Is hearing the last sense to go?
Why sound matters at the end of life
It’s often said that hearing is the last sense to go before we die. This can carry so much meaning for both individuals at the end of their life and for their loved ones, seeking connection with them.
Although many people assume that when a person seems to be unconscious or appears to be “sleeping” during their final days, they can no longer hear or process sounds - research and personal experiences show the opposite.
Why sound matters at the end of life
It’s often said that hearing is the last sense to go before we die. This can carry so much meaning for both individuals at the end of their life and for their loved ones, seeking connection with them.
Although many people assume that when a person seems to be unconscious or appears to be “sleeping” during their final days, they can no longer hear or process sounds - research and personal experiences show the opposite.
Simple ways to connect through sound
If you find yourself at the bedside of someone who's dying, here are some simple ways to offer connection through hearing:
Even if the person seems to be unconscious, your voice can still be a source of reassurance. Speak in a calm, soothing tone. Let them know you’re there.
Reading a favourite book or poem, can offer comfort. The rhythm and familiarity of words can help bring a sense of peace.
Talk about life events, shared experiences, or things that made them smile. Reflecting on joyful moments and familiar stories can help foster a sense of connection and provide a sense of comfort.
Music can hold great power in evoking memories and emotions. If possible, play a song they loved or sounds of nature they appreciated, like birdsong or a favourite piece of classical music.
Sounds from the outside world, like gentle breezes, birds, or even the distant hum of traffic, can sometimes provide a peaceful atmosphere.
Let them know you are leaving and that it’s okay for them to rest. Your words will offer a sense of closure and reassurance as you say goodbye.
Frequently Asked Questions
Even if a person does not show signs of recognition, they may still hear and find comfort in familiar voices and sounds.
Hearing is believed to be the last sense to go. While every person’s experience is different, research suggests that people can still hear and process sound even when they appear unconscious in their final hours.
Speaking softly, reminiscing about happy memories, or simply reassuring them that they are not alone can provide comfort.
Even if they don’t respond, subtle signs like slight facial movements, changes in breathing, or a relaxed expression may indicate they are aware of your presence. However, even without visible signs, it is still worth speaking softly and offering comforting words.
Other useful resources
How to talk to a dying friend
Grief & Anticipatory Grief
What is a Syringe Driver
Bereavement support services
For 1-1 grief support, visit Cruse Bereavement Support
Practical help when you need it most
Visit Gov.uk to find out whether you are eligible to receive Bereavement Support Payments