Affluent Savvy
Photo: Jean-Daniel Francoeur
For years, it's been a rule of thumb among healthcare circles that a dying patient will still retain the ability to hear and understand their surroundings even after all other senses have shut down. “Never assume the person is unable to hear you,” advises the British organization Dying Matters.
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Learn More »But thus far, some of the only evidence to this has come from patients who have undergone near-death experiences, usually after a cardiac arrest. While most people who are brought back from the brink of death retain no memories of it, about 10% report having been aware of their surroundings during the experience, up to and including hearing their own pronouncement of death. Participants for the UBC study all gave explicit written consent to be tested even after they had lost all motor control. Although in one case, a family pulled their consent for the study after their family member had entered the “actively dying” state. In addition, sometimes patients died before the final test could be administered or, more happily, they got better. In all, these limitations meant that only four patients were able to successfully undergo tests in both a responsive and an unresponsive state. With such a small sample size, it’s by no means a definitive conclusion that humans retain full consciousness in their final moments, but the study provides some of the most compelling evidence yet of a twilight period between unresponsiveness and death in which the brain continues to function. The study adds to a growing body of evidence showing that unresponsive patients retain way more conscious brain activity than was previously suspected. In recent years, studies have discovered that patients in a “vegetative” (now known as an “unresponsive wakefulness”) state may in fact retain full consciousness and awareness of their surroundings. As the UBC study concludes, “either when severely damaged or even when near death, some brains can evidence functioning in some systems.”
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