End of life care and support at home.

FormerMember
FormerMember
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Hi

I posted in this forum in September when I found out my mum had stage 2 liver cancer and received lots of support and advice which was most helpful. I am back for further advice if possible.

So.......

Since September my mums condition has deteriorated rapidly. Her primary lung cancer was doing well and was contained and she completed 2 rounds of immunotherapy treatment to deal with the small tumours on her liver. This treatment unfortunately has been unsuccessful. Additionally within this time she had a scan (which we had to beg for) to explore a chronic pain she was getting in her shoulder which had been disregarded as possible bursitis- this turns out to be shoulder, hip and back cancer! Disappointed

Mum ended up in a hospice 2 weeks ago for pain management. I feel really let down by her community medical team as they let her pain get to crisis point before offering this support, they did not manage her pain appropriately and I feel very under confident with their ability to provide further medical care back in the community.

My mum entered the hospice after collapsing and within 4 hours they had a syringe driver in place with the correct pain relief, anti sickness drugs and steroids. 
the hospice has been amazing, although we have been told the cancer is now aggressive and we are looking at weeks, it’s just amazing to see my mum pretty much pain free.

so last week we had a family meeting where we were told that the hospice was only for pain management, and we needed to start looking at planning for the future and moving home. We were told that whilst mum was still experiencing some pain this wouldn’t be happening over night. And risk assessments etc would have to happen.

I live quite far away from home so can’t go to all meetings etc so I was really shocked today when I hear from my dad that another meeting has been held regarding mum going home- because mum only scores high on medical illness but moderate on everything else we need her to be home sooner rather than later. They just said we will have to fund her care and just gave my dad a lust of numbers to call regarding carers oh and to make a list of things we may need to support her.

I'm so shocked by this, the hospice has been so amazing and has been medically brilliant in sorting out her pain relief, however I now feel we are being thrown into the lions den! We have no idea where to start in terms of what we need, how to manage and obviously a real lack of trust in the medical care she will receive whilst back home in the community.this is end of life, she has been told she has weeks! We are all processing this, and now she’s being sent off on her merry way!!!! I’m very confused!!

i am just wondering has anyone had any experience of this? If so any advice or guidance would be very much appreciated! I just want my mum to die with some dignity and happiness! She’s happy where she is- but if this is not meant to be how do we make home the next best thing??? 

thanks in advance x

  • FormerMember
    FormerMember

    Hi,

    So sorry you’re going through this. My dad died of oesophageal cancer 2 years ago. He was admitted to hospital and lost 2 to 3 stone during his 3 weeks there. He stopped eating and became completely immobile. My mum was told he didn’t qualify for nursing care at home and she would need to fund his social care instead. The next 6 weeks leading up to his death were horrific and traumatised us all. He would not eat, started hallucinating, addicted to oramorph, continued to lose weight and could not get out of bed. Constant pain. Following dads death we applied for retrospective continuing health care and it was acknowledged that the hospital underestimated my dads needs in most of the categories. My mum has been reimbursed for the care fees, but we are still traumatised.

    My mum is pursuing the health board for negligence.

    If you google nhs continuing healthcare checklist and select the gov.uk page you can look at the categories they use to score patients.

    If you think your mum meets the criteria (which it sounds like she does), I would contact the gp or long term healthcare team at your mums hospital to ask for another checklist to be carried out with an advocate like you or your dad present. They are supposed to involve family members/friends/representatives in this process.

    Hope this helps and good luck 

  • FormerMember
    FormerMember in reply to FormerMember

    Or, given the timescale you have (similar to dad) ring your patient support services (PALS) team at the hospital and tell them you want an urgent reassessment. They should point you in the right direction x

  • FormerMember
    FormerMember in reply to FormerMember

    Thanks so much for sharing your very sad story and for your advice, it’s such an emotional time and I really just want my mums last weeks to be peaceful and pain free. I will certainly look into a reassessment with myself and dad being present! 

    diolch