Trying to cope

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Hi folks, 

I joined a while back and have found it helpful to read posts on here. Thought it was about time I participated.

My 78 year old father was diagnosed with small lung cancer that has spread to his spine and lymph nodes. It all happened suddenly in March this year after he was told he had pneumonia. As soon as we found out I moved him in with me and my (amazing) husband as he can't cope on his own.

We're lucky in that we work from home, running our small business, so I'm always on hand. My dad was offered a course of chemotherapy, which has now finished. It worked very well in alleviating his breathlessness but it was made clear to us that any treatment is palliative. 

We've recently come to the conclusion that my dad is on the spectrum - so many traits that we should have realised years ago. Not once has he addressed the whole situation with us, and whenever anyone tries to talk about it he just can't vocalise. A nurse told us he had months to live and he didn't acknowledge it. It's hard to describe, but all my family are in agreement of his autism. He doesn't complain, and has let us do everything for him (preparing food and drink and administering all his meds). However he's hardly eating anything at all, and won't even drink the Fortisips/Fortijuices he's been prescribed. He started drinking alcohol (used to be whiskey but is currently sherry) and smoking again as soon as he felt "better". We don't feel we can say no (I've always been very anti-smoking and hate that he smokes in my house).

My (extremely patient) husband and I have hardly had any time on our own (apart from food shopping!). My sister came to stay recently (she lives abroad) and had to explain to him why we would want to go out on our own. He just doesn't have the capacity to understand though. Not once has he told us we should go out, that he'd be fine for a couple of hours. It's tough going.

He also won't have a bath/shower. We bought him a bath seat and he used it once. I don't think he's ever had a shower in his life, I genuinely think he has some sort of fear of water. I've told the district nurses, but all they offer is for someone to help wash him (and he tells them he doesn't need help). He's not at that stage yet, he can get himself up and dressed and spends all day on the sofa watching TV. He is weak (mostly due to lack of food/fuel I think) and can't walk far, but resists using the wheelchair we have for him. This restricts anything we do in general as a family. 

There's never any thanks, just acceptance. He gave my sister a load of cash for her travel expenses, but has never offered anything to us (he does pay for his own booze and tobacco etc). To be honest we're not asking for anything, just maybe some recognition from time to time. That sounds resentful but we genuinely are just baffled/frustrated by his behaviour. 

Am I bad for not wanting to care (wash etc) for him as he worsens? We've never had that sort of relationship, he's always been a very private person. Taking him his breakfast (that he hardly touches) and meds in bed took a while to get used to, seeing him in his pyjamas!

That's enough of my waffling - just thought it might do me good to get it out! At least he's not a cantankerous old git! Has anyone else been through anything similar?

If you've reached the end of this, thank you. 

  • Hi Arlywarly

    I'm not in a similar position but felt I had to say that I think you’re really doing an amazing job with your dad. 


    I also think that you need support and a break from the strain of him drinking and smoking it must be hard to take mentally  I can understand him just having what he wants however maybe your sister will give you some rest bite even if it’s an over night in a hotel for you and your husband 

    As for personal care he may prefer to have a carer to take care of his needs

    I’m sending you a hug and my very best wishes 

    Ann
     ‍Art

  • Thanks Ann. 

    My sister went back to Spain yesterday after staying with us for 2 weeks. We managed to meet with friends, had 1 meal out and even managed a trip to the local cinema - so we did pretty well. It's all back to "normal" now. 

    I'd like to think my dad would prefer carers to come in once he can't wash/dress himself, but until then will continue as he is. 

    I guess we'll just have to carry on. I recall when my mum was being cared for (she passed away 12 years ago, bowel cancer that spread to her lungs, then brain) he turned away a carer as he hated strangers in their home. She ended up at a hospice, which was definitely the right place for her. 

  • Have you thought about Respite , to give you's a break.

  • Your father sounds like a very proud man and would probably prefer a paid carer when needed 

    From my point of view I’ve told my children that if the time comes and I’m in pain and unable to care for myself I want to go to a hospice. Where my children can come and see me fresh clean and out of pain 

    Both my husband and I have said that’s our wishes. 

    Best wishes 

    Ann
     ‍Art

  • Does your sister live in Spain. I’m visiting my brother in Orihuela Costa 

    Its extremely hot, very different from the UK X

    Ann
     ‍Art

  • I've said the same. I'd hate to be any sort of burden to my 2 daughters - they didn't ask to be born and don't owe us anything. Luckily we brought up 2 wonderful humans so their inheritance is safe! 

    I wouldn't describe my dad as proud. He's extraordinarily introverted so cannot make eye contact with strangers or converse in a friendly manner with, say a waitress. It comes across as rude so we overcompensate by being extra friendly ourselves. 

  • She lives in Alicante where there's a heatwave coming soon apparently. 

  • Yes I’m sat in a heat wave. It’s melting me. 


    Thank goodness our own pool 

    Ann
     ‍Art

  • He passed away on Saturday night, after an absolutely awful day in pain. There was a dramatic decline over his last 2 weeks, spent in a hospital bed at our home. The nurses really wanted a syringe driver set up but the gp was (inexplicably) against it (a doctor who'd never seen him said it would make him bed-bound, despite him being so for 2 weeks already). I demanded another review the following day whereupon another gp agreed, but on a lower starting dose than he was already on. It clearly wasn't effective. On what ended up being his final day, he started with waves of excruciating pain that they couldn't control. Even when in a drug induced sleep his whole body contorted in pain. It's something I'll never forget.

    He's finally at peace now. 

  • Goodness Arlywarly 

    Im so sorry for your father passing in pain. I feel that is unforgivable, the GP let him down really badly

    You've been through a terrible trauma and I hope that you have support

    Sending you a hug 

    Thinking of you x

    Ann
     ‍Art