End-of-life nurse Katie Duncan has spent years supporting patients and families during their final days, and she’s observed a striking pattern: many dying individuals reach upward as death approaches. This subtle movement, often peaceful and gentle, seems to suggest they are reaching out to someone unseen.

Duncan believes this gesture may signal a transition. She describes patients lifting their arms toward the ceiling, as if recognizing or greeting someone. While science can’t fully explain the phenomenon, hospice workers frequently witness similar behaviors. For many families, it offers comfort—proof their loved one isn’t alone in their final moments.

Though medical explanations include involuntary muscle responses, Duncan and others see it as more emotional or spiritual. Her work as a “death care coach” centers on preparing families and removing fear from the dying process, which she describes as potentially graceful and even beautiful.

Duncan hopes to open up more honest conversations about death. “When we understand the process,” she says, “we fear it less.” Her compassionate insights help many see death not as something to dread, but as a deeply human experience filled with meaning.