This would have been preferred by all of us. My mum included. We wanted the driver in and to go higher and higher. It was denied.
When the driver was in she was in and out of prolonged sleep but it did not relieve her pain, it sent her to sleep for more time.
When she was awake she was in horrific pain, unable to do anything for herself with multiple osteoporotic fractures. Do you know what it feels like to feel bone pain? If you’ve ever broken a bone? Not just in one bone but all over your body. Plus metastatic bone cancer pain?
Yes you are correct it would have been deemed murder/manslaughter if the consultant had followed our wishes.
They are not allowed to titrate upwards without waiting at least 24 hours to see if the current dose is working. Sometimes they will wait much much longer as they did with DM keeping her on same level for a week. What was the point?
At the very end of life they may go higher but by then the patient is often incapacitated and cannot speak so you don’t know what pain they are in or not. Then they won’t bother to do anything else but just keep whatever dose you reached.
My DM cried out until the last 36 hours. She could no longer speak words. Her eyes were closed. But she could wave her arms up and down which she did. We had no way of knowing what that meant, it was beyond cruel. She did not look comfortable.
Simply an appalling extended load of unnecessary suffering and a horrible painful death.
It’s a very traumatic thing to go through not least my poor DM.