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Life-limiting illness

End of life - A handhold and experiences please

202 replies

WhenRobinsAreNear · 11/10/2023 21:51

My beloved grandmother is reaching the end of life stage now. Advanced dementia, multiple health issues, severe weightless, Bed bound, mostly sleeping, minimum fluid intake. We always knew this was coming but the deterioration has happened so fast.
We have had such a struggle to with DNS in terms of getting her the correct pain relief, a fight at every corner and her pain is still not controlled. It's heartbreaking and draining.

I don't know how long we have but I don't think it will be very long. I have found many of the end of life stories on here comforting and helpful for preparing me for all that is to come, so if anyone would like to share their story it would be really appreciated, I'm not asking you to sugar coat it, I know the experiences vary massively.

Thankyou

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Bluetrue · 12/10/2023 18:08

Hi OP

So sorry you haven't had any replies, I think many people are replying to the concerning events in the Middle East.

In my experience, end of life for my family member was very very difficult and the hardest thing I had to do was say good bye, knowing I would never see my family member again. But he was in so much pain and didn't want to live because he was in so much pain. We were devastated but accepted that he went to a better place. We miss him everyday and are thankful of the legacy he left.

All the best OP.

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happyharpy78 · 12/10/2023 18:24

Hi OP

I lost my lovely mum a couple of months ago. The end of life stage for us lasted nine days from when doctors prescribed the morphine driver. For the most part she was unconscious and in no pain, though we did have a precious very brief spell of consciousness about three days in. If she became agitated the palliative team were quick to react and adjust the driver. A couple of hours before the end her breathing changed and despite having no prior knowledge we did know it was time. Finally she took a breath then gave a small sigh and was at peace. We played some of her favourite music during this time. It's a very strange feeling when the end comes as you have been waiting for it. Obviously there were lots of tears but I am grateful we had this time with her. It wasn't as bad as I expected it to be as she had been very ill for a while and though a cliche it was a release. My thoughts are with you OP. ❤️

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minmooch · 12/10/2023 18:29

My Dad died after a 6 year battle with dementia. Bed bound for 2 years. I knew in the last 2 weeks he was reaching the end. He was just different. Very hard to explain as he was non verbal. He was in a care home but I was able to visit often. The day before he died I asked the care home to call me at any moment. They said they didn't think he was quite there. But I just knew. I got my brother there to say good bye, told my dad it was on to go. He died the next morning, but I wasn't with him. Which I'm very sad about but it is what it is. I also think he chose to go when I wasn't there. I was relieved that he was no longer suffering.

I was with both my son and my mum at the end of their lives. Both times were peaceful.

My son had a brain tumour and was only 18 so it was horrific in that respect. I bought him in to the world and saw him out of it. I would not have, nor did I leave him for a second. He knew I was there. He was in an amazing hospice for the last few days and he was surrounded by family and love, so much love.

My mum was 71 and had had a stroke plus she had a myriad of other issues. She was terrified of dying and so I didn't leave her either. She passed peacefully after 11 days of little to no food. It was a shame she was in hospital but her needs were too complex to move her.

I've just had a cry writing all that. It's the hardest thing to do, to say goodbye to your loved ones. But if you can be by their side I believe they know it.

I had the chance each time to say all that I needed to. To tell each of them how much I loved them.

It was different with my son as he was only 18 but my mum and dad had both lived full lives so there was a comfort of sorts with that.

I wish your grandmother a peaceful end to her life's journey. Tell her everything you need to do that in the case you are not with her you know you said what you wanted.

Flowers

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Abfab63 · 12/10/2023 19:10

I lost my lovely Nan a month ago. She was 93 and the light of our lives. We lost her to cancer and it was fairly quick. She'd been in hospital for a week prior but managed to make it home for a couple of nights before drifting away in her sleep. I think it was only that last week she was really in a lot of pain and was then ready to go.

I will admit it's taken a while to sink in but the funeral really helped with closure. It was a lovely, albeit very emotional day.

