cancer shock

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hi everyone ..

its been a week now and my husband is now on end of life palliative care under something called hospital at home ...

we have a hospital bed downstairs now and a support thing for the toilet to help him ....

the palliative care team have been brilliant and so supportive as well

he spends a lot of time asleep now but hes not on his own stuck upstairs and i dont have to keep trekking up our very steep stairs ...realised that going up and down stairs doesnt help you lose weight !!!! ..just makes you knackered 

we dont know how much time he has left now but we know its weeks rather than months ....

its lonely being a carer because he sleeps a lot so i spend a lot of time just waiting for him to talk to me and tell me what he needs ,,,but my daughter had a dubious but brilliant idea of getting a doorbell which he can use to call me when he needs something ....so i can escape upstairs if only for a short time to rest and chill if only for a few minutes ...mind you we got him downstairs on monday to get in his bed and it only took 15 minutes for him to ask for the remotes for the tv and cable !! 

hes not eating much now and drinking water mainly ..he did have an issue with  very low blood pressure over the weekend and there was talk of him going into hospital which he refused ...was told by a doctor that sometimes low blood pressure can be caused by dehydration and to up his liquid intake which we did and hes been taken off his blood pressure meds for now until it goes high and then we can reintroduce one blood pressure pill at a time ..he informed me this morning that hes not taking any of his medication now ...hes also been prescribed oramorph for pain as he said his back hurts because of the way he lays in the bed ..i think that hes too tired to move now and im just watching out for sores on his hip ...he says hes not in any pain from the cancer but im not sure if hes hiding it or using his back as an excuse ...its his choice whatever he wants to do and i respect that ..

he has had spells of aggresiveness or agitation which we know is caused by the frustration of cancer eating away at his body...bes scared and angry at the same time and all i can do is just be there when he needs me .

ive been lucky in that my daughter has been able to stay with him so i can get out and get some shopping and fresh air and just be away from the situation ...it makes me feel guilty though because i love him and dont want to miss any time with him ......

the nurses have told me i need to take time for myself to recharge when i can but i know in the next few weeks i wont be able to go out and about as much .

we were asked about carers coming in but we said no thanks as i can manage at the moment .....

its tough but thats the cards we got to deal with and we cant change anything so im just in the moment and going day by day ....

the reality is that hes fading away slowly and he will be at home when it happens and i can deal with that because we will be together at the end .

hardest part is telling our family and friends ..although ive perfected the art of saying as little as possible ..bare facts only ..

we are coping with gallows humour ...we told him if he passed on christmas day we would either haunt him or revive him and kill him ourselves !!! he did laugh at that ...weve decided to put christmas lights on his bed just because we can which made him smile although he drew the line at tinsel lol ....

i offered to get him a christmas sweater and the answer i got made me laugh ..well the rude gesture that went with it did ...

i think at the moment we are doing what we can to make his last days as easy as possible and try and make him smile if we can ...the nurses that have come in have all said that its good to see us making the best of everything albeit with gallows humour ! 

one good thing though is we dont have to deal with our gp surgery about gary ..the nurses do all that and its been a relief not to have to worry about that 

its been a journey and a half so far and im just hoping that when the end comes he doesnt suffer ....

take care everyone 

sarah x

  • My thoughts are with you. 

    We are not yet in that situation but my husband has had chemo, RT for advanced prostate cancer. Severe pain in back and hips now managed with paracetamol and codeine and oramorph when needed too.

    He has postural hypotension and trying to manage his diabetes too alongside mild cognitive impairment. It's tough some days. We are not at the bed downstairs situation yet, but days in bed he has a bell! Yep up and and down those stairs. 

    Other services involved but I'm still feeling it's a bit piecemeal. Oncology review still 6 weeks away  it's a tough one on the carer. There is only me and I'm ok with that. As long as someone doesnt ask me how I am .....

    Take care of yourself. Its true we have to be healthy and strong to do this and we do it without question. I want my husband to stay at home as long as possible. 

  • my thoughts are with you too....its very lonely being a carer although i do have support if i need it ....and im the same about people asking me how i am ..part of me wants to tell them to push off ..part of me thinks ..why ask as you cant do anything ...mostly im just tired all the time ..mentally and physically ..makes me a bit crabby so i avoid being around people if i can ....i am very tearful on odd occasions but i think thats because im tired and worried ....

    im mostly ok ...i have heart issues and blood pressure problems

    which im trying to sort out so some days i dont know whos worse me or him lol 

    im not keen on having carers in and out of the house and we were offered to try for funding for night time help but i can manage and i would feel guilty about leaving him alone with someone while i slept in our bed upstairs while hes downstairs 

    we have a small house and having the hospital bed in our living room is easier but we dont much room now ..but rather that then him being in hospital ...

    take care of yourself and my best wishes to you and your husband as well 

    sarah x

  • I know how you are feeling.  The GP phoned yesterday- they've been quite absent for us. Last time I visited with my husband who was very unwell he just said take him to A&E! We'd had 2 visits there in previous weeks as you can imagine lying on a trolley for hours on end. 

