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My fil’s doctors in icu told us fil wouldnt be eating, drinking or speaking anymore. That he would barely be conscious after his third stroke.
Imagine our surprise on his first day home from hospital on hospice when he consumed two puréed meals, had a bowel movement, hugged his out of town brother and made jokes. Thats all stuff he wasn’t doing in the hospital.
It looked so much like real improvement.
The next day he was noninteractive. He died that night. It’s coming up on a month.

I have read that these rallies happen in a third of cases but have not seen it discussed here yet. So, if you had a loved one on hospice, did you experience anything like this?

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My father got kicked out of in house hospice at a hospital because he improved. Mom didn’t want strangers in the house to do in home hospice .( The hospital hospice he had been in was only for those expected to die within days. ) He ended up going to rehab where he rallied somewhat for about a month .
Rehab had gotten extended , but then he started to get weaker again and could not eat . He then went to the SNF upstairs on comfort care rather then hospice because he hadn’t used his 100 days up yet . Mom didn’t want to pay the nursing home bill for his room which would have happened if he went on hospice . Although Medicare coverage declines over the one hundred days , Dads insurance picked up the difference . Again this would not have been the case if he had gone on hospice . Dad died before the 100 days was up , so Mom never had to start paying private for his room ..

He had another rally 2-3 days before he died . He went from confused , sleeping all the time to being alert , oriented and ate 2 big meals . Then he slipped into a coma for 2 days before he died .,

Dad had been waiting for my brother to finally come to see him . He was alert and rallied the two days brother was here .
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I had a similar episode with a family member -- an unexpectedly cheerful day with extended family, prior to passing away the next day. It's a very special memory for those of us who were there, like a final gift.
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Sometimes it expresses as sudden agitation. Happened with my cousin and he was gone the next morning. Happened with my brother, though his final stage stretched out 3 agonizing days he was non-verbal and bed bound from that point of extreme agitation.
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Wow, so even nursing home workers can be fooled. I now feel less bad about being fooled by the parodoxical sign of sudden “improvement” portending imminent death.
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My mom wasn't formally deemed to be palliative but she definitely had a rally. I arrived at the nursing home to be told she had been "talking up a storm" when she had been mostly non verbal by then, I was called that very night to ask whether I wanted to send her to the hospital. In retrospect it was clear she had been nearing the end, and it kind of ticks me off that not one staff member gave me a heads up. The RN on duty the next day even expressed surprise at her "sudden" decline🙄
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