Hospice Nurse Shares Powerful Moment Many People Experience Right Before Death

Working in end-of-life care can be filled with deep sorrow—but also moments of quiet beauty and mystery. One hospice nurse has opened up about a powerful and surprisingly common experience she’s witnessed time and again while caring for people in their final moments.

Katie Duncan, a nurse practitioner and “death care coach” based in Maryland, has spent years helping patients find peace during their last days. With experience ranging from ICU to hospice care in people’s homes, she’s seen more than most. But one thing still gives her pause every time: the gesture many patients make right before they pass.

In a recent TikTok video, Katie shared what she describes as one of the more “mystical” parts of the dying process. She says many patients begin reaching their arms upward—as if trying to grasp something invisible above them.

“In my experience, it’s very common,” she said. “You’ll literally see someone reaching up, like they’re trying to hold a hand or touch something in the air.”

Sometimes, this moment is paired with what caregivers call end-of-life visions. Katie explained that many patients say they’re seeing a loved one, a pet, an angel, or even a glowing light. Others don’t say a word—but still reach, as if sensing someone’s presence.

While science hasn’t yet explained this phenomenon, those in hospice and palliative care often view it as part of a peaceful transition. Katie said that, importantly, patients don’t usually seem frightened. If anything, they appear comforted.

“These visions—whatever they are—often bring people a sense of calm,” she said. “It’s one of those sacred parts of the dying process that caregivers feel lucky to witness. It’s humbling.”

Her video quickly resonated online, with viewers sharing their own emotional stories.

“My dad reached up with both arms,” one person wrote. “He hadn’t been able to move them before that.”

Another shared, “It’s like they’re between worlds. It felt like an honor to be there.”

Others echoed the sentiment:
“It’s heaven they’re reaching for.”
“I didn’t want to disturb him—it felt sacred.”

Though the exact meaning of the gesture remains unknown, what’s clear is the comfort it brings—not just to the dying, but to those who love them.