As a person approaches the end of life, the body begins to undergo a series of physical changes—some subtle, others more noticeable. In the final 24 hours, one of the most common and often unsettling signs is a sound known as the “death rattle.”
What Is the ‘Death Rattle’?
According to Medical News Today, the death rattle occurs when saliva and other secretions accumulate in the throat as the body begins to shut down. This happens because the individual can no longer swallow or clear their airway effectively.
Hospice Nurse Julie, a specialist in end-of-life care, explains:
“This is just a collection of a small bit of saliva in the back of the throat that just sounds really bad.”
She also notes that fever is common during this stage:
“We lose the ability to control the core temperature, so our temperature will fluctuate at the end of life. Again, it’s all very normal and part of the death and dying process if you are dying naturally at home.”
What Does It Sound Like?
The death rattle is often described as a wet, crackling, gurgling, or snoring noise, which becomes louder as breathing becomes more shallow. Though it may sound alarming, it is not painful for the person experiencing it. The noise is a result of secretions vibrating as the person breathes in and out, not a sign of suffering.
How Long Does It Last?
Research suggests that once the death rattle begins, the average time until passing is around 25 hours. In hospice settings, where patients often receive more comfort-focused care, this phase may last a bit longer than in hospital environments.
Can You Ease the Sound?
While the death rattle is a natural and expected part of the dying process, there are a few gentle interventions that may help minimize the noise and bring comfort to those present:
- Gently turn the person onto their side to aid drainage.
- Slightly elevate the head to encourage secretions to settle.
- Keep the mouth moist using swabs or damp cloths.
- In some cases, suction may be used to remove excess secretions.
- Limit fluid intake, as additional fluids can worsen the buildup.
- Use prescribed medications to dry secretions, if recommended by a healthcare provider.
It’s important to note that these steps may reduce the sound but likely won’t eliminate it completely. Medical teams can offer both physical support and emotional reassurance to family members during this time.
A Natural, Peaceful Transition
Although the death rattle can be distressing to hear, it’s a normal and natural part of the dying process. Families should take comfort in knowing that their loved one is not in pain or distress, despite how the sound may seem.
Being informed allows loved ones to focus not on fear, but on providing presence, peace, and love during their loved one’s final moments.
Please consider sharing this article with others who may find it helpful during a difficult time.
