In the quiet, sacred moments before death, something remarkable often occurs. A gesture so common yet deeply moving that it has become one of the most talked-about observations among hospice nurses and caregivers.
Katie Duncan, a Maryland-based nurse practitioner and “death care coach,” recently shared a phenomenon she’s witnessed time and again in her years of working with patients nearing the end of their lives. In a now-viral TikTok video, she described what many describe as a mystical moment: just before passing, patients often reach upward—toward an unseen presence—as if connecting with someone or something beyond this world.
This simple movement, both tender and enigmatic, has been seen across cultures and age groups, sparking conversations about life, death, and what may lie beyond.
What Is This Upward Reach?
Katie explains that it’s not uncommon for those near death to lift their hands toward the air, sometimes even holding them there for several seconds. The motion appears intentional, almost reverent—not frantic or confused.
“You’ll literally see someone reach up, like they’re trying to hold someone’s hand or touch something in the air,” she said in her TikTok post.
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