is not alone, say words of consolation.

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It is not customary to talk about death out loud in our time. This is a very touchy subject and not for the faint of heart. But there are times when knowledge is very useful, especially if there is a cancer patient or bedridden at home. old man. After all, it helps to mentally prepare for the inevitable end and notice the changes taking place in time. Let's discuss the signs of death of the patient together and pay attention to their key features.
Most often, signs of imminent death are classified into primary and secondary. Some develop as a consequence of others. It is logical that if a person began to sleep more, then he eats less, etc. We will consider all of them. But, cases may be different and exceptions to the rules are acceptable. Same as normal median survival variants even with symbiosis terrible signs changes in the patient's condition. This is a kind of miracle that happens at least once in a century.

Changing sleep and wake patterns
discussing, initial signs approaching death, doctors agree that the patient has less and less time to stay awake. He is often immersed in superficial sleep and as if dozing. This saves precious energy and less pain is felt. The latter fades into the background, becoming, as it were, background. Of course, the emotional side suffers greatly. The paucity of expressing one's feelings, the isolation in oneself, the desire to be silent more than to speak, leave an imprint on relationships with others. There is no desire to ask and answer any questions, to be interested in everyday life and people around.
As a result, in advanced cases patients become apathetic and withdrawn. They sleep almost 20 hours a day if there is no acute pain and severe annoying factors. Unfortunately, this imbalance threatens stagnant processes, mental problems and accelerates death.

puffiness

Edema appears on lower limbs

Highly reliable signs death is swelling and the presence of spots on the legs, arms. We are talking about malfunctions of the kidneys and circulatory system. In the first case, with oncology, the kidneys do not have time to cope with toxins and they poison the body. At the same time, they violate metabolic processes, the blood is redistributed unevenly in the vessels, forming areas with spots. It is not for nothing that they say that if such marks appear, then we are talking of complete limb dysfunction.

Hearing, vision, perception problems

The first signs of death are changes in hearing, vision and normal feeling happening around. Such changes may be in the background severe pain, oncological lesions, stagnation of blood or tissue death. Often, before death, a phenomenon with pupils can be observed. The eye pressure drops and you can see how the pupil deforms like a cat when you press it.
Hearing is all relative. He can recover in last days life or even escalate, but this is already more agony.

Decreased need for food

Deterioration of appetite and sensitivity - signs of imminent death

When a cancer patient is at home, all relatives notice signs of death. She gradually refuses food. First, the dose is reduced from a plate to a quarter of a saucer, and then the swallowing reflex gradually disappears. There is a need for nutrition through a syringe or tube. In half of the cases, a system with glucose and vitamin therapy is connected. But the effectiveness of such support is very low. The body is trying to use up its own fat stores and minimize waste. This makes it worse general state the patient develops drowsiness and shortness of breath.
Urination disorders and problems with natural needs
It is believed that problems with going to the toilet are also signs of approaching death. No matter how ridiculous it may seem, but in reality there is a completely logical chain in this. If defecation is not carried out every two days or with the regularity to which a person is accustomed, then stool accumulate in the intestine. Even stones can form. As a result, toxins are absorbed from them, which seriously poison the body and reduce its performance.
Roughly the same story with urination. The kidneys are harder to work. They pass less and less fluid and as a result, urine comes out saturated. In her high concentration acids and even blood is noted. For relief, a catheter can be installed, but this is not a panacea against the general background. unpleasant consequences for a bedridden patient.

Problems with thermoregulation

Weakness is a sign of imminent death

Natural signs before the death of the patient are a violation of thermoregulation and agony. The extremities begin to get very cold. Especially if the patient has paralysis, then we can even talk about the progress of the disease. The circle of blood circulation is reduced. The body fights for life and tries to maintain the efficiency of the main organs, thereby depriving the limbs. They can turn pale and even become cyanotic with venous spots.

Weakness of the body

signs imminent death everyone can be different depending on the situation. But more often than not, it's about great weakness, weight loss and general fatigue. There is a period of self-isolation, which is aggravated internal processes intoxication and necrosis. The patient cannot even raise his arm or stand up for natural needs duck. The process of urination and defecation can occur spontaneously and even unconsciously.

Clouded mind

Many see signs of impending death and in the way normal reaction sick on the world. He can become aggressive, nervous, or vice versa - very passive. Memory disappears and attacks of fear on this basis may be noted. The patient does not immediately understand what is happening and who is nearby. In the brain, the areas responsible for thinking die off. And there may be obvious inadequacy.

Predagony

it defensive reaction all vital systems in the body. Often, it is expressed in the onset of stupor or coma. The main role is played by the regression of the nervous system, which causes in the future:
- decreased metabolism
- insufficient ventilation of the lungs due to respiratory failures or alternating rapid breathing with a stop
— serious lesions organ tissues

Agony

Agony is characteristic of last minutes human life

Agony is usually called a clear improvement in the patient's condition against the background of destructive processes in the body. In fact, this is the last effort in order to save necessary functions to continue to exist. It may be noted:
- improved hearing and vision
- adjusting the rhythm of breathing
- normalization of heart beats
- recovery of consciousness in the patient
- muscle activity by type of convulsions
- decreased sensitivity to pain
The agony can last from a few minutes to an hour. Usually, she seems to portend clinical death when the brain is still alive, and oxygen stops flowing into the tissues.
These are typical signs of death in bedridden patients. But don't dwell too much on them. After all, there may be another side of the coin. It happens that one or two of these signs are simply a consequence of the disease, but they are quite reversible with proper care. Even a hopelessly bedridden patient may not have all these signs before death. And this is not an indicator. So, it is difficult to talk about mandatory, as well as to put death sentences.