Deathbed phenomena refers to a range of paranormal experiences claimed by people who are dying. There are many examples of deathbed phenomena in both non-fiction and fictional literature, which suggests that these occurrences have been noted by cultures around the world for centuries, although scientific study of them is relatively recent. In scientific literature such experiences have been referred to as death-related sensory experiences (DRSE). [1] Dying patients have reported to staff working in hospices they have experienced comforting visions. [2] [3]
Modern scientists consider deathbed phenomena and visions to be hallucinations. [4] [5] [6]
Deathbed visions have been described since ancient times, however the first systematic study was not conducted until the 20th century. [7] They have also been referred to as veridical hallucinations, visions of the dying and predeath visions. [1] The physician William Barrett, author of the book Death-Bed Visions (1926), collected anecdotes of people who had claimed to have experienced visions of deceased friends and relatives, the sound of music and other deathbed phenomena. [8] Barrett was a Christian spiritualist and believed the visions were evidence for spirit communication. [9]
In a study conducted between 1959 and 1973 by the parapsychologists Karlis Osis and Erlendur Haraldsson, they reported that 50% of the tens of thousands of individuals they studied in the United States and India had experienced deathbed visions. [7] Osis and Haraldsson and other parapsychologists such as Raymond Moody have interpreted the reports as evidence for an afterlife. [10] [11]
The neurologist Terence Hines has written that the proponents of the afterlife interpretation grossly underestimate the variability among the reports. Hines also criticized their methodology of collecting the reports:
The way in which the reports are collected poses another serious problem for those who want to take them seriously as evidence of an afterlife. Osis and Haraldsson’s (1977) study was based on replies received from ten thousand questionnaires sent to doctors and nurses in the United States and India. Only 6.4 percent were returned. Since it was the doctors and nurses who were giving the reports, not the patients who had, presumably, actually had the experience, the reports were secondhand. This means they had passed through two highly fallible and constructive human memory systems (the doctor’s or nurse’s and the actual patient’s) before reaching Osis and Haraldsson. In other cases (i.e., Moody 1977) the reports were given by the patients themselves, months and years after the event. Such reports are hardly sufficient to argue for the reality of an afterlife. [6]
The skeptical investigator Joe Nickell has written deathbed visions (DBVs) are based on anecdotal accounts that are unreliable. Nickell discovered contradictions and inconsistencies in various DBVs reported by the paranormal author Carla Wills-Brandon. [12]
Research within the Hospice & Palliative Care fields have studied the impact of deathbed phenomena on the dying, their families, and palliative staff. In 2009, a questionnaire was distributed to 111 staff in an Irish hospice program asking if they had encountered staff or patients who had experienced DBP. The majority of respondents that they had been informed of a deathbed vision by a patient or the patient's family. They reported that the content of these visions often seemed to be comforting to the patient and their family. [13] Another study found that DBPs are commonly associated with peaceful death and are generally under-reported by patients and families due to fear of embarrassment and disbelief from medical staff. [14]
In response to this qualitative data, there is a growing movement within the palliative care field that emphasizes "compassionate understanding and respect from those who provide end of life care" in regards to DBPs. [15]
According to Ronald K. Siegel, noted American psychopharmacologist and researcher, there is a high degree of similarity between deathbed visions and drug-induced hallucinations. Hallucinations caused by drugs frequently contain images of otherworldly beings and deceased friends and relatives. [4] Some scientists who have studied cases of deathbed phenomena have described the visual, auditory, and sensed presences of deceased relatives or angelic beings during the dying process as hallucinations. These hallucinations are theorized to occur due to a number of explanations including but not limited to cerebral hypoxia, confusion, delirium, body systems failures (e.g., renal, hepatic, pulmonary), and a mental reaction to stress. [16]
When the body is injured, or if the heart stops, even if only for a short period, the brain is deprived of oxygen. A short period of cerebral hypoxia can result in the impairment of neuronal function. It is theorized that this neuronal impairment accounts for deathbed visions. [17] [18]
Dying is the final stage of life which will eventually lead to death. Diagnosing dying is a complex process of clinical decision-making, and most practice checklists facilitating this diagnosis are based on cancer diagnoses.
Palliative care is an interdisciplinary medical caregiving approach aimed at optimising quality of life and mitigating or reducing suffering among people with serious, complex, and often terminal illnesses. Within the published literature, many definitions of palliative care exist.
In medicine, specifically in end-of-life care, palliative sedation is the palliative practice of relieving distress in a terminally ill person in the last hours or days of a dying person's life, usually by means of a continuous intravenous or subcutaneous infusion of a sedative drug, or by means of a specialized catheter designed to provide comfortable and discreet administration of ongoing medications via the rectal route.
Terminal illness or end-stage disease is a disease that cannot be cured or adequately treated and is expected to result in the death of the patient. This term is more commonly used for progressive diseases such as cancer, rather than fatal injury. In popular use, it indicates a disease that will progress until death with near absolute certainty, regardless of treatment. A patient who has such an illness may be referred to as a terminal patient, terminally ill or simply as being terminal. There is no standardized life expectancy for a patient to be considered terminal, although it is generally months or less. An illness which is lifelong but not fatal is called a chronic condition.
