Terminal lucidity in the teaching hospital setting

Death Stud. 2020;44(5):285-291. doi: 10.1080/07481187.2018.1541943. Epub 2018 Dec 4.

Abstract

Terminal lucidity is an unpredictable end-of-life experience that has invaluable implications in preparation for death. We retrospectively evaluated terminal lucidity at a university teaching hospital. Of 338 deaths that occurred during the study period (187 in the ICU and 151 in general wards), terminal lucidity was identified in 6 cases in general wards. Periods of lucidity ranged from several hours to 4 days. After experiencing terminal lucidity, half of the patients died within a week, and the remainder died within 9 days. More attention should be directed toward understanding terminal lucidity to improve end-of-life care in a meaningful way.

Keywords: death; dying; end-of-life experiences; teaching hospital; terminal lucidity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Consciousness / physiology*
  • Death*
  • Female
  • Hospital Departments / statistics & numerical data
  • Hospitals, Teaching* / statistics & numerical data
  • Humans
  • Intensive Care Units / statistics & numerical data
  • Male
  • Middle Aged
  • Remission, Spontaneous
  • Retrospective Studies
  • Terminal Care* / statistics & numerical data
  • Time Factors