What is a death rattle and what does it mean?

In the final hours of life, many people experience a sound known as the ‘death rattle,’ which can be unsettling for loved ones. While it may seem alarming, it is a normal and painless part of the dying process.

What is the ‘death rattle’?

The ‘death rattle’ occurs as the body prepares for its final stages of life. According to Medical News Today, this sound is caused by changes in breathing patterns and the buildup of saliva or secretions in the throat.

Hospice Nurse Julie, an expert in end-of-life care, explains the phenomenon:
“This is just a collection of a small bit of saliva in the back of the throat that just sounds really bad.”

Another common symptom at this stage is fever. Nurse Julie notes:
“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 the ‘death rattle’ sound like?

The noise is often described as a “wet, crackling” sound that becomes louder with each breath. Some compare it to snoring or gurgling, while others describe it as a faint groaning.

This sound happens because the person’s ability to swallow decreases, allowing secretions to gather in the airway. While it may seem distressing to those nearby, it’s important to understand that the person is not in pain or discomfort during this time.

Studies show that the average lifespan after the onset of the death rattle is about 25 hours. For individuals receiving hospice care, this process may last longer than for those in hospital settings.

How can you ease the ‘death rattle’?

Although the ‘death rattle’ is a natural part of dying, there are steps caregivers and loved ones can take to reduce its intensity and provide comfort:

• Adjust their position: Turning the person onto their side can help secretions drain.
• Raise their head: Elevating the head slightly can promote better breathing and reduce noise.
• Keep the mouth moist: Using damp swabs to moisten the mouth can prevent discomfort.
• Suction when necessary: Medical professionals may use gentle suction to clear secretions.
• Limit fluid intake: Reducing fluids can prevent excessive secretions from building up.
• Medications: Doctors may prescribe drugs to reduce secretions if needed.

While these measures may decrease the sound, they likely won’t eliminate it entirely. Healthcare professionals can provide guidance and reassurance to help families cope with this stage.

A natural process of life

The ‘death rattle’ may sound unsettling, but it’s a normal part of the body’s transition at the end of life. It’s essential for families and loved ones to understand that this process is not painful for the individual.

Instead of focusing on the sound, families are encouraged to provide comfort, love, and support during these final moments. By learning about the ‘death rattle’ and what it represents, loved ones can find peace in knowing that it is simply a natural part of saying goodbye.

If you found this information helpful, please share it with friends and family to help others navigate this difficult yet universal experience.