Has anyone ever seen this? I work in home health and have a patient with multiple serious health conditions. During a visit the other day, she seemed normal clinically---all VS normal for her, her O2 Sat and everything else on her exam was ok.
She was resting on her bed, but opened her eyes and talked to me and answered appropriately when I spoke to her. The only thing different was that she seemed distracted (for lack of better term), and kept moving her hands around like she was picking at her clothing and the bed linens.
When I called her daughter to update on mom's condition, the daughter mentioned that patient had been talking about having seen her brother.....the patient's brother that passed away 30 years ago. I didn't say it to the daughter, but know that shortly before death, many people see and speak to loved ones that have already died.
Thoughts? Is this picking behavior unusual? Wasn't even sure how to chart it, what would you say?
I have heard "picking" described as a archtypical end-of-life behavior and have seen it on occasion in pts that were getting close (ie-weeks to days).
Last edit by Chaya on Dec 10, '12
: Reason: sp