It is my understanding the hearing is the last sense to go. There are numerous articles in hospice journals to that effect. I always talk to my patients (even after they have passed as I prepare their bodies) and I encourage my families to do the same. Talking and touching I think that is very important. When it comes my Mama's time (many years from now, I pray), I plan on sitting at the head of the bed with my Mama cradled in my arms. Into her arms I was placed on my arrival and I want her to be in my arms upon her departure.
One of my frustrations in caring for terminally ill patients is that the patient feels they need to be strong for the family and the family feels they need to be strong for the patient and no one is talking. When the patient passes, I hear family members crying in the hallway saying "I wish I had told her x&x." That makes me crazy! Having lost someone to sudden death, I can't help but see a prolonged illness as a bit of a blessing in that it allows time for preparation and to say the things that need to be said....for the patient to voice fears, regrets, joys,blessings, and for the family to do the same.
Not too long ago, I cared for an elderly woman as she passed away, when I came on shift, her hair was disheveled and her lips were gummed up and dry. I washed her face and cleaned her mouth then washed and combed her hair. I talked to her all the while and I told her of each family member that was present and how "we can't have you reuniting with your parents looking all afright". I talked about how excited her parents would be to see her again and how they would hug her and I tried to paint a joyful picture. She tarried another 2.5 hours and then she was off to her reunion. A peaceful departure surrounded by loved ones.
This stands out for me because working in critical care, this is not how many of our elderly go to their reunions. Many times they go after having ribs cracked and tubes rammed down their throats and every natural orifice and then some. Some even get to experience a little jolt courtesy of the local power company. a traumatic and less than dignified death.