
There are reports of people who survived a cardiac arrest or other life-threatening crisis giving a detailed, structured memory of an era that they were supposedly supposed to be unaware of at all. These are commonly known as the near-death experiences although clinicians and researchers talk of more inclusive recalled experiences around death.
Meanwhile the changes at the bedside can be observed in a different form: breathing, eating, alertness and perception changes which often manifest as happens when the body shuts down. By keeping the two realities simultaneously, the caregivers can remain grounded, without discounting what an individual says they went through.

1. A bright presence that feels loving, not blinding
Most of the survivors report of a very bright light that does not hurt the eyes but is perceived as reassuring, intimate and secure. The recalled light is not always a visual object but is more of a presence that has a powerful emotional mode such as warmth and acceptance and relief of fear. Other individuals also complain of the feeling that the light recognizes them, and the communication is direct and immediate. One of the survivors explained it by saying, The light appeared to know me, to take me home.

2. Feeling separate from the body while care continues
The next similar theme is the feeling of being above the body, occasionally with the sense of the medical care being observed far away. Individuals can explain the room description, the staff or the sequence of actions in such a way that they are watching it through the eyes of another person. The scholars of such reports tend to divide the subjective experience and what can be independently checked, yet the long-term effect is usually the same: the memory seems distinctly defined, well-systematized and more real than a dream.

3. A life review that includes other people’s emotions
It is described as a rapid, yet descriptive, life review, which is being perceived as a significant replay as compared to being random memories. Another common characteristic is a change of heart: the recollection of not just oneself, but also of the emotions that one has left in other people. It is sometimes said by people to be an empathy-heavy experience not judgmental, but more of knowing ripple effects. This theme is often associated with the permanent shift in priorities in the clinical conversation later on and the relationships and the way a person prefers to spend his time.

4. Seeing or sensing loved ones who have died
Reunion experiences are also widely experienced and usually outlined as highly relaxing. The who can be the parents, the husband, the sister, the closest friends, and the interaction can be verbal, telepathic or simply felt. To a few, this was the time when they knew they were not alone; to others, it is said to be unfinished business being settled fast without having to fight. This can be reflected in the caregiving environment when an individual nears the end of life with what hospice clinicians refer to as near death awareness in that individual talking about seeing people who passed on long ago.

5. A sudden peace that replaces pain and panic
A sudden change in state of distress into a state of calm is a common motif in many of these stories, which may consist of res어 of physical pain, and in others, a certain relief of emotion. The state being remembered can be reported as calm and not horrifying, even in cases when the medical incident involved the person was scary. This may be of importance to families that observe external indicators that may appear threatening, including alterations in breathing. Hospice mentions that coughing, noisy breathing, shallow breathing may be typical towards the end of life, despite the pain being treated.

6. Moving through a tunnel or being pulled toward a destination
The “tunnel” is one of the most familiar images that people refer to, not all of them refer to it literally. Others perceive it to be moving through the darkness to the light; others say it is acceleration, a wind-like experience or the feeling that one is being propelled ahead. Directionality, or moving somewhere, and the sense that the movement is not random but meaningful, remains constant. This in research discourse is in line with larger accounts of traveling to a destination as a recurrent theme.

7. Meeting “beings” or presences that communicate without words
This is usually experienced in form of meeting with entities that are interpreted by the people based on their culture and beliefs: angels, guides, ancestors or unnamed presences. Communication has often been said to be instantaneous more to do with a whole message being received than hearing sentences. The material is different, but there are recurrent themes of assurance, being known, or being directed to concentrate on love, relationships and significance. The recollection of the medical crisis remains vivid to many even after the crisis is over.

8. Reaching a boundary that signals “not yet”
Most of these descriptions involve some definite boundary that is impassable: a gate, a river, a doorway, a bridge, or a border of light. The individual will frequently explain how he/she knew without having to articulate that going across is death and coming back is life. There are those who recall being told as such, directly, It is not your time, and those who say it is an internal knowing. This transition point can be frequently recalled as the time of personal agency, responsibility and role of unfinished life.

9. Brief clarity and energy just before death
Resuscitation is not always an instance of a powerful end of life experience. Families occasionally experience a moment of sudden recovery in a loved one whose condition has been deteriorating an occurrence of terminal lucidity, a moment of surprise alertness, conversation or recognition. These episodes may take an hour or even minutes and may also involve coherent speech and memory of what happened a long time ago or a significant interaction after many years in withdrawal. Clinicians stress that this upsurge does not indicate that the disease has reversed and it may provide a worthwhile connection period.
In these descriptions, the linkage factor is not any single image, but the strength of the meaning that people place on what they remember, be it peace, connection, acute awareness or a new emphasis on how life is lived.
To the caregivers, it is important to know both sides: on the inside as some people describe, and on the outside as the body will tend to alter in terms of physical and sensory elements as it approaches death. Their combination can help provide more sensible presence at the bedside.


