Afternoon Every One
Siting here thinking, like i do some times.
When my husband was in Hospital, the Doctor came round and asked him, if he had a DNR in place, which he did not, and because he had lost his voice, the Doctor asked him, would he like one put in place, my husband nodded Yes, i said to hubby, do you understand what the Doctor is asking , again he noddy yes.
Threw this journey no one has ever asked me that, though i will be asking my GP and Oncologist the question, but i siting thinking, what do i answer.
Hi - a bit similar but I was doing my PoA and my solicitor asked whether I had considered a living will, so she sent me a draft. It's not a living will, it's called an advance directive and it documents the boundaries of when you would refuse treatment in case you are not able to communicate at that time.
The draft was all medical. "Why is she sending me this" I thought - she is a solicitor not a doctor! I had some issues with it. Throughout it mentioned "independent living" being the threshold, and when that wasn't possible it read like "don't treat". But it never defined "independent living". WAs it a lack of mobility, not being able to look after yourself, need sheltered housing, need help and support with the essentials in life? Also it mentioned treatment by IV like it was invasive and that the doctors were a big bad profession for keeping people alive with little quality of life. Also the suggestion that an "off the shelf" template could meet my requirements - we are all unique and individuals with our own lens on the world.
I thought about it for several days / weeks and then I was due at my oncologists (I like my onco & have a good relationship with him) so I took it along and explained the situation. I said to him "if you gave me legal advice about my Will or my PoA I'd be feeding back to you that these items are outside your professional sphere!". He said "this is a bit short" (2 pages). Then said that we were miles away from the advance directive and end of life discussions yet. "We have lots more treatment to try", he said.
When I went back to the solicitor I gave her some feedback. Her response was that it was just a starter document for discussion. But then I would want to talk about it with my oncologist not my solicitor. I felt that a solicior giving that template to some people would just sign blind and I felt that was irresponsible.
That's it, I might return to the advance directive later, at an appropriate time, with my oncologist.
Bit of a long story!! This was in Aug/Sept 2022.
I just remembered something else my onco said. He explicitly said that in situation X you wouldn't resuscitate because there is no point, it's going to happen again. I don't know whether he meant the medics would be able to take that decision or that it would be something for the advance directive.
When I was in hospital and they didn't think I was going to come out, the palliative care people were round like flies on a jampot. Several doctors also came round and I felt under a lot of pressure to sign it. The fact that I was full of morphine didn't help either as I couldn't properly assess what I was being asked to sign. One day, after another visit, I did sign it. Then things actually did get worse and I was scheduled for further surgery. My surgeon visited me the evening after I'd signed it and begged me to reverse the decision. She said that if anything happened to me on the operating table, they wouldn't be able to do anything and would have to let me die. Surgery was next day. I reversed the decision.
Since then others have tried to sign me up and each time I said no. My GP has now left this on the back burner and if things go downhill in the future, I may revisit it, but TBH I don't actually care for the way the document is drafted. It's a work in progress I guess. Rainie x
Hi girls, just read your posts, very informative, I know about those choices but I haven't considered them, my wife and I have discussed the possibility of end of life care, she knows that if there is no advantage in further treatment not to bother, as I don't just want to die slowly in a coma, this is nessesary to talk about but definitely not nice.
Still thankyou all for sharing your thoughts an information.
I got the advanced directive from my palliative care consultant recently as my GP had given me a Do no attempt Rescusitation form and the consultant said no that's no what you need. I have the form on my bedside table not 100% completed yet but it soon will be.
My daughter's aren't happy with some of my decisions but they will always know when the time comes I went my way
Whatever cancer throws your way, we’re right there with you.
We’re here to provide physical, financial and emotional support.
© Macmillan Cancer Support 2024 © Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. A company limited by guarantee, registered in England and Wales company number 2400969. Isle of Man company number 4694F. Registered office: 3rd Floor, Bronze Building, The Forge, 105 Sumner Street, London, SE1 9HZ. VAT no: 668265007