“Families expected to provide palliative care during Coronavirus crisis” NHS

FormerMember
FormerMember
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I read an article today in the Guardian online with the above headline. It really hit home and I wondered how many other families are being put through hell because of this new government policy.

My husband was diagnosed with advanced prostate cancer at the end of November. It had spread to the bones in his shoulder, neck, hips, ribs and abdomen. He was given hormone injections and was due his second chemo treatment (just over two weeks ago) when he had a stroke and was taken to hospital. In hospital he had a serious fall which caused further bleeding on the brain. The stroke was untreatable because of his cancer and his cancer treatment was stopped because of the stroke. 

He now: cannot walk (he needs two people to lift him), he is incontinent, he is often confused and has poor concentration, he has lost left hand vision in both eyes, he suffers from involuntary repetitive movements and when lucid is in denial that there is anything much wrong with him. His cancer is advancing and he requires 24/7 palliative care.

I have been told repeatedly that he says he wants to come home. I have been told that support would be available. One of the first people to broach this subject to me was his physical therapist who at one point apologised to me, saying he had never before dealt with a case where someone with such severe problems was considered for sending home. I said (and have kept saying) that I do not feel able to cope with having him at home.

To date, three nurses and one social worker have attempted to persuade me to change my mind. The social worker wanted me to list ‘my concerns.’ She sounded for all the world like a double glazing salesmen...you know the type, they ‘solve’ every objection until, in the end, they make their sale.

I phoned the palliative care nurse assigned to us when the only problem was the cancer. I was in tears and she assured me that in her opinion it was not feasible for my husband to come home because of lack of space and the severity of his condition.

I am at the stage where I am forced to unplug my telephone and am afraid to contact the hospital to ask how my husband is. Until I saw that headline today I really could not understand why so much pressure was being put on me. Now I know. 

So, if anyone else is suffering this kind of absolute torment at the worst time in their lives, I want you to know you are not alone. You are not ‘bad’ or ‘uncaring.’ You, like me, just want the very best end of life care for your loved one and sometimes the best place for that is in hospital, not at home.

  • Dont be bullied into anything  .If you are no longer able to care for him that is fact .With all his problems it would be impossible to care for him without significant resources and you would be the one who suffered.None of us carers asked for this and most of the time we muddle along with grace and good humour .However there is a point which I believe we all reach  when we simply cant do it anymore .Basically we are are worn out and have used up all our resources physically emotionally and mentally .We are all human and have nothing to reproach ourselves for .Threaten them with the local paper .Also get in touch with pals your local m.p Although its horrible to have to do this Im pretty sure your husband if he came home would end up back in hospital in a fairly short time .Good luck keep posting we will support you lots of hugs xx

    Granny Sue

  • FormerMember
    FormerMember in reply to Granny Sue

    Thanks so much for that. My husband always was adamant that if this situation (24/7 care) ever arose, he would want to be in hospital. I feel the same way...there are some things that I would not want him to have to do for me and vice-versa. We’ve had that conversation many times over the years. X

  • Hi , I am so sorry for what you're going through. It might be a good idea to call your husband's GP and ask if he could be transferred to the local hospice, where there would be more understanding for your position. I don't know if that can be arranged given the coronavirus situation, but you know your situation better than anyone else. If not, stick to your guns; be strong and true to what you and your husband discussed.

    Love and hugs,

    LoobyLou
    If you find dust in my house, write your name in it. When the signatures overlap I'll get the polish. 

    Click here to see how to add details to your profile. It helps everyone to see a little about you

  • FormerMember
    FormerMember in reply to LoobyLou49

    Thank you so much. They had another go at me today. A speech therapist called me to tell me that she had assessed him and that she felt there is improvement possible with further work. Then she went on to tell me that in her opinion, having met him once, the stroke has not changed him mentally. She was not prepared to accept that I know he has changed (we have been together 45 yrs) and told me her heart went out to him and if I could see him I would realise he is the same person. I asked if this conversation was another attempt to get me to bring him home and she said no-one was trying to put pressure on me but that I really should facetime him. She mentioned in passing that it takes two people to get him out of bed and that he has no awareness of the left hand side of his body. I am seriously considering a formal complaint. This is just mental torture for political ends. No-one is listening to me all they want is to free up a bed.

  • FormerMember
    FormerMember in reply to FormerMember

    I can’t imagine how bad this is for you but please stick to your guns. My mother in law passed 6 months ago from secondary cancer and they sent her home to die to free up a bed - it was disgusting! My poor father in law was unable to care for her or stand up to the doctors so in the end I had to call an ambulance to get her back into hospital where she at last passed peacefully with drugs. This sounds so impractical to me, especially given Covid-19 and I agree you should complain. I hope you can get some peace from the insistence of the hospital - you must do what is right for you at this time. You should be very proud of yourself for dealing with all this and then some. Best wishes xx

  • Hi , I would suggest you call PALS today. If you need to visit the office, they are usually found near the entrance. Explain the situation and tell them how you feel. It's perhaps time for a third party's intervention.

    Thinking of you,

    LoobyLou
    If you find dust in my house, write your name in it. When the signatures overlap I'll get the polish. 

    Click here to see how to add details to your profile. It helps everyone to see a little about you

  • FormerMember
    FormerMember in reply to LoobyLou49

    Thank you to everyone who has replied. It has helped enormously. I found the new government policy on freeing up hospital beds (online) during the virus crisis. Patients are to be sent home BEFORE their care needs are assessed! 

    I stuck to my guns. Wrote to my MP, my GP and PALS. PALS were very supportive and I can highly recommend them. No word from MP, naturally. GP phoned me and then NHS palliative care nurse and then the hospital. She told me the ward has taken on board the fact that he will not be coming home. So it’s a victory of sorts. I can never forgive the stress and worry and self hate this bed-emptying policy has caused me. To use my terminally ill husband as a lever to implement an unfair policy caused by consistently underfunding the NHS is disgusting.

    But thanks so much to everyone here. X 

  • FormerMember
    FormerMember in reply to FormerMember

    Hold everything. They are having another go. I have switched my phones off and am only contactable in writing. This is unbelievable!

  • I really feel for you,I’m being pressurised as well.It’s so hard having to stand your ground.The social worker wants me to have my mum back home but I have not recovered from my cancer surgery.I do hope things work out for you both.Love Jane xx

  • FormerMember
    FormerMember in reply to winkers60

    Dig your heels in, Jane. Keep saying no. The responsibility of care rests with the local authority unless you agree to take it on. The pressure is enormous at present but all you have to do is say no and put the phone down. 

    Stay strong, you are not alone. Xxxxxxxxx