End of life care

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Hi

my MIL is currently in a care home on palliative care for metastatic small cell lung cancer which has gone to the liver and a thread in the brain ( not quite sure what this means)?

She was told by her lung specialist of the confirmation of the lung shadow being cancer and the spread but has never seen an oncologist and was beyond treatment with a three month life expectancy.

Here we are at the end of the three months and a bit.

After her situation going downhill at home with several falls through weakness and a change in her breathing, she was found a space in a care home. 
Now a week later, things have progressed quickly, with 24/7 oxygen and the refusal of food.

She has become confused at times but on a whole is a good mental state. (Still giving out orders lol) but has become a lot more withdrawn, not wanting to see anyone except Dad and my husband, especially my husband. She asked him to stay with him last night and told him to tell the carers that she didn’t want to see them through the night. Given the situation this wasn’t possible not to see the carers as she had an accident in the night and needed changing etc but my husband stayed.

Today he called me to say that Mum was now on morphine every hour and he didn’t expect her to last much longer.

i have to question why she is having morphine so regularly considering she says she does not have any pain ( and luckily never has) and that they are also injecting her into her arm every time and she is not on a syringe driver?

Does this sound right or sound we be concerned? 

  • Hello Farmers wife,

    Thanks for getting in touch with us during what sounds like a very difficult and stressful time for you. I’m Linda, one of the nurses from our support line.

    You mention that your mother-in-law has been receiving morphine regularly by injection. Some people have morphine via a small subcutaneous line that is inserted just under the skin. I wonder if this is how they are giving the morphine.

    If they are injecting each time, then it’s not ideal as it would be more comfortable for your mother-in-law to have a line as above or have a syringe pump (driver).

    They would not normally give morphine unless they felt she was having pain. Sometimes although people say they are not in pain, there are obvious non-verbal signs that they are or when she has been receiving care that she has verbally made it known that she is uncomfortable.

    I hope this helps. Please get back in touch if you have any other questions.

    Best wishes and take care.

    Linda J.

    Macmillan Cancer Information Nurse Specialist

    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 send us an email

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