Early life, collapse, and coma Quinlan was born on March 29, 1954, in Scranton, Pennsylvania, to a young, unmarried woman of Irish American ancestry A few weeks later, she was adopted by Joseph and Julia Quinlan, devout Roman Catholics who lived in the Landing section of Roxbury Township, New JerseyJulia and Joseph also had daughter Mary Ellen in 1956 and son John in 1957Many people believe that hospice care is only appropriate in the last days or weeks of life Yet Medicare states that it can be used as much as 6 months before death is anticipated And those who have lost loved ones say that they wish they had called in hospice care sooner Research has shown that patients and families who use hospice services report a higher quality of life than those whoNiamh van Meines Nursing Imminent death is a very active process that lasts from hours to days The dying phase is influenced by the type of terminal illness causing death For example, a person with congestive heart failure may experience significant chest congestion related to the accumulation of fluid because of their heart disease or someone with dementia may slip quietly into a coma
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Comatose state before death
Comatose state before death-Coma usually evolves into the vegetative state or a higher level of consciousness within two to four weeks for those who survive 5,6 After Coma;Coma A state of deep, unarousable unconsciousness A coma may occur as a result of head trauma, disease, poisoning, or numerous other causesComa states are sometimes graded based on the absence or presence of reflexive responses to stimuli
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In general, comas last just a few days or weeks Patients either die or regain consciousness, or in some cases progress to a vegetative state Vegetative state The person has depressed consciousness, brain stem function and can breathe without supportDrowsiness, with more time spent sleeping than awake, is a sign that a person may be moving into the active phase of dying The dying process is divided into preactive and active phases While there is individual variability, the preactive phase usually lasts about 2 weeks and the active phase approximately 3 daysOften before death, people will lapse into a coma A coma is a deep state of consciousness in which a person cannot be aroused Persons in a coma may still hear what is said even when they no longer respond They may also feel something that could cause pain, but not respond outwardly
Brain death is an even more severe situation in which the functions of the brainstem are compromised in a comatose patient, and someone can no longer even breathe on their own The unconscious patient's ability to increase or decrease their heart rate appropriately may also be affectedA true coma is the deepest state of unconsciousness While in a coma, a person is unresponsive and cannot wake up, even when stimulated In nearly every coma, no matter what triggered it, the same event occurs the brain swells, pushes up against the skull, and damages the Reticular Activating System, (RAS) the part of the brain stem thatComa is a state of unconsciousness without wakefulness, characterized by the lack of arousal from internal or external stimuli The eyes are usually closed, and there is no awareness of self or surroundings Brainstem reflexes may be retained Coma is usually a transient condition that evolves to either wakefulness or death over days to weeks
The term stupor is used if an animal is unconscious but can be aroused with very strong external stimulus, whereas a patient that is in a coma will remain unconscious even if the same level of external stimulus is applied Cats of any age, breed, or gender are susceptible to this conditionA coma is a prolonged state of unconsciousness During a coma, a person is unresponsive to their environment The person is alive and looks like they are sleeping However, unlike in a deep sleepVegetative State and Minimally conscious States – Waiting for signs of improvement
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Niamh van Meines Nursing Imminent death is a very active process that lasts from hours to days The dying phase is influenced by the type of terminal illness causing death For example, a person with congestive heart failure may experience significant chest congestion related to the accumulation of fluid because of their heart disease or someone with dementia may slip quietly into a comaBrain death is an even more severe situation in which the functions of the brainstem are compromised in a comatose patient, and someone can no longer even breathe on their own The unconscious patient's ability to increase or decrease their heart rate appropriately may also be affectedThe vast majority of people dying naturally of illness (I would guess close to 95 percent) go into a brief coma— comparable to a profound sleep state— before they die, so the good news is that most of us do die in our sleep Changes in Breathing
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Vegetative State and Minimally conscious States – Waiting for signs of improvementIf you have diabetes, dangerously high blood sugar (hyperglycemia) or dangerously low blood sugar (hypoglycemia) can lead to a diabetic coma If you lapse into a diabetic coma, you're alive — but you can't awaken or respond purposefully to sights, sounds or other types of stimulation Left untreated, a diabetic coma can be fatalOvercoming the Fear of Death Foundation The Overcoming the Fear of Death Foundation is qualified as a nonprofit 501(c)(3) organization by the IRS The Foundation takes a nonreligious approach to helping people worldwide to overcome the fear of death We embrace the beliefs of all people
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In the days and hours before a patient passes away, it is common for their breathing to become irregular The time between breaths can begin to stretch out with many seconds or even minutes passing between breaths Breathing patterns before death may also become louder as they are no longer able to swallow or clear away secretions in their throatThe person who is dying is facing eternity, and social interaction, or at least conversation, may be less important than before However, the presence of loved ones remains very important Drowsiness or coma is common in the last few days Process and Care During the Last DaysThis is in response to reader Karen's questions on what happens to a person in a coma and after physical death, which are probably better addressed to a priest or a medical doctor
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Many people believe that hospice care is only appropriate in the last days or weeks of life Yet Medicare states that it can be used as much as 6 months before death is anticipated And those who have lost loved ones say that they wish they had called in hospice care sooner Research has shown that patients and families who use hospice services report a higher quality of life than those whoThe person's recovery depends on the cause and severity of the coma, but anyone who falls into a comatose state is at risk of dying In some cases, there may be a complete recovery with no loss of brain functioning, while in other cases, lifelong brain damage is the result Vegetative state comaComa survivor Ayanda Nqinana's story is truly unique His coma lasted seven years, from 05 until 12 As is the case with many other highprofile comas, Nqinana's was caused by a car accident