My gosh I miss her so deeply but I just keep thinking how lucky she was. To reach that age, absolutely surrounded by love. I know she felt it to her core. She had the most wonderful carefree and full life. Knowing that has brought me a lot of comfort x

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WhenRobinsAreNear · 12/10/2023 19:41

Thankyou to each of you that have replied so far. I am so sorry you have been through this but ever so grateful for you telling your stories.
I feel like I've grieved her death several times already. We finally had some progress with her being given a morphine injection and it worked wonders for the pain. However with every care call she was still agitated at the time of being changed and moved. The district nurses will not come out at the same time as the care calls. They are called when she's in pain but they always come and find her asleep, she's exhausted, barely says a word but they don't deem her in enough pain or agitated enough to do anything and then give it 10 minutes and she's crying out in pain, grabbing hold of the carers like she's scared out of her mind. She cannot swallow enough to take enough oramorph to help, her pain patches don't touch the pain. It's so distressing and it feels like the people who are there to help just won't. This is not what the end should be like. I'm so scared she will die in fear in pain. I've made so many phone calls over the last 5 days trying to advocate for her. The gp wants her to have pain injections for the call or a syrince driver, the district nurses won't or can't do it because she doesn't hit their criteria when they visit. She only got the one injection because that nurse stayed and witnessed it and agreed she needed it,there was no question. So why won't the others do the same. I get there are protocols in place I really do but I'm broken watching this and i know it's not even the hardest part yet. I just want her to be comfortable.

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LittleHouseLily · 12/10/2023 20:15

Love and a handhold. You are doing all you can to advocate, I pray your gp finds a way to insist his patient gets appropriate pain relief.

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JanglingJack · 12/10/2023 20:31

Sending you love OP

My beautiful Nan, my best friend, my everything passed over 5 years ago. I still miss her, she is never out of my thoughts and I speak to her every day.

I'd visited her on the Tuesday with my daughter who has her name as a middle name. She'd been in for a couple of months by then. Kept on the up mainly by antibiotics. Which looking back just kept her on the edge of life.
We bought her some melon pieces - just got the juice.

I hadn't planned on it being the last visit, but I knew and so did she. I said goodbye to her and as we left her hands were to her mouth and her eyes watched my little girl every step until she left the ward.

The next day my Mum an Auntie were with her and she passed peacefully.

I had a dream, it was so real - like she came to me. She told me "it's lovely here".

I believe she went feeling total peace.

My Nan was also frightened and confused. It always came when the antibiotics were wearing off or finished. She called me one night to tell me she was all alone. I was about to get childcare and go to the hospital until my Auntie took the phone and said that she was there, she'd popped out for a wee.

There is no good ending. I feel for you so much. I hope it is a peaceful ending.

Much love. X

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WhenRobinsAreNear · 12/10/2023 21:48

Thankyou ❤️
She's deeply religious so each night I pray for her but also tell her she can go now, we will be OK. I keep waking up every morning expecting the call. I struggle to be the first to walk into the room incase she has gone, it's emotional torture. I don't know how you find the strength to go through this.

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WhenRobinsAreNear · 13/10/2023 12:50

Bluetrue · 12/10/2023 18:08

Hi OP

So sorry you haven't had any replies, I think many people are replying to the concerning events in the Middle East.

In my experience, end of life for my family member was very very difficult and the hardest thing I had to do was say good bye, knowing I would never see my family member again. But he was in so much pain and didn't want to live because he was in so much pain. We were devastated but accepted that he went to a better place. We miss him everyday and are thankful of the legacy he left.

All the best OP.

