Julie McFadden, a hospice nurse with extensive experience in end-of-life care, has witnessed countless deaths and dedicates her work to helping people better understand the process of dying. Her mission is to “alleviate the fear and stigma around death.”
In addition to her professional work, Julie has authored a book and built a significant social media following, where she shares insights into the final moments of life. Through her videos, she educates viewers on common end-of-life experiences, from a patient’s last words to the behaviors they exhibit in their final days.
Changes in Breathing: Cheyne–Stokes Respiration
One of the most unsettling behaviors witnessed by loved ones is the change in a dying person’s breathing pattern, known as Cheyne–Stokes breathing. This rhythmic pattern consists of rapid breaths followed by long pauses, a result of the body’s metabolic changes.
Julie explains that while this may appear distressing, it is a normal part of the dying process and does not necessarily indicate suffering. However, many family members are unaware of this phenomenon, often finding it alarming and wishing they had been prepared for it.
“You can see that chest rapidly breathing, and then a long pause […] and then rapid breathing again,” she explains.
The “Death Rattle”
Another common occurrence, known as the death rattle, can be equally disturbing for loved ones. This happens when the body continues to produce saliva, but the brain no longer signals the person to swallow, causing a gurgling sound.
Julie reassures families that this is not a sign of distress or suffocation.
@hospicenursejulie #hospicenursejulie #PrimeDayDreamDeals #deathrattle #terminal #learnontiktok #itsokay #youdidgood ♬ Almost Idyllic – Sleeping At Last
“People hear it, they don’t understand it, they automatically assume it’s coming from their lungs. That is not happening. It’s truly just a little bit of saliva,” she explains.
“This is not making them feel like they are suffocating, and we know this because the body is showing that it is relaxed.”
Through her work, Julie McFadden hopes to provide clarity and comfort to those facing the loss of a loved one, helping them navigate the process with greater understanding and less fear.