    Like you there is a lot of talk, we can help, I can sit with him etc but actually that's not the hard work. When he's unwell it's the physical looking after, washing, cleaning up and that can happen any time. One med creates a side effect etc. I know people mean well but for as long as I can manage I will. And actually he doesn't want someone else showering him down, personal care.

    I can't really leave him other than a nip to get milk when he's downstairs and feeling "good" and it's always on your mind. It's easy for people to say look after yourself... 

    I make use of online deliveries atm. I'll probably have to review things going into new year as I'm looking at the garden .... which will need TLC too 

    Take care. Stay strong xx

  • My deep sympathy. It is hard. 7 years ago my wife was discharged home palliative on ly -  pancreatic cancer of the liver et al after 5 weeks in hospital. Best forecast I could drag out of a reluctant "junior" doctor was "weeks". We were promised visit by nurses next day  -   nearer 3 weeks! 

    I was advised to move a mile to a different local authority because they provided much better help! I could find no way to pay and was told yes be better if we were "on benefits". 

    Couldn't get a hospital bed into old house, so I bought and built a single downstairs and slept on the floor next to her.

    We did get social care help 3x a day for 2 weeks but administrating timely pain relief got beyond me and after much bullying and begging and with the help of a wonderful MacMillan nurse I got her into a lovely hospice for her last 3 days. 

    Once decided all over, the NHS, especially GPs, really doesn't want to know.

    You are doing amazingly in impossible circumstances. All I can do is send kindly thoughts. Good that you are doing what you can to look after yourself also.

    Best wishes, Dave.

  • I am so sorry to hear your experience but I know I've heard this so many times recently. 

    It feels like as long as they your coping as the carer they can put you at the bottom of the pile. I'm not normally one for being a bit demanding, bowing to the idea that the services are doing their best etc, but I've had to find a vice as an advocate for my husband. We are not at emd of life circumstances but he does need a lot of help and support some days and there is only me. 

    We have to keep shouting some days to get heard, but it is exhausting.

    To anyone in similar situations, I wish you strength and courage.

  • thank you ...im doing what i can to make his last days or weeks as easy as possible ..its hard on the body and the mind but i wouldnt trade anything so far ...because he wants to die at home everything is geared around what he needs so yes you do compromise and sometimes i take myself off in another room to cry or hit something ...well mainly pillows lol ...

    ive developed an aversion to being around people at the moment and with it being christmas time and everyones full of ho ho ho or something im doing ok enough to not lose my temper in public people ...

    take care 

    sarahx

  • Sarah. You are doing a brilliant job and I'm sure your husband knows it. To be where he wants to be at home, will be such a comfort. 

    Pillows are great! I've also been known to open the fridge door and shout into it.  

    Xx

  • thank you ...doing my best and surprisingly enough ive finally learnt to not let my mental thinking overide my verbal ....i never had much of a filter anyway but my daughter laughs at me and tells me im doing ok .....

    its hard though ...my daughter has been a godsend and i try not to ask too much of her although shes quite haooy to take on the pharmacy or gps when they screw up as they have done lately ....

    cant say enough good things about the palliative care team though ..we have had more help and support from them than anyone connected to his cancer care ...

    its been hard though ..especially because its christmas time and all that ho ho ho and maybe its me but christmas just doesnt mean the same anymore ...probably because im also getting older lol 

    anyway take care 

    sarah x

  • We are strong. 

    Christmas has changed. We have children/ grand children who dont live nearby so visits can only be with an overnight stay and I've had to curtail that this year. Although my husband will want to/like to see them, the running around is too much for him. There is always so much unseen adjustment to make. He has mild cognitive impairment too so this year especially he doesnt remember my birthday, anniversaries etc. I've reconciled myself with this now. It is just how it is.

    I've made him a sinple A5 book of slip in sleeve photos which I update and find is a great memory boost and we talk about the time...

    I'm the same this year. Christmas is not full of all that cheer. Xx

  • So sorry to hear of your journey, mine is similar, possibly only a few weeks behind you. The most help has come from the hospice nurses so far and they have said that when the time comes they can arrange a hospital bed at home as that’s what my husband wants. They are also great at dealing with the GP.

    Hope you make some precious memories over Christmas x