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What Does Comatose Mean?
Comatose refers to a state of deep unconsciousness where your loved one has become unresponsive. When someone becomes unconscious when they are nearing the end of life, it typically means […]
Comatose refers to a state of deep unconsciousness where your loved one has become unresponsive. When someone becomes unconscious when they are nearing the end of life, it typically means that they are approaching death. Your loved one will not be able to open their eyes, communicate, respond to touch, or awaken from this state of unconsciousness. Depending on how your loved one’s brain has been affected, they may also need a respirator to continue breathing. Common symptoms of a coma can include:
- Closed eyes
- Irregular breathing
- No response to painful stimuli
- No response from limbs
- Depressed brainstem reflexes (i.e., pupils do not respond to light exposure)
There are many potential causes of a coma. The cause of your loved one’s comatose state will likely depend on their medical history and the circumstances surrounding their health. Common causes of a coma may be:
- Head trauma
- Brain hemorrhages
- Swelling of the brain
- Lack of oxygen
- Poison
- Endocrine disorders (diabetes or hypothyroidism)
You may notice that your loved one may have very slight and spontaneous movement in their limbs or their fingers. These are reflex movements and are generally infrequent. It is important to understand that although it is possible to recover from a coma in certain circumstances, some individuals who are in a coma never regain consciousness and transition into a vegetative state or die. Many individuals who become comatose either in hospice or when they are nearing the end of life will transition toward death.
It is important to understand that the outcome of a coma will vary by case. Identifying the cause of the coma and any other contributing factors can provide additional insight into potential chances for recovery. Ultimately, discussing your loved one’s prognosis with their healthcare provider will be necessary to gain a better understanding of their treatment plan and any recommendations.
Sources
“When death is near: Signs and symptoms”. Hospice Foundation of America. https://hospicefoundation.org/when-death-is-near-signs-and-symptoms/
“Coma”. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/coma/symptoms-causes/syc-20371099
“Coma.” eMedicine Health. https://www.emedicinehealth.com/coma/article_em.htm
