What are the signs that a person will die in the next few days and how can detection of these signs be improved? How can families be made aware?

Record type Uncertainties identified from carers' questions
Source James Lind Alliance Palliative and end of life care Priority Setting Partnership
Why is there uncertainty? Reliable up-to-date systematic reviews have revealed important continuing uncertainties about treatment effects

Original Uncertainty

Ranked 22nd in the PeolcPSP

This uncertainty was identified by two carer's, two professional's and six bereaved carer's question.

This is an indicative uncertainty and the following submissions were merged to form this one:
How to diagnose dying-are there any biomedical markers which may prevent the subjectivity of the process.
Were you offered any advice/support in how to inform your family/friends/colleagues about your impending death.
Quality of life is important, companion and friends with an understanding of their personal type of disease & likely progression. If they are able to understand an explanation of their drug regimes and reasons for each, with possible side effects

References to reliable up-to-date systematic reviews:

None identified

What is needed? Further research
Systematic reviews that need updating or extending None identified
Systematic reviews in preparation None identified
Ongoing controlled trials None identified


Which health conditions? Symptoms | Service delivery, organisation and staffing | Palliative and end of life care
What is person's age? Adult
Which types of treatments? Mixed or complex

Which Outcomes

Health related quality of life, good death, Change in symptoms or change in management of symptoms, adverse effects or complications

Record ID: Publication date:08 Sep 2015
Last reviewed date:08 Sep 2016 Publication Type:Known Uncertainty
The DUETs team endeavours to ensure that information is correct at the time of data entry