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Coma usually lasts for no more than two to three weeks In most instances, coma evolves to the next level of consciousness, known as the vegetative state Vegetative State—Awake but Unaware Unless the RAS is severely injured, its function returns in two to three weeksCannot be aroused to sound of name or light touchIn the days before death, you may enter a phase of unique conscious awareness and communication that can be misinterpreted as confusion by your caregivers and loved ones You may talk about needing to go somewhere, about "going home" or "going away"
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James P Kelly, MD, FAAN, responds After a severe injury or illness that affects the brain, patients can fall into a persistently unconscious state, rendering them unaware of themselves or their environment Depending on their level of consciousness, patients are considered to be comatose, in a minimally conscious state, in a persistent vegetative state, or brain deadMost people expect or imagine a progressive decline that often ends with a lapse into a coma (a deep state of unconsciousness) shortly before passing away But in some cases, a loved one's decline may seem to stop suddenly and inexplicably What Is an EndofLife Rally?Brain Death The cessation brain function is irreversible Brain death may occur in coma or comatose due to any widespread or lasting brain injury Medical Induction The unconsciousness in deep state or coma/ comatose that is temporary which is made to protect an injured brain from dying Controlled dose of an aesthetic is given to the patient, which results in lack of awareness or feeling
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When death is near As death approaches, the body slowly and naturally shuts down There are physical signs indicating that death is near, which usually occur days or hours before death Usually the process includes Decreased responsiveness ;Patients in coma may be in deep coma or may survive in what is termed a "brain dead" Brain death is defined as irreversible cessation of all brain functions, including the brain stem Death may be declared in an individual who has sustained brain death A clinical diagnosis of brain death can be made if the following clinical conditions are metNow there's a question I only know that my best friend went into a coma before she died I think her body was winding down However, you'll have heard about people who wake from comas So if your'e writing about personal experience, I'd ask the attending doctor(s)
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In dehydration, kidneys shut down and certain chemicals are released called endorphins in the body These are natural as part of the dying process to relieve painEven though the person isComa usually evolves into the vegetative state or a higher level of consciousness within two to four weeks for those who survive 5,6 After Coma;A coma is a state of unconsciousness where a person is unresponsive and cannot be woken It can result from injury to the brain, such as a severe head injury or stroke A coma can also be caused by severe alcohol poisoning or a brain infection (encephalitis) People with diabetes could fall into a coma if their blood glucose levels suddenly became very low ( hypoglycaemia) or very high ( hyperglycaemia )
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Coma has three possible outcomes progression to brain death, recovery of consciousness, or evolution to a state of chronically depressed consciousness, such as a vegetative state Patients in comas are not considered for organ, eye, or tissue donationAt the very least, deepening our understanding of this process is important to the comfort and care of the dying and their caregivers Since a comatose state is a passage experienced by the vast majority human beings before they die, this may be reason enough to advance understanding of relationship with people in nonverbal states near deathOften before death, people will lapse into a coma A coma is a deep state of unconsciousness in which a person cannot be aroused Persons in a coma may still hear what is said even when they no longer respond They may also feel something that could cause pain, but not respond outwardly
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A coma is a deep state of unconsciousness It can happen as a result of a traumatic accident, such as a blow to the head, or a medical condition, for example, some types of infection Coma isIn general, comas last just a few days or weeks Patients either die or regain consciousness, or in some cases progress to a vegetative state Vegetative state The person has depressed consciousness, brain stem function and can breathe without supportOmni Care Hospice 6225 Dean Martin Dr Las Vegas, NV 118 Ph Fax
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A coma is defined as a 'profound state of unconsciousness' wherein a person is unable to be wakened They will not respond to pain, light, sound or other stimulation, and they will not have the usual 'sleepwake cycles' Someone in a coma is described as being 'comatose' There are many different conditions that can result in comaPatients may often come back to consciousness within a few days and those that don't may remain in what is called an "awake" coma until death During an awake coma, the individual may be able to make slight noises and the eyes may be open, but the individual cannot respond to stimuli Loss of higher brain function has occurred in this situationA coma is a deep state of prolonged unconsciousness in which a person cannot be awakened, fails to respond normally to painful stimuli, light, or sound, lacks a normal wakesleep cycle and does not initiate voluntary actions Coma patients exhibit a complete absence of wakefulness and are unable to consciously feel, speak or move Comas can be derived by natural causes, or can be medically
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Overcoming the Fear of Death Foundation The Overcoming the Fear of Death Foundation is qualified as a nonprofit 501(c)(3) organization by the IRS The Foundation takes a nonreligious approach to helping people worldwide to overcome the fear of death We embrace the beliefs of all peopleComas in people last from many days to multiple weeks In some of the severe cases, coma will last for more than five weeks, which a few people experience coma for many years After this period, a few patients overcome from the coma state gradually, a few of them went to vegetative state and others suffer deathThe assessment of patients in coma is a medical emergency The cause should be identified and, where possible, corrected and the brain provided with appropriate protection to reduce further damage It then becomes important to identify those patients for whom the prognosis is hopeless and in whom the institution or persistence of resuscitative measures is inappropriate, serving only to prolong
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James P Kelly, MD, FAAN, responds After a severe injury or illness that affects the brain, patients can fall into a persistently unconscious state, rendering them unaware of themselves or their environment Depending on their level of consciousness, patients are considered to be comatose, in a minimally conscious state, in a persistent vegetative state, or brain dead
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