How do I help someone that won’t help themselves?

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The person I’m caring for was only diagnosed 2 weeks ago but he has a very fast growing and massive tumour in his stomach and upper GI tract which has metastasised to his liver and is occluding the pancreas and one kidney. His  deterioration has been rapid but in the last 3 days it has been terrifying and very noticeable, something huge has changed and he has eaten one tablespoon of yogurt and one strawberry in that time. He won’t drink the Ensure. He’s supposed to have 3 a day but has one every other day. I know he’s the one that’s ill, but I’m the one who is responsible for him. He also won’t talk to anyone except me. I’m caring for him 24/7. And this is where I need to rant-I persuaded him to call the acute oncology hotline that we were told to ring if there were any worries and I listened to him totally play down his deterioration and actually lie about his food intake. I understand he wants to avoid hospital, he got an infection there two weeks ago and was in a very bad way. But now I feel like I’m not allowed to feelings about the situation, or any input, and if that’s the case I’m just reduced to a maid. I cried and told him I’m scared and overwhelmed and he completely shut down. I’m staying full time at his house but today I honestly feel like going home. I’m not a doctor and I need support with the acceleration of his symptoms. 

  • The answer is you can't help someone who won't help themselves....sounds harsh but my opinion is that it's the truth...all you'll do is cause yourselves stress and upset trying to force someone to do what they don't want to and the outcome will be the same anyway...in you're case them not eating....Have you asked why they don't want to eat....if not ask..maybe they don't like the ensure...maybe there's something they might fancy eating....Maybe they think the situation is hopeless and are hoping to speed up the process by refusing to eat...

  • Hi Bjorkish, I am sorry that this is happening- it sounds really frustrating. I also am 24/7 and one thing I've found helpful for myself (and by extension my husband) is to take frequent small breaks away from each other. I go into another room and play a stupid game for a few minutes, or go do some garden work, anything to physically change perspectives, so that I can seperate out what is his and what is mine to manage. My husband is also someone who will play down symptoms to everyone else, so what I do is probably also what you do- I write it all down in a daily diary. What meds were taken, what symptoms he is having, what he is actually eating. Sharing that with his care team does focus the discussion on the problems, rather than just relying on what the person is saying. Are you able to contact the care team on his behalf, rather than just relying on him to report? 

    It sounds as if you do not normally live together in the same house, so this must be extra hard on you. Can you get away, even for a few hours, and get back to your home for some recuperation time for yourself? I'd treat my own mental and physical health as a very high priority here for your loved one, as well. We are needed- so we need to be kind to ourselves. 

  • This is an excellent reply, thank you! I’m going to  get a notebook and start writing things down. I’m hugely reassured by the reminder that I am not responsible for everything and that he will have to face the consequences of his actions because  I’m not a doctor or his mum, I can’t compel him to do anything. Nor do I need to now. I will care for him as much as he allows and practice self care within that. Thanks again.