Near-death studies is a field of psychology and psychiatry that studies the physiology, phenomenology and after-effects of the near-death experience (NDE). The field was originally associated with a distinct group of North American researchers that followed up on the initial work of Raymond Moody, and who later established the International Association for Near-Death Studies (IANDS) and the Journal of Near-Death Studies. Since then the field has expanded, and now includes contributions from a wide range of researchers and commentators worldwide. Research on near-death experiences is mainly limited to the disciplines of medicine, psychology and psychiatry.
Erlendur Haraldsson was a professor emeritus of psychology on the faculty of social science at the University of Iceland. He published in various psychology and psychiatry journals. In addition, he published parapsychology books and authored a number of papers for parapsychology journals.
End-of-life care (EOLC) is health care provided in the time leading up to a person's death. End-of-life care can be provided in the hours, days, or months before a person dies and encompasses care and support for a person's mental and emotional needs, physical comfort, spiritual needs, and practical tasks.
The Liverpool Care Pathway for the Dying Patient (LCP) was a care pathway in the United Kingdom covering palliative care options for patients in the final days or hours of life. It was developed to help doctors and nurses provide quality end-of-life care, to transfer quality end-of-life care from the hospice to hospital setting. The LCP is no longer in routine use after public concerns regarding its nature. Alternative methodologies for Advance care planning are now in place to ensure patients are able to have dignity in their final hours of life. Hospitals were also provided cash incentives to achieve targets for the number of patients placed on the LCP.
Florence Wald was an American nurse, former Dean of Yale School of Nursing, and largely credited as "the mother of the American hospice movement". She led the founding of Connecticut Hospice, the first hospice program in the United States. Late in life, Wald became interested in the provision of hospice care within prisons. In 1998, Wald was inducted into the National Women's Hall of Fame.
A near-death experience (NDE) is a profound personal experience associated with death or impending death, which researchers describe as having similar characteristics. When positive, which the great majority are, such experiences may encompass a variety of sensations including detachment from the body, feelings of levitation, total serenity, security, warmth, joy, the experience of absolute dissolution, review of major life events, the presence of a light, and seeing dead relatives. When negative, such experiences may include sensations of anguish, distress, a void, devastation, and seeing hellish imagery.
In the United States, hospice care is a type and philosophy of end-of-life care which focuses on the palliation of a terminally ill patient's symptoms. These symptoms can be physical, emotional, spiritual, or social in nature. The concept of hospice as a place to treat the incurably ill has been evolving since the 11th century. Hospice care was introduced to the United States in the 1970s in response to the work of Cicely Saunders in the United Kingdom. This part of health care has expanded as people face a variety of issues with terminal illness. In the United States, it is distinguished by extensive use of volunteers and a greater emphasis on the patient's psychological needs in coming to terms with dying.
Hospice care is a type of health care that focuses on the palliation of a terminally ill patient's pain and symptoms and attending to their emotional and spiritual needs at the end of life. Hospice care prioritizes comfort and quality of life by reducing pain and suffering. Hospice care provides an alternative to therapies focused on life-prolonging measures that may be arduous, likely to cause more symptoms, or are not aligned with a person's goals.
Father Eugeniusz Dutkiewicz SAC Hospice in Gdańsk, a charitable organization, founded by the Pallottine priest E. Dutkiewicz in 1983, provides palliative care for the terminally ill patients.
Coastal Hospice and Palliative Care is a non-profit health care organization founded in 1980. It is located in Salisbury, Maryland, and serves Dorchester, Wicomico, Somerset and Worcester counties.
In 2006, hospice and palliative medicine was officially recognized by the American Board of Medical Specialties, and is co-sponsored by the American Boards of
Karlis Osis was a Latvian-born parapsychologist who specialised in exploring deathbed phenomena and life after death.
Terminal lucidity is an unexpected return of consciousness, mental clarity or memory shortly before death in individuals with severe psychiatric or neurological disorders. It has been reported by physicians since the 19th century. Terminal lucidity is a narrower term than the phenomenon paradoxical lucidity where return of mental clarity can occur anytime. However, as of 2025, terminal lucidity is not considered a medical term and there is no official consensus on the identifying characteristics.
A death midwife, or death doula, is a person who assists in the dying process, much like a midwife or doula does with the birthing process. It is often a community based role, aiming to help families cope with death, recognizing it as a natural and important part of life. The role can supplement and go beyond hospice. These Specialist perform a large variety of services, including but not limited to creating death plans, and providing spiritual, psychological, and social support before and just after death. Their role can also include more logistical activities, helping with services, planning funerals and memorial services, and guiding mourners in their rights and responsibilities.
Lucy Finch is a palliative nurse who has worked in several African countries and founded a hospice in Malawi – Ndi Moyo – "the place giving life".
The Worldwide Hospice Palliative Care Alliance or WHPCA is an international non-governmental organization based in the United Kingdom. In official relations with the World Health Organization (WHO), the WHPCA works in conjunction with over 200 regional institutions and national partners for the global development of palliative care and advancement of pain relief. It advocates for changes in public policy on accessibility of pain relief in end-of-life care and integration of palliative care into national health agendas. In 2014 it released the Global Atlas of Palliative Care at the End of Life in a joint publication with the WHO.