It's just so hard isn't it. Such an awful position to be in. You love them so much but you don't want to be without them, even though that's what's best for them 💐

OP posts:
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WhenRobinsAreNear · 13/10/2023 12:55

happyharpy78 · 12/10/2023 18:24

Hi OP

I lost my lovely mum a couple of months ago. The end of life stage for us lasted nine days from when doctors prescribed the morphine driver. For the most part she was unconscious and in no pain, though we did have a precious very brief spell of consciousness about three days in. If she became agitated the palliative team were quick to react and adjust the driver. A couple of hours before the end her breathing changed and despite having no prior knowledge we did know it was time. Finally she took a breath then gave a small sigh and was at peace. We played some of her favourite music during this time. It's a very strange feeling when the end comes as you have been waiting for it. Obviously there were lots of tears but I am grateful we had this time with her. It wasn't as bad as I expected it to be as she had been very ill for a while and though a cliche it was a release. My thoughts are with you OP. ❤️

I am so glad this wasn't too distressing for you and your mum was peaceful and surrounded by your love. It's so hard to be their but such an honour at the same time x

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Vintagecreamandcottagepie · 13/10/2023 12:55

@minmooch

I'm so very sorry for the loss of your son 😢 💐x

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WhenRobinsAreNear · 13/10/2023 12:59

minmooch · 12/10/2023 18:29

My Dad died after a 6 year battle with dementia. Bed bound for 2 years. I knew in the last 2 weeks he was reaching the end. He was just different. Very hard to explain as he was non verbal. He was in a care home but I was able to visit often. The day before he died I asked the care home to call me at any moment. They said they didn't think he was quite there. But I just knew. I got my brother there to say good bye, told my dad it was on to go. He died the next morning, but I wasn't with him. Which I'm very sad about but it is what it is. I also think he chose to go when I wasn't there. I was relieved that he was no longer suffering.

I was with both my son and my mum at the end of their lives. Both times were peaceful.

My son had a brain tumour and was only 18 so it was horrific in that respect. I bought him in to the world and saw him out of it. I would not have, nor did I leave him for a second. He knew I was there. He was in an amazing hospice for the last few days and he was surrounded by family and love, so much love.

My mum was 71 and had had a stroke plus she had a myriad of other issues. She was terrified of dying and so I didn't leave her either. She passed peacefully after 11 days of little to no food. It was a shame she was in hospital but her needs were too complex to move her.

I've just had a cry writing all that. It's the hardest thing to do, to say goodbye to your loved ones. But if you can be by their side I believe they know it.

I had the chance each time to say all that I needed to. To tell each of them how much I loved them.

It was different with my son as he was only 18 but my mum and dad had both lived full lives so there was a comfort of sorts with that.

I wish your grandmother a peaceful end to her life's journey. Tell her everything you need to do that in the case you are not with her you know you said what you wanted.

Flowers

I am so so sorry you've experienced this so many times, it's just not fair. I have often read that family members choose to go when there loved one is not there so I would agree that's what happened with your dad. I am so glad you were able to be there for your son and your mum and so sorry for all of your loses, thankyou for sharing 💐

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WhenRobinsAreNear · 13/10/2023 13:02

Abfab63 · 12/10/2023 19:10

I lost my lovely Nan a month ago. She was 93 and the light of our lives. We lost her to cancer and it was fairly quick. She'd been in hospital for a week prior but managed to make it home for a couple of nights before drifting away in her sleep. I think it was only that last week she was really in a lot of pain and was then ready to go.

I will admit it's taken a while to sink in but the funeral really helped with closure. It was a lovely, albeit very emotional day.

My gosh I miss her so deeply but I just keep thinking how lucky she was. To reach that age, absolutely surrounded by love. I know she felt it to her core. She had the most wonderful carefree and full life. Knowing that has brought me a lot of comfort x

Mine is 95 and it gives me such comfort knowing the full life she has lived too.
So glad you managed to get her home, I know lot of people don't get what they wished for in terms of this. It's also my nans wish to die at home so I hope we can achieve this and make sure she's comfortable for when she's ready.
💐

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WhenRobinsAreNear · 13/10/2023 13:03

LittleHouseLily · 12/10/2023 20:15

Love and a handhold. You are doing all you can to advocate, I pray your gp finds a way to insist his patient gets appropriate pain relief.

