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Elderly parents

To ask for help defying a dying parents apparent wishes about care…

383 replies

Whyismycatanasshat · 05/09/2024 23:42

I need to ask if anyone knows if there’s a way to stop my dying parent coming home to die instead of going to a hospice.

Long story. My parent is dying of cancer which has spread and has been hospitalised, waiting for a hospice bed.
Parent has always, always said they wanted to die at a hospice. 100% not at home. Even pre-cancer.

Today my other parent was informed that dying parent wants to come home and care would be organised.

Dying parent says they’ve changed their mind.
Hospital say dying parent has capacity and has rights to change their mind.

We have questioned capacity as we think it’s lacking and has been for some time but hospital say they have capacity.

Hospital say hospital bed will be provided: carers will be there 24hrs a day.
Other parent (early 80s) does not feel they want dying parent at home.
They have expressed feelings of vulnerability about having carers (“I’m worried about having strangers in the house with me. It frightens me a little.”) and knows from my DBs passing that the 24hr care at house doesn’t always happen as planned - there was several no show carers. Which was horrid.
Also, they feel they will have no place for respite themselves - they are struggling mentally at the moment - as dying parent will be in the living room of the 2 up 2 down house and all surviving children are at least 2hrs away.

Is there any way I can help my parents in this horrible situation?
As awful as it sounds, I think a hospice is the right place for dying parent and other parent needs to be considered too.

OP posts:
Abra1t · 06/09/2024 16:39

It's a cathartic thread.

Flowers to all who are going/have been through this.

I recommend reading 36 Hours by Fiona Mason.

diddl · 06/09/2024 16:25

I know, why don’t YOU have your parent at home with you in their final days?

Because that isn't where the dying parent wants to be!

WiddlinDiddlin · 06/09/2024 16:13

Soontobe60 · 06/09/2024 16:00

I know, why don’t YOU have your parent at home with you in their final days? Then your other parent doesn’t have to put up with supporting their spouse in their final days?
Absolutely grim!

Oh yes, what a stunning idea that is.

Move a frail, dying person a couple of hundred miles from their Drs, hospital, potential hospice place...

Into a home with adults who work and have small children to look after.

That'll work out just fine for everyone, everyone will have their needs met and no one will be at all traumatised or in pain/discomfort at all.

Sohereitissuddenly · 06/09/2024 16:08

Soontobe60 · 06/09/2024 16:00

I know, why don’t YOU have your parent at home with you in their final days? Then your other parent doesn’t have to put up with supporting their spouse in their final days?
Absolutely grim!

I tell you what is grim. Berating someone who is going through something incredibly difficult, THE most difficult thing, someone who is grieving and worried about their vulnerable parent.and.exhausted and stressed.

Just horrible. Absolutely empathy bypass on here. I'm so sorry @Whyismycatanasshat .

I would post in the bereavement area instead. Flowers

Soontobe60 · 06/09/2024 16:00

Whyismycatanasshat · 06/09/2024 00:11

For those saying dying parent wants to come home so have them home, my siblings and I are concerned about dying parents capacity and if they’re being convinced home is best because they are not happy on the busy ward waiting for a hospice bed.
Dying parent today was telling staff about the phone calls they’ve been having with my living siblings and my deceased DB. None of us have spoken on the phone as dying parent doesn’t have a phone.
No-one at the hospital wants to listen.
So you see why we’re concerned.

My DB died at my parents home. Similar situation.
My dying parent has always, always said that was not their wishes. It wasn’t their wishes yesterday.

I know, why don’t YOU have your parent at home with you in their final days? Then your other parent doesn’t have to put up with supporting their spouse in their final days?
Absolutely grim!

tolerable · 06/09/2024 15:58

@Whyismycatanasshat .this is a horrible situation to be in. Whilst i agree ideally dying parents wishes should be met. it appears they arent- as no hospice bed so their hand is being forced. thats unfair all round.
given past experience and serious concerns of mental welfare of other parent.
re you able to visit dying parent and speak in person with hospital.?

VimtoVimto · 06/09/2024 15:56

My mum died at home. It was what she and my dad wanted but I have never felt more out of my depth. We were lucky that my sister is a nurse with significant experience in end of life care with the elderly so knew what equipment was needed and what to ask (push) for. My mum was discharged from hospital with a supposed care package in place except it wasn’t and wasn’t put in place until I contacted Social Services

My mum’s doctor and the district nurse were brilliant at visiting but it was still a horrendous experience. I cut my hours at work so I could visit every afternoon to relieve my 80 year old dad but I visited more than once to find my mum on the floor as she had convinced my dad to try and help her to the bathroom. We only got overnight help from the local hospice or Madame Curie in the last couple of nights.

Our experience was better than a lot of people’s but I wouldn’t put my family through that. It was only later that I realised Nursing Homes often offer End of Life care.

48Hourss · 06/09/2024 15:43

AllHisCaterpillarFriends · 06/09/2024 15:16

So who will look after the dying person?

Home cared is preferred by powers that be better because it costs less as it relies on family being unpaid carers.

The opening post literally says 24 hour carers. Having gone through this, the carers were 24 hours.

steppemum · 06/09/2024 15:42

my friend had a similar situation.

dad had dementia, and had had a fall and was in hospital. he wanted to come home. mum could no longer care for him.

He was assessed and because he had a good day and said he wanted to go home, that was then the plan.
But he only had occasional good days and the testimony of the nurses that he was mostly not able to recognise his family didn't count because on the day he was lucid.

So plan from hospital was that he was coming home, and needed carers, twice a day, couldn't be left along at all and a lot of other things.

