The “surge” or rally before death is a phenomenon where an individual who has been in a state of decline may suddenly experience a burst of energy and mental clarity in the days or hours leading up to death. This surge can last anywhere from a few hours to a few days and can comfort the individual and their loved ones. During this time, the individual may be more alert and responsive and have the opportunity to say goodbye or complete unfinished tasks.

It’s important to note that not all individuals will experience a surge before death, and the timing and duration of this surge can vary. Hospice care providers are skilled in assessing the individual’s condition and providing guidance and support to both the individual and their family during this difficult time and can help to manage symptoms and provide comfort and support to ensure that the individual is as comfortable and peaceful as possible during this time.