Palliative care for mum

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Hi everyone

My mum (62) was diagnosed with Stage 4 Hypopharyngeal cancer back in August. She was due to have a total laryngectomy in early October but unfortunately, when a tracheostomy was put in place in September to help with her breathing due to the tumour growing so quickly, mum had 4 strokes. Thankfully mum has made an excellent recovery from the strokes, but it did mean the surgery was post-poned. We've found out this week that unfortunately mum is no longer eligible for any kind of surgery at all, and she's also not able to go for any kind of chemotherapy/radiotherapy/immunotherapy as she's just too frail. Even small palliative treatments of radiotherapy aren't an option, as mum cannot lie on her back due to difficulties breathing. So we're now looking at palliative care, with the consultant advising a few weeks/months left with mum.

The whole journey has just been incredibly quick and difficult - unfortunately mum's cancer is so aggressive that things have escalated every few weeks which is why we're now in this position. We also lost dad very suddenly last year, mum had only really just got back on her feet when all of this landed. It just all feels so cruel. Mum currently is unable to eat/drink/talk which is really affecting her mood.

I feel like I've been handling this ok up until now but with the news this week, I'm just feeling so heartbroken and helpless. It feels like we're reaching the end of the road and I just wish there was more I could do. We're likely going to be looking at options around hospice care now - whether that's hospice at home or moving mum into a hospice. Mum mentioned this week that she wants to be at home for Christmas and I really hope we can find a way to make that happen. My sister and I would be more comfortable with mum staying at a hospice, rather than hospice at home care, as mum's condition is quite unstable and we think she needs that 24/7 support. We're worried that mum, being very independent and private, will just want to go home and stay there though - which is understandable; and her wishes do need to come first.

I'm just reaching out for a bit of support really, I know there will be many others who've gone through their own difficult experiences too. xx

  • I 'm so sorry to read this, life can be so cruel. I really hope your mum can have her wish to be at home for Christmas, with those who love her. Best wishes to your mum, yourself and all her family.

    Ray.


  • I'm just reaching out for a bit of support really, I know there will be many others who've gone through their own difficult experiences too. xx

    Hi  

    Your story is heartbreaking and it sounds as if you have been a wonderful daughter for her. 
    I lost my mother in law last year to anaplastic thyroid cancer. This is a very aggressive cancer that took her in a matter of a couple of months. She wanted to die at home and that’s what she did, gently and with little pain thanks to family support and excellent round the clock Marie Curie hospice at home. 

    If you can get as much help as you can it’s possible. None of us would have had it any other way even though it wasn’t easy. 
    I hope you find a way with your mum. 

    Dani 

    Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019

    I wrote a blog about my cancer. just click on the link below 

    https://todaymycoffeetasteslikechristmasincostarica.com 

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

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  • Thanks Ray. Mum is a very private/reclusive person so she only really has myself and my older sister, plus her younger brother who lives a good few hours away. No friends. But hopefully we can all get some good time together over the next few weeks.

  • So sorry to hear about the loss of your mother in law, Dani. That must have been so difficult for everyone to go through in just a couple of months. I'm glad she had such good care and support. 

  • Hello Fairybear

    I am so sorry to hear this. My brother also had a very aggressive HNC which spread to his lower pharynx. It was very scary as his situation changed so rapidly. He was also very private which was his wish but I think that made it harder for me. Just felt so helpless. I’d be happy to chat if that helps. X

  • Hi So sorry to hear this. It’s very difficult for everyone maybe care in hospice could be arranged with a view to her being allowed home for Christmas. It’s a horrid time of year I know from my Dad dying at home on new year eve 1986 it was what he wanted and we did manage it as a family,but now days there are  much better hospice at home options. Really hope you can do what suits everyone as it’s hard on famiky members as well yiu want to make memories with mum.

    hugs 

    Hazel 

    Hazel aka RadioactiveRaz 

    My blog is www.radioactiveraz.wordpress.com  HPV 16+ tonsil cancer Now  6 years  post treatment. 35 radiotherapy 2 chemo T2N2NM.Happily getting on with living always happy to help

    2 videos I’ve been involved with raising awareness of HNC and HPV cancers 

    https://www.instagram.com/merckhealthcare/reel/DBs8Y0niJ8N/

  • Hi.  I am sorry to hear your story.  It is heartbreaking.

    It sounds like you have been supportive of your mum and I am sure she appreciates this.  In supporting your mum you need to make sure you look after yourselves as well.  Often the hospices can offer some sort of outrech service that will enable you to get out for a few hours or sleep soundly overnight knowing your mum is being cared for at home.

    You are right that you have to respect your mum's wishes, but at the same time she, and you, need to be safe.  Sometimes a proper hospice bed is the best place to be.

    My uncle was adamant that he would not go into a hospice.  In the end he was discharged directly from hospital to a hospice and he confessed that was the best place for him.  He loved the wrap around care he got.  Not just the clinical care but also the compassion and physical/mental wellbeing.  People had time for him.  It was a good place to be.

    I really hope your mum can be at home for Christmas.  Making memories, talking and finding peace in those last few weeks is important for all the family.  I am sure that your local hospice will try their very best to support you in this.

    Stay with us and we will do what we can to listen to your concerns and support you with pratical advice.  Thinking of you and your mum.

    Peter
    See my profile for more details of my convoluted journey
  • Hi fairybear1991

    I am so sorry to hear about your Mum it’s heartbreaking to read your post knowing what you must be going through x

    I lost my Dad to a stage 4 aggressive brain tumour and it was horrific.He also wanted to stay at home but sadly became so ill he was taken to our local hospital and after a two week wait we paid for a private ambulance ( due to being told of 7 hr-10 hr wait for hospital one ) transferred to the hospice which was amazing , the atmosphere was so warm and welcoming , the  ensuite room was lovely he had his favourite album playing on loop me or my Mum could stay with him 24hrs a day theDrs and  nurses were able to respond to his needs very quickly. I can’t speak highly enough of what was a very tragic situation made so much easier ( for us all)by the hospice stay.

    Maybe speaking with your Mums medical team to have everything in place for the hospice( if they have availability) and are unable to meet her needs in the home. 

    It’s a horrible position to be in when you feel so sad and helpless but you are doing everything you can for you Mum and she will know that.

    I wish you all a peaceful christmas x

    Sending you all a virtual hug

    Debbie

    T4Nb2M0HPV+