Terminal secretions, a.k.a. the death rattle is a common occurrence for people who are at the end of their life. It is simply caused by their inability to swallow down their spit which builds up in the airway and makes a gurgling or rattling noise when they breathe. It does not harm them, they are not aware of it, and they will not suffer from it. Medications can be drying and are not very effective. The best intervention is to reposition them on the side and try to remember it’s just a noise. #
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