Skip to content
Handbook of Palliative Medicine

Care After Death

Following an expected death, personal care and preparation of the deceased is the responsibility of a registered nurse, although this may be delegated to other suitable qualified healthcare professionals whilst being overseen by the registered nurse. Some aspects of this care may be shared with those who cared for the patient, according to their wishes. 

Key points

  • The death must first be verified by a qualified individual and the time noted
  • Ensure those provide care to the deceased follow infection prevention procedures and use appropriate personal protective equipment
  • Take care to ensure the environment and handling of the patient and their belongings seeks to maintain respect and their dignity
  • Make note of specific requests for care after death such as the need for release for burial/cremation within 24 hours in some cultures or planned donation of body 
  • Personal care should be completed within 2-4 hours to preserve appearance, condition, and dignity
  • Patient needs to be laid flat with arms at their side (if possible) with a single pillow under their head which encourages the mouth to close and maintains alignment
  • Can further promote this using a rolled-up towel or blanket under the chin - avoid strapping as this may cause bruising which appears later and may be distressing
  • Keep the environment cool as refrigeration within 4 hours is optimum but may not be practical
  • Close the eyes with gentle pressure for 30 seconds. If unable to keep them closed do sensitively inform the family of this, and that the funeral director can correct this
  • Clean the mouth and remove built up secretions
  • Replace dentures as soon as possible after death
  • Cover wounds and stomas appropriately
  • Remove lines and devices including syringe drivers
  • Clean and dress the deceased person appropriately as per the wishes of the patient and of those that cared for them
  • It may be practice in your area to dress in a shroud initially as there may be initial soiling
  • Ensure clear identification of the patient is present
  • All aspects of care delivered after death should be recorded in the patient’s notes
  • Arrange transfer either to mortuary or funeral directors
  • Ensure family have written information on next steps and who to contact for help
  • Maintain privacy and dignity for the patient and those that cared for them at all times during these processes
  • The medical cause of death certificate will have to be completed and released before funeral arrangements can be made so, if possible, contact the appropriate medical professional promptly