Who does what when full care is needed?

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My husband has aggressive prostate cancer that has now taken hold into his bones ... we have been receiving the best of care with radiotherapy, chemotherapy and now another form of radiotherapy but it hasn't been enough to control the growths. Two weeks ago he lost all sensation and muscle control from his rib cage down. He had an emergency blast of RT and we are now waiting for any improvements to mobility. He can't sit up, move his legs, or turn over without me moving his legs and hips for him . Basic body functions are not felt so we have set up a timing plan to keep him clean and as tidy as possible. We have community nurses coming to check in and carers that remake his bed each morning but I am doing everything else myself. It seems it takes a few weeks for things like proper supplies so he can pee or a management plan for his bowels ... for now we are muddling along but it is not good. When I raise my concerns that he needs more care, he feels like giving up. He doesn't want to live when he thinks that he may never use his legs again. He is very sad and thinks this is all I will remember. So many physical and emotional needs right now but it is left to me to coordinate each piece of his care ... there seems to be no single point for building a plan or even any understanding of each wheelhouse of care. Today I had a lovely chat with a young man from social supports who called to offer help but he didn't know a thing about what he could provide. Who will build a plan with us and help me find and coordinate the resources we need to make this hurdle manageable? 

  • Hello inastrangeland and thank you for contacting the online community.

    I’m sorry to hear your husband’s struggling with his mobility due to his diagnosis, I can appreciate this must be a challenging time for you both. It makes sense that you’re looking for care to be more co-ordinated than it currently is.

    Palliative nurses (like Macmillan nurses), specialise in pain and symptom management as well as offering emotional support and helping to co-ordinate care. They work on a referral basis and a health care professional like a G.P. can arrange this and other kinds of support.

    Was it someone from Social Services who said that they didn’t know what support they could offer? It might be worth speaking to your local Adult Social Services team about this and to speak to someone about a proper needs assessment. You can find details of your local team here.

    Our publication Looking after someone with cancer is for people affected by cancer. It gives tips on how carers can look after themselves while supporting and looking after someone with cancer.

    How are you just now inastrangeland? Do you have support from family and friends doing this difficult time? We’d be more than happy to talk things through with you. We have a team of cancer specialist nurses here on the support line if you have any clinical questions you’d like to ask about your husband’s diagnosis.

    Our team of Money Advisers can perform a benefit check for you and give guidance and information about what kind of financial support might be available. They will need information about your income, outgoings and any savings/investments you might have.

    We’re also here for yours and your husband’s emotional support inastrangeland. Cancer can bring up all sorts of feelings and it can be helpful to talk about these to try and process what’s happening.

    You can call in on 0808 808 00 00 (7 days a week, 8am – 8pm), web chat or continue to email if you’d prefer, and you can check our website to see what local support there is.

    Alex, Information and Support Adviser

    Remember you can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or by email.