When death is near, McFadden says she often observes three key signs:
- The “Death Rattle”
This sound happens when a person can no longer swallow or clear their throat effectively, causing saliva and mucus to collect in the airway. As air passes through, it creates a rattling or gurgling noise. While it can be unsettling for loved ones to hear, McFadden emphasizes that it does not cause discomfort for the person—it’s simply part of the body’s natural process. - Changes in Breathing
Breathing may slow down, become irregular, or include extended pauses. In the final hours, some may experience what’s known as “agonal breathing,” a series of short, gasping breaths caused by reduced oxygen flow to the brain. Though it can appear distressing, McFadden assures families that it is a reflex and not a sign of suffering. - The “Death Stare”
In some cases, the person may lie with their eyes and mouth open, unresponsive, and their gaze fixed. While the appearance can be difficult for family members, McFadden notes that it is often a peaceful state. She explains that hearing is typically the last sense to fade, so speaking softly and offering comforting words can still reach the person in those moments.
McFadden points out that not every person will experience these signs—some deaths occur suddenly, while others unfold gradually. But for those who are present, understanding these changes can replace fear with acceptance.
“When you know what to expect,” she says, “it doesn’t have to be as scary. It can be a moment filled with comfort, connection, and peace.”