I have my own experience to add to the thread now.
Dad went into hospital with malignant bowel obstruction, caused by his bladder cancer having grown and spread into his bones and liver. He had increasing problems with his bowel and finally it was completely blocked. He was also experiencing confusion and pain so he was blue-lighted into the local hospital.
They treated him for a few days with IVs and antibiotics, hoping the blockage could resume even temporarily (a very distressing time as Dad was nil by mouth and not allowed anything for a few days, which is the treatment advised, but meant he was confused and couldn't understand why noone would give him a drink) but it wouldn't resolve.
A scan showed that there was no chance of an improvement and a fabulous consultant gave us lots of his time to speak with us and answer any questions.
They told us there was no further active treatment that could be given. Fluids and medications were stopped, but they also relaxed the nil by mouth and Dad finally got the water (and tea!) that he wanted to drink. That and having a syringe driver fitted meant he was more comfortable.
He was confused and found it hard to speak, although he could acknowledge things that were said to him. We put a cd player in the private room they'd put him in and he was smiling and mouthing the words of the song. :) They gave the option of going to the hospice, where he'd been having respite care weekly, but the fuss and trauma of moving him around just didn't seem worth it. His stomach was huge from the tumour and the blockage by now and he wasn't comfortable being moved. Plus, the treatment on the ward was fabulous. They suspended the visiting time rules for us and he could have as many visitors as wanted to come in, at any time and for however long they wanted. I visited three times a day, spending a couple of hours or more there at a time.
We were given the timescale of 'hours to days' but we were told that they didn't know exactly how things would progress.
There were a couple of days where Dad seemed to be less responsive and more confused each time we visited. Then, on Friday, when we arrived expecting him to be worse, he seemed a touch better. He was more alert and could respond more. We had a few short conversations and he smiled, agreed, gave thumbs up etc to things that were said. It was lovely, but very confusing as we knew there were no miracles to be had, yet he seemed marginally better in himself. He had a few visitors and it was a 'good day'.
On Saturday, however, he'd dipped back down and was struggling to try and speak, but not being able to. He seemed a bit aggitated, and had a little pain, which they gave him something for. On normal visits, after having the extra pain relief he'd sleep and we'd leave him, but he didn't seem to settle. We stayed an extra hour, then thought that maybe us being there was stopping him being able to settle. So we said goodnight, told him to got some rest and gave him a kiss goodbye.
2 hours later, the hospital called and told us he was deteriorating and that we should go in. By the time we arrived, he'd already passed away.
We were able to go and see him if we wanted and the staff were respectful and kind.
We had definitely got to the point that we didn't want to see him suffering. It was the longest week of my life, but I view it as a priviledge to be able to have sat with Dad and given him love and support in his difficult time. He's not in pain now.
The cancer, especially where it was sited, gave him discomfort, indignity and pain for nearly a year from the initial diagnosis. He couldn't really come to terms with his situation despite having respite care at the hospice weekly and seeing their councillors. He'd been told he had 'months' back in June. That was revised quickly by the consultant to 'months to a year' when Dad was so shocked by the news. I wish he'd never known as he was so depressed by it all, but he did manage to get some things accomplished that he otherwise wouldn't. He didn't wait to be 'well' to go and see his friends and we had some lovely family meals and occasions during the year.