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Elderly parents

End of life pathway please help

195 replies

Notmanyleftnow · 21/12/2024 18:13

My mum was told she had probable metastatic cancer in three places in March she declined further treatment or investigations. She developed neurological choreiform sytmptoms but refused tests suggested by neurologist. She wrote an advanced statement saying she does not want to have investigations or treatment into cancer. Or be in hospital
A week ago she collapsed and is now in hospital. She cannot walk and has lost some speech. She had planned to take her own life, but left it too late.

I told them about the advance directive and that she doesn't want to know what's wrong with her. But now I think did she just mean the cancer and the brain thing? Is there anything else????
They put her on end of life pathway without telling her, I assume because of the advance directive. But what if it's because of what I said??

i visited today and She remembers doing the advance statement but now says I want to know what's wrong with me and what's happened to my speech. She said it three times so I told them and wrote it down. Nurse said doctors will talk to her Monday. I gave her the note stating my mums new wishes and they're putting it in her file.
I am terrified I have fucked all this up and that I should have told them to tell her before this.
I am in torment. The whole situation is killing me. I am now bleeding rectally which is probably from constipation as can't eat properly.
I can only visit every other day as she is an h9ur and a half away and I don't drive because of autism and visual processing issues I have had lifts and spent 500 in taxis. I have asked them to move her nearer to me but it depends on bed availability.
She's stopped drinking because she doesn't like the thickener they put in her coffee. She's not eating because she thinks she has but she hasn't.
I feel so guilty like it's all my fault.
Will they not give her fluids through a drip because it's end of life care? Dying of thirst is supposed to be awful.
Please help me.

OP posts:
Marylou62 · 05/01/2025 06:30

Yoonimum · 04/01/2025 22:50

You have done wonderfully. I hope it gives you peace to know you were there for her and followed her wishes. You asked after my mum, who is at home.
No change apart from the fact she is developing pressure sores as she has almost no voluntary moment due to her general weakness. The district nurses are coming tomorrow to advise on this. It is difficult because I want to be with her but when she is disturbed she wakes up and asks for water. Her swallow has broken down so it actually makes her feel worse but she keeps asking. I'm just willing her to sleep through into a coma and slip away now as there is no ease let, alone joy, in her waking moments. It's very sad but I'm happy I can be with her on this journey and I know my brother and I have done everything we can. I must also give thanks many times over that she can afford a full time carer and she is the most wonderful woman. Both my mum and the rest of the family are very fortunate in that respect and I take my hat off to anybody who has cared for a dying relative at home without this support.

Mum was given an oral gel to use in her mouth which helped with the thirst/dry mouth. Ask the DNs..

Notmanyleftnow · 05/01/2025 07:00

@Yoonimum thinking of you. I hope your mum does slip away peacefully soon.
It certainly helped me knowing I was there with my mum and I am glad you are able to be with yours. But yes, there are many difficult moments when you feel helpless watching.
I don't know if you have been with someone when they died before, but just wanted to share that in my experience there was nothing actually frightening about it. My mum.basically didnt wake up for a couple of days. An hour or two before the end, I had the nurses check she wasn't in distress from the gurgling sound she was making and they suctioned her mouth a little. And then she was just breathing and then she didn't breathe any more. So strange that someone can just stop.
@Marylou62 and everyone else who has lost someone, I'm so sorry.
Thanks to all of you who have shared your experiences and offered support and explanations. It has really helped.💐

OP posts:
Marylou62 · 05/01/2025 07:24

Yes I've been with many people when they've died because I used to be a nurse..

But nothing prepared me for my own parents..

My Dad died just 18 mths ago so they are finally reunited...

My Mum's heart rate was very fast as was her breathing..

She was listening to my brother on the phone as he couldn't be with her..she just never took another breath...

Even though I knew it was coming I was still absolutely hysterical for a moment..

When Dad died I had to 'keep it together' as I was caring for Mum who had Alzheimer's.

I'm going through a stage where I feel I should be 'sadder'.. but if I'm honest (and we can be honest here) I'm just feeling relief.

