Breathing itself becomes labored or irregular during this period. Loved ones may mistake the sound for choking, but the combination of these signs — rather than any single one — is what end-of-life professionals use to recognize that death is near.
Five measures that can reduce the sound for those present
While the death rattle cannot be entirely prevented, medical professionals have several tools available to reduce its intensity — primarily for the benefit of family members and caregivers at the bedside.
Turning the person onto their side or elevating their head can help secretions drain naturally. Keeping the mouth moist with damp swabs is another option, as is gentle suctioning performed by a clinician. Reducing fluid intake can also limit the buildup of secretions over time.
Finally, certain medications can be prescribed to dry up secretions and lessen the sound. Medical professionals are clear that none of these interventions prolong life or hasten death — their sole purpose is to make the experience more bearable for everyone present.
Healthcare professionals involved in end-of-life care are available to explain the death rattle to families, answer questions, and provide emotional support — a role they describe as an integral part of accompanying patients and their loved ones through this process.
