Experts Explain the ‘Death Rattle’ Phenomenon That Occurs Before Passing

As a person approaches the end of life, their body goes through various changes, some happening months in advance. However, during the last 24 hours, family and friends might notice a common, often distressing sound called the ‘death rattle.’

Decoding the Death Rattle

According to Medical News Today, the ‘death rattle’ results from altered breathing patterns and the accumulation of secretions in the throat. Hospice nurse Julie, a specialist in end-of-life care, explains the sound as:

“This is simply a small amount of saliva collecting at the back of the throat, which produces an unpleasant noise.

Julie also notes that fever frequently occurs during this phase:

“At the end of life, the body can no longer regulate core temperature properly, causing fluctuations. This is completely normal and a natural part of the dying process, especially when passing away at home.”

How the Death Rattle Sounds

The ‘death rattle’ happens when a person’s swallowing ability weakens, causing secretions to accumulate in the respiratory tract. This creates a sound often described as a “crackling, wet noise” that intensifies with each breath.

Some people hear it as a soft groaning or snoring sound, while others compare it to a louder gurgling noise. Although it can be unsettling to hear, it’s important to understand that the person is not in pain or distress during this time.

Research indicates that, on average, individuals live about twenty-five hours after the death rattle begins. However, this period often lasts longer for those in hospice care compared to patients in a hospital setting.

What Can Be Done About the Death Rattle?

Although the ‘death rattle’ is a natural part of dying, there are steps you can take to lessen its severity and provide comfort to those close by:

Gently turn the person onto their side to help secretions drain.
Elevate their head slightly to encourage drainage.
Keep their mouth moist using damp swabs to prevent dryness.
Use suction carefully to remove secretions when needed.
Limit fluid intake to avoid excess buildup of secretions.
Administer prescribed medications that help clear secretions, under medical guidance.

It’s important to recognize that while these steps may help lessen the noise, they probably won’t stop it completely. Healthcare professionals are available to offer explanations and emotional support to help families and friends manage this difficult time.

The Body’s Final Changes

Although the ‘death rattle’ can be upsetting for family and friends to hear, it is a natural part of the dying process. It’s important to remember that the person is not in pain or suffering.

Having a clear understanding of this phenomenon can offer comfort and reassurance during such a challenging time. Being informed and present allows loved ones to focus on providing care, love, and support as their family member peacefully makes this final transition.