Moving from hospice to Nursing Home with one to one care

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My husband has been in the hospice for over 3 weeks now and his meds have been tweaked and the seizures  are now under control.   He seems to have dementia symptoms which I believe can be normal with this type of tumour He was diagnosed end of November after what we thought was a stroke. The mri showed a glio in left temporal lobe he had op in Dec .  We were passed to the Palliative team at home who have been great.   Eventually he was moved to the hospice a few weeks ago to be honest we thought that would be to the end.  He was treated for constipation and an infection.  He now seem ‘better’ in the sense he is able to walk about chatting somewhat incoherently to the nurses he likes to sit with them !!!!  The consultant advised that eventually he would become bedbound 
 Now we have been advised that he needs to go to a Nursing Home as he could be like this for a number of weeks and obviously the hospice is a short stay facility. They  have applied for funding for the one to one care that’s needed.   
I‘m not sure why I’m writing all this my one real fear is him passing alone without us being with him.    I told him at the beginning that we would be with him…. I feel dreadful 

  • Hello Lindy,

    My husband had recent palliative room/ hospital stay for 4 wks and now moved back home with NHS funding and 2 care visits a day.

    Myself and my son are share 24/7 ,he has dementia like symptoms also.We are trialling the carers coming in but sometimes it seems more effort and gain with no real consistency 
    He may also need a nursing home at some point as physically well but severely congenitally impaired.

  • HI Lindy

    lovely to hear from you again and sorry to hear about all that you've been through for the last few weeks.

    I understand where you are coming from. During G's journey he had a few days in the local hospice in the August to get his focal seizures under control and we were faced with the same dilemma. He was still physically fit but his symptoms were dementia like. We elected to bring him home- to be honest I didn't have much other choice at this time and I had to make it clear to the medical team that I could not guarantee to keep him safe. G would disappear off out for walks and be gone for hours!

    He was readmitted to the hospice for the final stage of his journey that October and we were worried about him passing away alone. The hospice staff were fabulous and as soon as there were any changes to his breathing, they phoned and told us to come in. These nurses are the experts and know the signs. If you get the nursing home place, their staff too should know the signs and call you in time. Obviously things happen and it might not prove to be possible to get there in time.

    Please do not feel dreadful. You are doing an incredible job of supporting him in difficult circumstances while dealing with your own emotions. 

    This is a safe and supportive space so please reach out here anytime. There's always someone about to listen who gets it, someone to hold your hand and to offer a virtual hug when its needed. You're not alone. We've got you.

    It’s always good to talk so please remember that you can also call the Macmillan Support Services on 0808 808 00 00 - most services are open 8am to 8pm, 7 days a week Clicking here to see what is available. This service provides lots of cancer information, emotional support, benefit and financial guidance or just a listening ear.

    sending you a  huge virtual hug and lots of strength

    love n hugs

    Wee Me xx

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

  • Hi Slh thank you for your reply. Do you or your son give your husband his medication or is something carers do ? I’m not sure what their role is? Assume it’s washing dressing ?
    My husband looks normal for want of a better word but he keeps repeating over and over saying he wants to come home.  How awful we are leaving him!  It is very distressing he is swearing and shouting at us and the staff.  They are amazing people so calm and don’t know how they do it.  Can I ask how long has you husband had this horrific disease ? 

  • Thank you Wee Me ´that’s given me a bit of confidence re the nursing home.  Thanks for the hug I definitely needed it xx

  • Hello Lindy,

    My husband is coming up to 3 yrs beginning of May,he worked full time up until Jan where a rapid cognitive issues, memory and orientation meant he could no longer continue and a scan in January showed recurrence.

    early march another rapid decline and rescue with steroids at home with carers.Yes carers can give medication ours give him all his morning meds then help him dress and wash, he can do this but he needs prompting to do things correctly.For example he was trying to use roll on deodorant for tooth paste.You have to give them fairly set tasks and we have had up to 10 different carers so far,not ideal.I find it mainly useful for my son, I'd rather him not have to do personal care prompting etc for his dad, it's his dad.

    It's still pretty hard and I'm still deciding how useful it is for the level of organising you need to be.

  • Wow 3 years that’s amazing from all I’ve read !!  My husband had the surgery only at the end of December.   Things got harder and harder for me managing we are in our late 70’s and the Palliative nurse and doctor came and said that it would be best for him to go to the hospice as there was a few symptoms that they would be able to adjust meds to make him more comfortable.   It does seem the dementia symptoms have exploded. Now it’s a Nursing home that they are looking for.  It does sound like it’s hard at home.  Everything about this disease seems so difficult,  big hugs x 

  • Hugs back,my husband is 58 yrs,hope that works for you both.