Older Father with bladder cancer

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Hi, my father has had a diagnosis for about 7 months.  He's in his 80s and has had 2 resections, but the tumour doesn't look to be removable totally.  He also can't have chemotherapy for other medical reasons and radio therapy is being held back as possibly the next step when repeated resections are insufficient.

It looks like this is not going to be curable, but will be a matter of extending life. However, that quality of life is so diminished. He is mentally capable and until recently was able to drive himself and be able to care for himself fully. Now he can't drive and is only able to walk short distances. 

The biggest problem is he is suffering from huge fatigue, which seems to worsen after each resection. This is partly down to broken sleep as he must go to the toilet every couple of hours at best, but he also has other health issues which may be contributing.

The mental impact of the likely outcome, loss of independence & mobility, as well as the fatigue, is in some ways the most difficult thing to deal with, for him and for us.  We know he has every reason to be down and we have no right to expect him to be different. But it is so hard to see him like this and it almost feels like we are dismissive of his difficulties if we try to cheer him up.  We try to get him out and about, but this is limited to occasional trips out as he often doesn't feel up to it. We visit daily, but yet he isn't happy to have a care plan set up with outside visitors.

We are trying to support him, but there seems so little we can do.

There probably isn't any silver bullet for this, but just wondered if anyone might want to share their thoughts.

  • Hi and welcome to the group, although sorry to hear about your father and the limited options. Fatigue is quite common after treatment. Some people have longer lasting effects of the anaesthetic and the frequent urination does not help. Do you know if he is drinking enough. It is important to drink plenty of water during the day and stop about two hours before bedtime. Not drinking enough leads to concentrated and acidic urine which irritates the bladder and gives the feeling of needing to go. I suffered fatigue after my treatment and my GP prescribed some medication which helped. When I had my bouts of fatigue, I just wanted to curl up and didn't want to be disturbed, so let dad rest when he wants, but also try and encourage some form of light exercise which helps. I had radiotherapy and didn't really have any problems with it if your father goes that way. I hope they come up with a plan for  him. We have had many members here in their eighties and treatment usually goes on fitness rather than age. I hope all goes well. Best wishes.

    Best wishes to All,   rily.

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  • I am in the exact same situation.  Dad has his 'last chance saloon' radiotherapy last week with a 2 week stay in hospital.  He came out on Friday and I had to rush him back in through A&E last night.  He refused to have a catheter so will only go to the supermarket with me to do his shopping because he knows there is a loo there.  He's in heart failure, has kidney and liver damage after getting sepsis following his first TURBT.  He refuses to have people in to help other than me.  I don't know what to do.

  • Hi Spannermommy, try contacting your local Carers' Association. They should be able to either do a Carer's Assessment or refer you straight to Social Services, who are supposed to arrange support at least to enable you to cope better, maybe directly for him. Also the GP should be able to put you onto [or maybe his Urology Dept can] the NHS incontinence service. It is a postcode lottery what they will provide, but alternatively a very flexible subscription to Age Concern's online supplies makes buying suitable pads/disposable absorbent pants more affordable.

    You should have a benefits check done too by the Carers' Association or possibly your council/county council have a dept to do this, to ensure you and Dad are getting everything you are entitled to.

    Kind regards, 

    Denby

  • Thank you Denby, having been thrown into this situation I feel like I'm sinking like a stone and information online is always so confusing.  He's had his check by the local council.  I'm not sure I can get a referral to a service if he won't admit the problem, that is what is holding everything back.  My husband has spoken to him, I've spoken to him but it makes no difference.  When he's at his flat he's tottering around gasping for breath, moaning and groaning in the bathroom but as soon as he gets to hospital it all stops.  The nurse who did his health check where dad was lying down and first she asked him to lift his arms up while she was pressing down then vice versa, then can you lift your leg and they both went up like flippin flagpoles.  She was amazed but not as much as me!!  Trouble is, my health conditions are getting worse, I'm so tired I just want to cry!!

  • Oh poor you. A big virtual H - U - G from me. I know how you feel. My mum wasn't as bad, but idealistic physios would come round and instruct exercises to combat the muscle and joint effects of her Parkinson's, but would she do them heck once we were alone with her.

    And it is so draining when you have broken sleep, spells sitting in A&E etc. Contact Carers anyway, it varies hugely what is on offer from place to place but you might find a group where you can meet for a cuppa and cake and rant among friends going through the same, so you won't feel guilty. Or maybe a volunteer phone befriender.

    Do attend to your own health, a good multivitamin and plenty of Marmite or Bovril in your diet for energy-restoring B vitamins could help. And there was a good Dr Michael Mosely piece on breathing for sooner better sleep, late at night on BBC  R4 a couple of days back.

    Denby

  • Huge hugs.I was sole carer for my disabled mother for nearly 16 years.She didn’t have cancer but a multitude of other health issues.She was so stubborn,it was very difficult at times.It is exhausting and you do need to look after your own health too.I’ve had the same sort of thing with mum and know how exasperating it is.Have you got anyone who can help out and let you have a break ? I had to contact social services when I got cancer as I wasn’t well enough to look after mum.I had her back home 8 months after my surgery.I had to have the help of 2 carers though.Love Jane x

  • Hi Denby,John and I spent far more hours in A & E with mum than evenings out together.Mum was invariably ill out of hours or on Bank holidays.Jane xx

  • I had the same issue with my mum not wanting any help other than mine.I really had to put my foot down and say my own health was suffering.I pointed out that if I was ill there would be no one to look after her.She reluctantly agreed that we would have to have help.I think you should still be able to get help if you are finding it hard to manage with your own ill health.Love Jane 

  • I don't know about Marmite, Bovril and breathing, I was thinking more along the lines of Diazepam!! GrinJoy

  • Oh heck Jane, I cannot begin to imagine how you got through having cancer yourself and looking after your mum.  It must have been grueling!!  Unfortunately, I had a brother but he died very suddenly last year of a heart attack.  I do find myself asking what he would be thinking of all this but he was always the calm laid back type.  I'm more the screaming emotional jibbering type.  I do hope your cancer treatment was successful?