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When a person is dying what does transitioning mean?

Transitioning. Transitioning is the first stage of dying. It describes a patient's decline as they get closer to actively dying. Generally, when one is transitioning, they likely have days — or even weeks — to live. I have seen some patients completely skip the transitioning phase and some stay in it for weeks.

bethcavenaugh.com - End-of-Life Signs - Beth Cavenaugh

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Most of the time, family and close friends want to ensure that they are beside their loved one at the moment of death. One of the hospice nurse's most pressing goals is to vigilantly monitor the hospice patient for signs of imminent death so that family and friends can be present at their last breath. I want to provide you with a list of the signs that we — hospice nurses — look for. Although different for everyone, this is what death looks like for most patients. The two stages of decline before death are called transitioning and actively dying. The line is not always clear as to when transitioning ends and the active dying process begins, but there is often a shift that is visible and feels intentional. The patient seems to acquiesce at the actively dying stage, to let go, and let the body do what it needs to do.

Transitioning

Transitioning is the first stage of dying. It describes a patient’s decline as they get closer to actively dying. Generally, when one is transitioning, they likely have days — or even weeks — to live. I have seen some patients completely skip the transitioning phase and some stay in it for weeks. When a patient is transitioning, they are typically bedbound due to exhaustion, weakness, and fatigue. They are less responsive and sleeping most of the time. They may sluggishly rouse when you tap them on the shoulder. They may have a more difficult time waking up. They rarely notice if they go to the bathroom in their brief, though they may become agitated or restless if this happens. They turn inward and care less about external events. They pay less attention to the TV or music. They may not be aware of the people entering or leaving in their room. They may be able to verbally respond, but they probably do not want to engage in conversation. They will start eating and drinking less, perhaps only small bites of yogurt or ice cream that you have to offer them throughout the day. They likely will not have the strength to feed themselves. Maybe they will take ice chips that you gently place in their mouth or drink sips of water through a straw — if they still have the strength to use a straw.

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Where do you lose weight first?

Mostly, losing weight is an internal process. You will first lose hard fat that surrounds your organs like liver, kidneys and then you will start to lose soft fat like waistline and thigh fat. The fat loss from around the organs makes you leaner and stronger.

timesofindia.indiatimes.com - Weight loss: Where do people lose weight first? | The Times of India

Where in the body you will lose weight first depends on your genes. Your focus might be to lose your belly fat first, but this is not in your control. Human is a complicated creature, so it cannot be clearly said where you lose or gain weight. But in most of the cases, the first place you put on the fat is generally the last place it comes off from. If your arms have gained fat recently, then you lose that fat first from there once you start exercising and following a healthy diet. If you have a pear-shaped body frame than you might just get smaller in size, but will retain the same frame of the body. But remember the fat cells do not disappear, if you will increase your calorie intake you will again gain weight. Mostly, losing weight is an internal process. You will first lose hard fat that surrounds your organs like liver, kidneys and then you will start to lose soft fat like waistline and thigh fat. The fat loss from around the organs makes you leaner and stronger.

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