Understanding Hospice Transitioning in Portland, OR

When a loved one enters hospice care, families often find themselves navigating a mix of emotions, terms, and experiences they may not be familiar with. Among these is the concept of “transitioning.” While we might talk about transitioning into hospice care from assisted living or the hospital, we also use the term to discuss the period when a patient enters the final few days or hours of their life. At Agape Hospice NW, we’re committed to navigating this complex, emotional issue with compassion.

What Does Transitioning Mean in Hospice?

Transitioning in hospice refers to the stage near the end of life when the body begins to shut down, preparing for death. This phase is a natural process occurring as the body gradually stops functioning. Transitioning can last a few hours, days, or even weeks, depending on the patient’s health conditions and circumstances. It’s marked by physical, emotional, and psychological changes that indicate the person’s body and mind are letting go.

How Is Transitioning Different from Terminal Diagnosis?

Receiving a terminal diagnosis is not the same thing as transitioning in hospice—far from it, actually. A patient might receive a terminal diagnosis months or years before they enter the very end stages of their life. The hospice transition stage, in contrast, only begins when the person’s body is actively shutting down. During this time, focus is put on providing comfort to the patient and support to their family.

Signs That a Person Is Transitioning

The signs of transitioning can be subtle at first but tend to become more noticeable over time. Family caregivers can prepare for transitions in hospice care by looking for these signs:

Physical Changes

As a person enters the final few days of their life, they’re bound to show physical changes. However, remember that these are a normal part of life’s last stage, and our team is here to keep your loved one comfortable. Physical changes might include:

Decreased Appetite—During the transition phase, the body requires less energy, leading to a reduced interest in food and drink.
Changes in Breathing—Breathing may become irregular, shallow, or involve extended pauses.
Lowered Body Temperature—The hands and feet may feel cold to the touch as the body begins to shut down.
Skin Color Changes—A patient’s skin might start to look blue or purple, particularly on the feet, knees, and hands.

Emotional and Psychological Changes

The hospice transitioning signs often go beyond just physical. Patients often experience these emotional and psychological changes as their body shuts down:

Withdrawal—Your loved one may appear less engaged with their surroundings as they begin transitioning. Over time, they may speak less or become unresponsive.
Disorientation and Confusion—It’s common for people to experience confusion or see and talk to individuals who aren’t physically present.
A Sense of Peace or Restlessness—Some people feel calm and serene as they transition, while others feel agitated. Both of these responses are normal, and our team will be by your side as you navigate them.

How to Support a Loved One Through Transitioning

Watching a loved one enter the hospice transition stage can be heartbreaking. However, family caregivers can still do a lot to offer comfort during this difficult time. Here’s how to continue supporting your loved one as they enter the end stage of life:

Create a Peaceful Environment—Do what you can to make their environment as peaceful and comforting as possible. Reduce noise where you can and consider playing soft music or your loved one’s favorite songs. Throughout the day, adjust their pillows or bedding for the most comfort.
Respect Their Wishes—If your loved one has communicated specific end-of-life wishes, honor these to the best of your ability.
Offer Emotional Support—Providing emotional support doesn’t always mean giving long speeches about your loved one’s impact. Sometimes, just sitting quietly with them can bring comfort. If you feel comfortable, holding their hand can also maintain that sense of connection.

How Our Hospice Professionals Can Help

Hospice nurses and care providers are invaluable resources during this time. They can help you manage symptoms, address concerns, and ensure your loved one’s comfort while also supporting your family emotionally. The hospice transition stage is never easy, but our team will be at your side to offer:

Guiding You Through a Difficult Time

Transitions into hospice care are often the most difficult for families. While grief only heals with time, the team at Agape Hospice NW is here to make the process a bit easier. By offering comprehensive support to patients and their families, we ensure everyone has the resources and care they need. If you have questions about transitions and hospice, don’t hesitate to contact our Portland, OR, team.