Katie Duncan, a Maryland-based nurse practitioner and “death care coach,” recently shared a phenomenon she’s witnessed time and again in her years of working with patients nearing the end of their lives. In a now-viral TikTok video, she described what many describe as a mystical moment: just before passing, patients often reach upward—toward an unseen presence—as if connecting with someone or something beyond this world.
This simple movement, both tender and enigmatic, has been seen across cultures and age groups, sparking conversations about life, death, and what may lie beyond.
What Is This Upward Reach?
Katie explains that it’s not uncommon for those near death to lift their hands toward the air, sometimes even holding them there for several seconds. The motion appears intentional, almost reverent—not frantic or confused.
Some patients will speak about what they’re seeing—loved ones who have passed, angels, bright lights—while others remain silent but still make the same reaching motion.
This behavior is often accompanied by what are known as terminal or end-of-life hallucinations , where patients report visions of people, places, or spiritual figures not visible to others in the room.
A Common Observation in Hospice Care
Duncan isn’t alone in her observations. Many hospice workers, nurses, and family members caring for loved ones at home have reported similar experiences—patients seem drawn to something just out of reach, above them.
These moments are rarely distressing. Instead, they often bring a sense of peace and calm to the person who is dying. As Duncan notes:
She adds that these gestures and visions can be humbling for caregivers to witness—a reminder that death, while final, can also be a beautiful and meaningful experience.
Are These Visions Real?
While science hasn’t fully explained this phenomenon, researchers suggest several theories:
Neurological Changes: As the brain begins to shut down, especially due to decreased oxygen or changes in blood flow, visual and sensory hallucinations can occur.
Spiritual Beliefs: Many families interpret these actions as signs that the patient is seeing loved ones waiting for them on the other side.
Psychological Comfort: Whether real or imagined, these visions may offer emotional closure or reassurance during the transition from life to death.
Regardless of interpretation, healthcare professionals agree: these moments should not be dismissed or corrected.
Instead, they should be honored.
Why It Matters
Watching a loved one reach up in their final hours can be confusing or even unsettling to those unfamiliar with the process. But for those who understand, it’s a sign that the person may be entering the final stage of life.