We as a family have had a horrendous 5 years with our wonderful parents and they are finally together again..

Her funeral is on Friday and I can feel myself getting more emotional every day..

Please feel free to ask any of us any questions and nothing is too 'silly' to ask...
I'm thinking of you..x

Angrymum22 · 05/01/2025 13:34

Op I’m sorry for your loss. Glad that you were with her at the end no one should die alone.
The next few weeks are going to be tough but hopefully you’ll have some help from your siblings.
You can hand all the funeral arrangements to the undertakers. They can do everything for you. But there will be decisions to make. We had a family WhatsApp to include everything and used Teams to chat.
I know it’s too soon to be talking about it but unfortunately you don’t really get time to sit back and reflect in the immediate aftermath. But you don’t need to do very much.
Take a bit of time over the next day or so to have a good cry. If you need to talk and there is no one you can chat to face to face I’m sure no one will mind you posting on this thread. I will check in from time to time. Feel free to pm me.
I had my other DSis and BIL to process it with. Hopefully your family will support you.
Again so sorry for your loss.

doitwithlove · 05/01/2025 18:45

Sorry to read your update, take every day as it comes and take care of yourself.

Hugs 🌹

recyclingisaPITA · 06/01/2025 00:16

Sorry for your loss OP.
RIP OPs mum.

Notmanyleftnow · 06/01/2025 13:34

Just an update really. My support worker made phone calls for me today. Apparently medical certificates of death are taking two weeks now. He also phoned the registrar and the funeral director.
So I don't have to do anything for a while.
I am very exhausted. I am also very comforted that I did the right thing by her.
Love to all who have been/are going through this. 💐

OP posts:
BeAzureAnt · 06/01/2025 14:13

Notmanyleftnow · 06/01/2025 13:34

Just an update really. My support worker made phone calls for me today. Apparently medical certificates of death are taking two weeks now. He also phoned the registrar and the funeral director.
So I don't have to do anything for a while.
I am very exhausted. I am also very comforted that I did the right thing by her.
Love to all who have been/are going through this. 💐

OP, just to send my condolences. Get some rest, and I'm so sorry for your loss.

Marylou62 · 06/01/2025 18:38

Grief is exhausting... I could sleep all day...
Be gentle with yourself ❤️

Angrymum22 · 06/01/2025 19:00

Marylou62 · 06/01/2025 18:38

Grief is exhausting... I could sleep all day...
Be gentle with yourself ❤️

Too true. I’ve been procrastinating since my sisters funeral in December. I had just had DS when my DF died and after a difficult pregnancy ( spent last couple of months in hospital) then bereavement, I tried to keep going but ended up with PND 6mnths on and on Prozac for months.
This time I’m being kind to myself and doing bugger all. Managed to do a start of the year wardrobe clear out today. I’m working tomorrow but will start to tackle the spare room on Wednesday.
When the weather improves and BIL is ready we will head down to help him sift through my late sisters “stuff”, she was 56 and there is a lot of “stuff”.
I was planning to do a big sort out at home, over the last 3 mnths, but I spent a lot of time commuting to my DSis at the same time making sure DH was catered for ( he had a stroke 3 yrs ago and needs a certain amount of care).
Hopefully OP you will have help and time to go through everything at your own pace. For now just rest, eat and watch box sets.

You don’t have to go out and be part of the world at the moment. If you can order groceries online do so. It is difficult being around people to start with, just ease yourself back in when you are ready. People will understand. Don’t get angry if people upset you, just explain that you have just lost your mum, they will understand.

You are vulnerable at the moment so if you are unsure of anything check with someone before agreeing or signing anything.