My friend went in to the hopistal and got it documented that if he came home, mum wouldn't be there. She would come to live with daughter. So he was coming home to an empty house, please re-assess. Suddenly they could no longer send him home.

I suspect that they cannot send your dying parent home to an empty house, because they cannot provide round the clock care, and they need round the clock care, so I would say - assess them as if they are coming home to an empty house.

FreebieWallopFridge · 06/09/2024 15:33

Having seen the shambles that is EOL at home care, there isn’t a cat in hell’s chance that I would a) believe a word the ward staff say about arrangements being in place to allow dignified death at home, b) allow an 80+ year old vulnerable parent to be put in a position where it’s foisted on them without them having a say.

MissDBus · 06/09/2024 15:33

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fizzymizzy · 06/09/2024 15:30

@MissDBus

OP says hosp would arrange 24hr home care.

Do you know what that means?

AllHisCaterpillarFriends · 06/09/2024 15:20

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Op says hospital says they will. This is not the same .

It doesn't happen. Carers don't turn up

MissDBus · 06/09/2024 15:18

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AllHisCaterpillarFriends · 06/09/2024 15:16

48Hourss · 06/09/2024 15:09

I respectfully disagree. Its their last dying wish. Surely the best option would be to move the non-dying parent elsewhere for a period of time.

So who will look after the dying person?

Home cared is preferred by powers that be better because it costs less as it relies on family being unpaid carers.

48Hourss · 06/09/2024 15:09

TinyTear · 06/09/2024 15:08

I respectfully disagree.
I actually think this is more about the non-dying parent

I respectfully disagree. Its their last dying wish. Surely the best option would be to move the non-dying parent elsewhere for a period of time.

TinyTear · 06/09/2024 15:08

48Hourss · 05/09/2024 23:52

I honestly think this is about the dying parent, not everyone else. If they've changed their mind they've changed their mind. They may feel scared where they are, and if it's their last wish to be at home why shouldn't that happen?

I respectfully disagree.
I actually think this is more about the non-dying parent

WiddlinDiddlin · 06/09/2024 15:07

Girlslikepearls · 06/09/2024 07:51

I've not read every single thread but my gut reaction is 'If we can't have a say in where we want to die, without a family arguing, that's pretty shocking.'

This isn't about you @Whyismycatanasshat
Or the remaining parent.

Being very blunt you're going to have to suck it up and let your mum or dad (whichever it is) have their choice of where to die.

I've experienced my late gran dying at our home (from cancer) when I was in the middle of school exams (decades ago.) It was peaceful and she was asleep mainly on drugs.

I also have close friends whose husband, and father, both died from cancer at home with 'hospice at home' care that worked well.

I think you need to try to stop controlling this and allow your parent the choice over their final days.

But it isn't really the OP that will have to 'suck it up'.

It is the other elderly, vulnerable parent who is alone at home, and will be reliant on carers showing up on time to take care of their partner. Who will be scared of strangers turning up, and also frightened that they will not turn up and that they'll have to provide care they cannot provide, and so will have to watch their partner in discomfort or indeed in pain, potentially for hours on end.

This isn't a 'suck it up' situation. The other parent does have a right NOT to watch their partner struggle and die in their home.

Sailawaygirl · 06/09/2024 15:02

Hi

Not read all posts but I've definitely had patients who's family at home have refused them to come home for EOL care. I would discuss with hospice they may be able to make sure you mum gets some support as well.
I'm sorry for a sad situation

Almostwelsh · 06/09/2024 14:43

People saying that dying at home will be peaceful and medicated are missing the bit in the OP where they have previous experience of this with the brother and it was very much not the case.

It varies by area what is available and it can be the case that family are left alone and frightened with a dying person who has not had pain controlled and is very agitated in the middle of the night and can't get hold of anyone to prescribe medication in a timely manner.

It sounds like that was the OPs and their families previous experience.

I have experienced a parent dying in a hospice and this was a calm environment where the family felt supported rather than abandoned, which can be the home experience.

MikeRafone · 06/09/2024 13:54

rookiemere · 06/09/2024 11:36

Being blunt doctors used to be able to hasten the end of life for a terminally ill patient when they judged that to be in everyone's best interests. Sadly Dr Shipman put paid to that.

Being blunt people went hooting and hollering

heroin has its uses

Sohereitissuddenly · 06/09/2024 13:44

Girlslikepearls · 06/09/2024 08:00

I would be very careful about the care promises made by the hospital staff who frankly want your parent off the ward to free up a bed.

You don't need to rely on the NHS for this.

There is Hospice at Home, and also private nursing that can be used as well as or instead of the NHS.

Sadly we had no information on that and no time to arrange it. And then he was too ill to move within 24 hours anyway.

I hope if @Whyismycatanasshat has time, then this would be helpful.

bringincrazyback · 06/09/2024 13:43

MattSmithsBowTie · 06/09/2024 13:35

I can completely understand not wanting a hospital bed in your living room and carers there 24/7 as well as not wanting your spouse to die in your living room. I’d be tempted to get the locks change and take your other parent to your house so if the hospital try to send them home they can’t get in.

Have you ever been through this scenario yourself?

PorridgeIsNotSlimmingTheWayIMakeIt · 06/09/2024 13:39

MattSmithsBowTie · 06/09/2024 13:35

I can completely understand not wanting a hospital bed in your living room and carers there 24/7 as well as not wanting your spouse to die in your living room. I’d be tempted to get the locks change and take your other parent to your house so if the hospital try to send them home they can’t get in.

Love this! 🤣 At least it balances out all the "how could you be so heartless" posts.

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MissDBus · 06/09/2024 13:38

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