"It's only been these two days, you have to be mentally prepared. The attending doctor's words made Uncle Zhu's relatives grief-stricken.
Uncle Zhu is 51 years old this year, and he has been diagnosed with cancer for two years, although he has been actively cooperating with the treatment, but unfortunately, the cancer has spread to the whole body. The cancer caused him great pain, he could not eat normally, he could only make stoma drops of nutrient solution, the fistula was painful all the time, and even oozed a lot of fluid.
Although Uncle Zhu has a strong desire to survive, everything seems to be so powerless in the face of illness.
The patient is going to die in a day or two, how does the doctor know?
Death is mysterious and frightening, and while everyone is afraid of death, everyone has to face it.
Perhaps everyone has seen such a scene when watching TV: a person is hospitalized because of a serious illness, and the doctor informs the patient's family to be psychologically prepared, saying that the patient may not have much time...
In fact, this is really not a deliberate exaggeration in TV dramas, and this situation often occurs in real life, so how does a doctor know that a patient's life is coming to an end? Could it be that a doctor really knows how to tell fortunes?
(1) Symptom assessment
To put it bluntly, it is an assessment of the patient's physical condition, such as the patient's palms and soles of the feet have purple spots, the body system is running slowly, and the patient has difficulty eating or even cannot eat. In addition, the patient's muscles become relaxed, breathing and swallowing begin to be affected, breathing becomes difficult, affected by swallowing disorders, saliva slowly accumulates in the throat, and gurgling sounds begin to come out in the throat.
Some people become restless before they die, and they become incoherent or constantly waving their hand gestures.
(2) Check the indicators
The indicators include basic body temperature, respiration, pulse, and blood pressure. For example, the body temperature has been significantly lower than that of ordinary people, the blood supply to the limbs is obviously insufficient, the pulse has become very weak, and it is even difficult to feel the pulse, the blood pressure value continues to drop, especially the systolic blood pressure is less than 90mmHg, the diastolic blood pressure is < 60mmHg, and drugs and other treatment methods cannot make it rise, the respiratory function is impaired, the oxygen saturation continues to decline, and the trend of respiratory failure has appeared, etc., these are all very bad signs.
In addition, some tests will also help doctors determine the patient's condition, such as lactate, whether there is an acid-base imbalance in the body, and some imaging tests.
(3) Clinical experience
An experienced doctor not only has strong theoretical knowledge, but also needs to be exposed to a large number of clinical cases, and the more experienced the doctor, the richer the clinical experience, the more cases he has been exposed to, and the more accurate his judgment will be. There are some doctors with rich clinical experience, and in many cases, they only need to combine the patient's vital signs, examination indicators and clinical manifestations to make a basic judgment on the patient's next situation and the development of the disease.
What are the manifestations of a person before death?
The following content comes from relevant research and the experience of netizens, which may not appear for everyone, but has very important reference value.
1. There is a more serious rejection reaction, which is generally manifested as diarrhea, vomiting, and dehydration.
2. Restlessness and high spirits. This type of emotion is usually experienced in patients at the end of life, which is also known as "delirium" in medicine.
3. Because the organs of the body have failed before death, it is difficult to express all the words that he wants to say, and he can only say a little, so he will show gibberish, and there is no level and logic.
Fourth, people who are dying, because the blood supply around the lower body is insufficient, so the neuromuscular disorder will occur, which will lead to incontinence.
5. Some older people may slowly unfold the wrinkles on their foreheads that have existed for many years before they die, and when the wrinkles are all opened, it often means that they are completely gone.
6. The breath exhaled by a normal person should be hot, because the blood circulation is normal. For the dying person, because the organ is failing, the heart blood transfusion function will slowly stop, and the blood flow will become very slow, so the exhaled air temperature will be lower, and the hands and feet will be cold to the touch.
What can we do before a loved one dies?
In fact, when people are dying, overtreatment often does not make much sense, and sometimes they even watch the patient suffer because of overtreatment, and do not say goodbye properly, and finally leave irreparable regrets. In fact, there are many things we can do for our loved ones as they enter the countdown to their lives.
For example, some dying patients, due to digestive function and swallowing function has been impaired, it is difficult to eat and drink, at this time, do not force the patient to force eating, it is best to follow the patient's wishes, if the lips are very dry, you can use a cotton swab dipped in water to smear the lips.
When a person is dying, it is inevitable that relatives and friends around him will visit, and it is best not to visit in a group at this time, because most dying patients prefer a quiet environment. You can take turns visiting them and keep your voice as low as possible when communicating with them.
Due to the gradual deterioration of various body functions, the consciousness of the dying person will gradually become blurred, and the patient may fall into a prolonged coma. Try not to try to wake him up at this time, because it is not a good thing if you can die peacefully in your sleep.
Death is a compulsory subject that none of us can avoid, and we must have enough reverence in the face of death and life. Although death is terrible, as long as we cherish life while we are alive, we should eat, drink, and forget everything in our hearts, and come to the world happily to walk around, and we will have no regrets.