The Connection Between Smell, Death, and End – of – Life Care
Death is a complex and often uncomfortable subject. Intriguingly, scientific evidence hints at a link between our sense of smell and death. We may detect when someone is approaching death, and losing our own sense of smell could foreshadow future health problems.

Detecting Death in Others
Some individuals claim to notice an unusual smell before a loved one passes. Theories suggest that as the body nears death, it releases detectable chemicals, or our sense of smell responds to emotional shifts. While research is limited, animals can sense chemical changes in sick humans, indicating that people with acute olfactory senses might also detect death.
Loss of Smell and Health Risks
A diminished sense of smell can signal underlying health issues. Studies show links to neurodegenerative diseases like Parkinson’s and Alzheimer’s, as well as respiratory and cardiovascular problems. It often serves as an early warning sign; in fact, elderly people with poor olfaction are more likely to die within five years.
Future of Olfactory – Based Predictions
The olfactory system holds promise for predicting death and health. Scientists are studying pre – death chemical changes and the impact of smell loss on well – being. This research could lead to new diagnostic tools.
End – of – Life Symptoms
- Weeks Before
- Emotional: Resignation, low mood, increased reminiscing.
- Physical: Loss of appetite, weight loss, fatigue.
- Days Before
- Physical: Increased sleep, labored breathing, swallowing difficulties.
- Emotional/Cognitive: Hallucinations, confusion.
- Hours Before
- Physical: Irregular breathing, cold extremities, weak pulse.
- Emotional: Fluctuations between clarity and delirium.
- At Death
- Absence of breathing, no pulse, dilated pupils.
Common Symptoms and Management
- Appetite Changes: Offer small amounts of favorite foods; don’t force eating.
- Increased Sleeping: Let them rest; speak softly.
- Withdrawal: Stay present; create a peaceful environment.
- Anxiety/Depression: Encourage talking; provide comfort.
- Incontinence: Use incontinence products; maintain cleanliness.
- Vital Sign Changes: Keep warm; avoid overheating.
- Confusion: Stay calm; don’t correct.
- Sensory Changes: Acknowledge their experiences.
- Saying Goodbye: Respect their wishes.
- Breathing Changes: Elevate the head; use a humidifier.
- Loss of Consciousness: Keep talking; hold their hand.
Providing Comfort
- Physical: Use a humidifier, ensure hydration, adjust position.
- Emotional: Speak gently; play calming music.
- Spiritual: Involve a spiritual advisor if requested.
Caregivers must also prioritize self – care. End – of – life care is centered around dignity, love, and connection.