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https://www.crossroadshospice.com/hospice-resources/end-of-life-signs/what-is-active-dying/
Also, call Hospice and ask them. There is no shame in not knowing their lingo. They should have explained what they meant.
Hospice should have given you a booklet explaining what to expect at end of life and if they haven't please ask them for it.
Also please ask your hospice nurse any questions you may have as that is what they are there for.
Dad was in bed for about 2 weeks, same as mom. He began the labored breathing about 8 hrs before he passed. His hands, lips and feet were particularly blue so we knew he was actively dying.
Best of luck with a difficult situation.
A shout out to any hospice workers here - y'all are a blessing. Dad's hospice nurses were such a comfort to all of us, but most of all to Dad. Thank you for what you do.
When most people enter hospice they are perhaps diagnosed with fewer than six months to live, but are not actively dying. But as the disease process continues their organs begin to fail and to slowly or more rapidly shut down. There are then signs that death is dear. More shallow breathing, more congestions in airways, slower or more rapid heartbeats, failure of the kidneys with concentrated urine, cooling of the extremities, a total loss of appetite or the inability to swallow and process food. This indicates that death is near.
Hospice patients often don't die in the 6 month time frame. A fellow member has had a parent on hospice for 1 and 1/2 years and has been removed because it seems any assessment in 6 months is not happening. So they are hospice patients, but not actively dying. Someone in the final passage, usually less than two weeks in duration, can be considered to be actively dying. Some Hospice personnel use the newer term "transitioning" , but because this term in dictionary definition means changing sex, some dislike the term.
Basically we are talking semantics here, so if hospice tells you something, and it's a term you don't understand just ask them what they mean by that term. They will explain.