In a hospice setting when death is eminent, the patient is actively dying. The family and staff slowly let go as the patient begins to move beyond where they can follow. He/she can still hear them and is comfortable, but the journey through the valley of death is almost over.
The patient is in no distress as family and friends gather nearby to watch and pray and speak their final goodbyes. One of the voices will quietly give the loved one permission to die. They are now in God’s hands as they cross over.