How do I know...
How Will I Know Death Has Occurred?
Even though death is expected, you may not be prepared for the actual moment it occurs. At the time of death:
- There will be no response
- There will be no breathing
- There will be no pulse
- Eyes will be fixed in one direction
- Eyelids may be opened or closed
- There may be loss of control of the bladder or bowel
After Death Has Occurred
In Massachusetts, the procedures followed prior to and after death by nurses, physicians and funeral directors are regulated by the Commonwealth. If your loved one is under hospice care, the first call is to the hospice agency. They are available to provide you with emotional support and assistance regarding phone calls to the physician and the funeral home. If your loved one was not specifically under hospice care at home, please refer to the "Who Do I Call First" reference page.
A physician must be called by the hospice nurse so that the death can be certified and the nurse pronouncement form completed, allowing transport from home to the funeral home.
You may spend as much time as needed with the deceased person. Do not be afraid to touch, hug or kiss the person. Some people may wish to lie down beside him/her.
A health care provider may also help with the safe, responsible way of storing and disposing of medication and equipment, but it is the family's responsibility to do so.
You may have dealt with many intense emotions and challenges in your journey through the loss of your loved one.
It is important to realize that grief is a highly personal response to life losses. Grief may last longer than society recognizes, so be patient with yourself and allow for the expression of feelings that you are feeling.