•Death is a time of crisis for one's familyand friends no matter where it takesplace.•Death is a universal experience, onethat we will all eventually face.
Bereavement and Grief•After the death of a loved one, a painfulperiod of adjustment follows, involvingbereavement and grief.•BEREAVEMENTis the acknowledgmentof the objective fact that one hasexperienced a death.•GRIEFis the emotional response to thatloss.
SIGNS OF IMPENDING DEATH•The clinical signs of impendingor approaching death include:–Inability to swallow–Pitting edema–Decrease GI and Urinary tractactivity–Bowel and bladder incontinence
Signs of Death•Pallor Mortis•Algor mortis•Rigor Mortis•Livor mortis•Decomposition
Algor mortis(Latin:algor—coolness;mortis—of death)•is the reduction in body temperaturefollowing death•This is generally a steady decline untilmatching ambient temperature, althoughexternal factors can have a significantinfluence.•A measured rectal temperature can givesome indication of the time of death.
•Although the heat conductionwhich leads to body coolingfollows an exponential decaycurve, it can be approximated asa linear process: between 1 and1.5° Fahrenheit per hour until thebody nears ambient temperature.
Pallor mortis(Latin: paleness ofdeath)•is a postmortem paleness which happens almostinstantaneously (in the 15–120 minutes after thedeath) because of a lack of capillary circulationthroughout the body.•Paleness develops so rapidly after death that ithas little to no use in determining the time ofdeath, aside from saying that it either happenedless than 30 minutes ago or more, which couldhelp if the body was found very quickly afterdeath.