Can't really talk to anyone about this IRL so hope it's OK to offload here.
My dad has Parkinsons with Lewy Body Dementia and has been in a specialist nursing home for the last 5 years, after a crisis when it was pretty touch and go as to whether he would survive in hospital, and from which he largely recovered in physical terms but declined a lot in cognitive terms.
He has been steadily declining in every possible way this year, from his mobility to cognition, and communication being more or less non-existent.
He was hospitalised twice this year with a 'chest infection' - I've just found out that in both cases this was down to aspirated food and increased problems swallowing rather than 'a cold' that I was told about. His GP now thinks that hospital will be of limited benefit in the future.
I've now given explicit instructions that I want his care to be treated as palliative with medication only given to control pain and not to treat infection, and that we need to let the condition take its course naturally. The GP was very supportive and I know I've done the right thing - I think - but not looking forward to telling the family what I've said.
Then there's the funding review next week...
Is it always this exhausting? I really hope I don't have to face anyone saying "it's such a shame, he's such a fighter"...
Sorry for self-centred vent!