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define death bed visions
a subjective experience in which a dying person, while awake, sees and interacts with deceased loved ones, religious or spiritual figures or beloved pets that are not visible to others who are with the dying person
→ the most frequent reported end of life experience
3 qualities of someone experiencing a DBV
can tell you what they are seeing at the tine of the experience
or they may report it sometime later
can also be inferred from the dying persons behaviour
EX: pointing or smiling in the direction of an unseen visitor
8 common features of a DBV
communicating and conversing responsively with the unseen visitor
staring or gazing fixedly at a spot in the room (often towards the ceiling or doorway, foot of the bed or out the window)
pointing in the direction of the unseen visitor
reaching out one or both of their arms, as if to give them a hug or holding out a hand to shake this unseen visitor
expressing feelings of serenity, peace, happiness and joy
both verbally and non-verbally (via facial expressions)
the dying person may try to sit up or get out of bed
occur most frequently in the weeks, days, or hours before death
widely recognized as an indicator that death is near
4 reasons death bed visitors appear
to greet the dying
to reassure them that they will be with them when they die
to tell them when its their time to go
come to collect the dying person and assist them in the transition
to take the on a journey
how common are DBVs to the dying persons who report
63-88%
how many family members report DBVs
21%
how many nursing home staff report DBVs
50-77%
how many healt care prof. repirt DBV
46-88%
how many hospice pal. volunteers report DBV
34%
how many death doulas report DBV
88%
4 reasons why DBV might be under reported
as death approaches, most patients are not conscious
people are embarrassed for being thought crazy
fear of disbelief
dismissed as drug induced hallucinations
3 medical explanations for DBVs and why these are incorrect
hallucinations caused by oxygen deprivation (hypoxia)
but people without oxygen issues report these DBVs!
DBVs are hallucinations caused by a dying brain
but themes of DBVs are remarkably similar among people who report
DBVs are hallucinations brought on by painkillers or other sedatives
but people who are not on any medications report DBVs
large doses of painkillers has been found to inhibit the likelihood of DBVs
why can DBVs not be considered hallucinations brought on by delusional states like delirium, high fever, or dementia
but these conditions cause confusion and disordered visions
but these visions are more joyful and calming
and nurses and doctors can easily tell the difference between a death bed vision and a drug induced hallucination
psychological explanation and why its incorrect
can be attributed to wishful thinking or expectations
but religious background does not play a role at all
seeing dead people who were not known to be dead at the time → would disprove the “expectation” theory
5 impacts that DBVs have on the dying person
brings feelings of peace and calm
comfort and reassurance
profoundly meaningful
they produce feelings of joy and great happiness
reduce the fear of dying
5 effects the DBVs have on family members
calming effect
peaceful effect
reassuring
comforting