Porkyporkchop · 06/01/2025 20:26

Sending hugs to you OP 🌷

Yoonimum · 13/01/2025 01:21

Notmanyleftnow · 06/01/2025 13:34

Just an update really. My support worker made phone calls for me today. Apparently medical certificates of death are taking two weeks now. He also phoned the registrar and the funeral director.
So I don't have to do anything for a while.
I am very exhausted. I am also very comforted that I did the right thing by her.
Love to all who have been/are going through this. 💐

Hope you are OK, OP. My mum died peacefully at home on 8th. The grief comes in waves but after years of watching her decline with dementia there is relief there, too. There is a lot to be done but I've been having a few days rest, which has been sorely needed.

recyclingisaPITA · 13/01/2025 15:27

Sorry for your loss yoonimum 💐

Notmanyleftnow · 14/01/2025 19:37

@Yoonimum I am sorry.💐 I hope you are okay.
Yes. Rest is very much needed. I'm run down and ill now. Weird limbo because hospital certification of death is taking at least two weeks. I feel like none of its real now. I also feel so ill I can't think of anything thr last couple of days other than trying to breathe. Will probably go to doctor tomorrow, if my support worker can get me an appointment

OP posts:
Yoonimum · 14/01/2025 19:55

Notmanyleftnow · 14/01/2025 19:37

@Yoonimum I am sorry.💐 I hope you are okay.
Yes. Rest is very much needed. I'm run down and ill now. Weird limbo because hospital certification of death is taking at least two weeks. I feel like none of its real now. I also feel so ill I can't think of anything thr last couple of days other than trying to breathe. Will probably go to doctor tomorrow, if my support worker can get me an appointment

Yes, me too... I've had two courses of antibiotics and now have another viral infection. My sleep is still disturbed. We must both be very run down. Also, there has been a mess up with the death certificate - it has been recalled as was issued in a number already used!🤦‍♀️
Fortunately, I have no other pressing responsibilities so I'm doing the bare minimum and being gentle with myself.

Notmanyleftnow · 15/01/2025 07:03

Yoonimum · 14/01/2025 19:55

Yes, me too... I've had two courses of antibiotics and now have another viral infection. My sleep is still disturbed. We must both be very run down. Also, there has been a mess up with the death certificate - it has been recalled as was issued in a number already used!🤦‍♀️
Fortunately, I have no other pressing responsibilities so I'm doing the bare minimum and being gentle with myself.

Oh bless you. I hope we both feel better soon.
The medical examiner is supposed to phone me when the certificate is ready. I guess two weeks will be this Saturday, but they're unlikely to work Saturdays. Maybe they take longer in hospitals than in the community. They said he would ring me to discuss the cause of death, did that happen for you?

OP posts:
Yoonimum · 15/01/2025 10:47

Notmanyleftnow · 15/01/2025 07:03

Oh bless you. I hope we both feel better soon.
The medical examiner is supposed to phone me when the certificate is ready. I guess two weeks will be this Saturday, but they're unlikely to work Saturdays. Maybe they take longer in hospitals than in the community. They said he would ring me to discuss the cause of death, did that happen for you?

We have the email confirmation from the registrar and copies of the the certificate are in the post - all in one week. Cause of death was as expected so that's not an issue. You should get a checklist from the registrar of things you need to do but feel free to contact me again if you are struggling with anything. I'm doing this all with my brother and I know you are not in the same position. Xx

Notmanyleftnow · 17/01/2025 17:05

Finally today, the medical examiner's office has completed the paperwork so I can register the death on Monday.
I have pneumonia, but am on antibiotics.

OP posts:
BeAzureAnt · 17/01/2025 17:30

Notmanyleftnow · 17/01/2025 17:05

Finally today, the medical examiner's office has completed the paperwork so I can register the death on Monday.
I have pneumonia, but am on antibiotics.

I am so sorry for your loss and hope the antibiotics promote a very speedy recovery. Get some rest, and I hope you can do something kind for yourself when you feel better.

Yoonimum · 17/01/2025 18:09

Notmanyleftnow · 17/01/2025 17:05

Finally today, the medical examiner's office has completed the paperwork so I can register the death on Monday.
I have pneumonia, but am on antibiotics.

Oh, goodness - take care of yourself. Make sure you are well enough before you start on all the admin.

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