End-of-life nurse Katie Duncan, a Maryland-based hospice care specialist and self-described “death care coach,” has shared a remarkable observation from her years in palliative care: many patients appear to reach upward just before they pass away. Often, they lift their hands toward the ceiling as if trying to grasp something invisible, a phenomenon Duncan describes as both “mystical” and deeply comforting.

In a recent TikTok video, Duncan explained this reaching gesture is frequently associated with end-of-life visions. Patients might speak of seeing deceased loved ones, pets, or even bright lights and angelic figures. Sometimes, however, they say nothing at all—yet their body movements suggest they’re interacting with something only they can see.

While there’s no scientific explanation for the motion, Duncan said it typically brings peace, not distress. “Most commonly, the person does not appear to be in pain,” she said, adding that such experiences seem to help patients transition calmly. She emphasized how witnessing these moments can feel sacred for both families and caregivers.

Social media users resonated with her insight, sharing similar experiences of loved ones reaching upward in their final moments. “My dad reached up with both arms,” one commenter wrote. “He couldn’t move them before.” Another added, “It’s heaven they are reaching for.” For many, these gestures offer comfort, suggesting that those passing away are not alone in their final moments.