Only 3% of people die peacefully and suddenly.

This class will explain the "six things to know before death" for the remaining 97% of us, and the mistakes families often make, thinking they are doing the right thing, as explained by a doctor.

■What you will learn in this class:
・The difference between healthy life expectancy and life expectancy is approximately 10 years. Everyone experiences a time when they are being cared for or providing care.
• Six things that happen before death (desire for IV fluids / changes in breathing / changes in consciousness / the "attending" phenomenon / temporary recovery / feeling lost)
• Common mistakes families make and the correct way to support each of these situations
• Evidence from the Japanese Society for Palliative Medicine guidelines: 57% of edema and 41% of sputum worsen with more than 1000mL of IV fluids per day in the terminal stage
• The reality that approximately 70% of people lose the ability to make decisions in the terminal stage
• Talking about "life" before talking about "death"—the one question doctors value most

This is a lesson that we highly recommend for those who have experienced end-of-life care, those who may face the end of a family member's life in the future,
and those in their 40s to 70s who are beginning to think about their own end of life.

──Free gift on our official LINE account──
"Checklist for a peaceful end of life: 5 signs before death and what families should know"
Register on our official LINE account and send "peaceful" (yasuraka).

We will send you a free PDF summarizing everything on one A4 page.

▼Official LINE
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▼YouTube Medical University's official LINE account is now available!!
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📖 For those who want to read the content of this video in detail as an article:
note version (free, no ads): https://note.com/youtube_medical/n/ne...
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【Table of Contents】(Created by: Chiko-chan)
00:00 Introduction
04:34 [1st Period] Why I Want You to Listen to This Now
08:39 [2nd Period] Six Signs Before Death ①
12:49 [2nd Period] Six Signs Before Death ②
15:58 [2nd Period] Six Signs Before Death ③
17:37 [2nd Period] Six Signs Before Death ④
19:10 [2nd Period] Six Signs Before Death ⑤
20:24 [2nd Period] Six Signs Before Death ⑥
21:45 Summary of Lesson 2
22:43 [Lesson 3] Family Dialogue Starting with "How Do You Want to Live?"
24:10 The One Most Important Question
25:22 Recommended Timing for Family Meetings
27:11 Today's Summary - Review Time
28:00 What Moments Make You Feel Happy?
28:25 Gift for LINE Registration
28:59 Book Introduction

The content explained in this video is based on the following peer-reviewed academic papers and reports from public institutions.

1. The success rate of a quick and painless death is 3%
Research by Professor Takao Suzuki (Obirin University) / Ministry of Health, Labour and Welfare "Report on the Status of Long-Term Care Insurance Business"
1-2. Guidelines for Fluid Therapy for Terminally Ill Cancer Patients
Japanese Society for Palliative Medicine "Guidelines for Fluid Therapy for Terminally Ill Cancer Patients (2013 Edition)" / Evidence that more than 1000 mL of fluid per day worsens edema in 57% of cases and bronchial secretions in 41% of cases
1-3. Terminal Dehydration and Ketone Bodies/Dynorphin
Terminal dehydration induces ketosis and dynorphin release (6-10 times the analgesic effect of morphine). Sullivan RJ. Accepting death without artificial nutrition or hydration. J Gen Intern Med. 1993.
2. Difference between healthy life expectancy and life expectancy
Ministry of Health, Labour and Welfare, "Regarding the 2019 Value of Healthy Life Expectancy"
3. 96% want to talk / Only 2.7% can talk in detail
Ministry of Health, Labour and Welfare, "Survey on Awareness Regarding Medical Care at the End of Life," FY2017
4. 70% are unable to make decisions at the end of life
Ministry of Health, Labour and Welfare, "Guidelines on the Decision-Making Process for Medical Care at the End of Life," related report
5. Evidence for treatment of death rattle (2023)
Anticholinergics in death rattle: systematic review and network meta-analysis. PubMed PMID: 361940536. Scientific proof that hearing remains until immediately before death (2020)
Blundon EG, et al. Electrophysiological evidence of preserved hearing at the end of life. Scientific Reports. 2020;10:10336. DOI: 10.1038/s41598-020-67234-97. Prevalence of End-of-Life Experiences
Dalcolmo Ú, et al. Study of End-of-Life Paranormal Phenomena Recognized by Palliative Care Health Professionals. 2025. / End-of-life experiences in the dying process: scoping and mixed-methods systematic review. PMC108508298. Research on Terminal Lucidity
NIH-funded study / Reports About Paradoxical Lucidity from Health Care Professionals:...