The only guess I can make, and nothing beyond guessing seems possible in the case, is that the monument, if really erected in memory of Sir John Ackland, was executed in his lifetime, at his order and cost, and was completed—perhaps erected—in 1613–14. Pre-mortem monuments are by no means rare.
Source: wiktionary
This should be borne in mind whenever alcohol has been measured in serum or plasma in hospital prior to death or where a pre-mortem hospital sample of serum or plasma is subsequently analyzed for alcohol.
Source: wiktionary
However, more recently photography has also been preoccupied with a kind of pre-mortem state as photographers become increasingly interested in the process whereby the body decays and transforms until it ceases to exist.
Source: wiktionary
Histology of internal organs and fluid found in body cavities can be useful for even moderately decomposed animals to identify haemorrhaging and blood clotting, which would only occur pre-mortem.
Source: wiktionary
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