Thankyou, I will be ringing whoever I need to every day until they are sick of me if I have to. I will get her the appropriate care no matter what and I won't be hacking down. She deserves dignity in dying 💐

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WhenRobinsAreNear · 13/10/2023 13:07

JanglingJack · 12/10/2023 20:31

Sending you love OP

My beautiful Nan, my best friend, my everything passed over 5 years ago. I still miss her, she is never out of my thoughts and I speak to her every day.

I'd visited her on the Tuesday with my daughter who has her name as a middle name. She'd been in for a couple of months by then. Kept on the up mainly by antibiotics. Which looking back just kept her on the edge of life.
We bought her some melon pieces - just got the juice.

I hadn't planned on it being the last visit, but I knew and so did she. I said goodbye to her and as we left her hands were to her mouth and her eyes watched my little girl every step until she left the ward.

The next day my Mum an Auntie were with her and she passed peacefully.

I had a dream, it was so real - like she came to me. She told me "it's lovely here".

I believe she went feeling total peace.

My Nan was also frightened and confused. It always came when the antibiotics were wearing off or finished. She called me one night to tell me she was all alone. I was about to get childcare and go to the hospital until my Auntie took the phone and said that she was there, she'd popped out for a wee.

There is no good ending. I feel for you so much. I hope it is a peaceful ending.

Much love. X

Thankyou, this was very comforting to read, especially that she spoke to you. She was happy and finally at peace.
I tell my nan I love her and give her a kiss everything I leave incase it is the last time.
There's never a perfect ending but I jusy pray for pain free and as comfortable as can be.
The pain of losing her is something I can't think about right now, it's going to be so painful 💐

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Alicay · 13/10/2023 13:09

💐for Minmooch and for everyone really

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Mischance · 13/10/2023 13:09

Is there a local hospice nearby? You need the help of someone specialising in end of life care, not just the district nurse. There is no need for pain - we have the means to alleviate this.

When my OH was dying he was by that time in a nursing home. When there was a sudden rapid deterioration in his condition and as soon as the decision was made to not take him into hospital for aggressive life-saving treatment, the doctor ordered an "End-of-life Care pack" which was delivered to the nursing home. As well as other stuff this contained adequate means of pain relief and midazolam which is a sedative and can be given subcutaneously - at the first sign of restlessness or distress he was given this and he slipped quietly away with the minimum of distress.

You should not be in the situation where you have to call the district nurse when she is in pain, then wait for them to come. The means to relieve her pain should be on the spot. A specialist end of life professional could help you with this. It really is worth speaking to the nearest hospice about this. And the GP - tell him her pain is not being adequately dealt with.

I am sorry you are in this sad situation and having to fight for help. That is wrong.

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Spencer0220 · 13/10/2023 13:23

OP I am so sorry for what you and your family are going through.

As PP said, I would try and contact the local hospice. They cover all sorts of conditions these days. And once they accept your nana as a patient, they will have all sorts of things to support her and you. Including a 24 hour phone line and on call nurses that can do house calls at any time.

If your nana has carers, was this put in place by social services? Even if not, it's worth talking to them. They also have lots of experience with end of life care. Particularly, ask them about talking to someone called an occupational therapist.

They will have a depth of knowledge with various different equipment and manual handling and even something simple like different moving techniques for the carers might make a difference.

If you do get taken on by the hospice, even as a home patient, they also have occupational therapists.

I hope that your nana has a peaceful and comfortable end and that you can all find the closure you need in this.

Don't be afraid to reach out for your own support.

Sending big love and hugs

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TheLongGloriesOfTheWinterMoon · 13/10/2023 13:35

My mother had dementia and the end of life care people lasted 6 weeks, tough old bird that she was.
@minmooch I will always remember you talking to us about your son. ❤️
Flowers to all.

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ShinyAppleDreamingOfTheSea · 13/10/2023 13:43

That sounds very distressing for you @WhenRobinsAreNear to think that your nan is feeling pain at the end.

I lost both of my parents to end-stage dementia. With my dad, we had not realised it was 'the end' and he died peacefully in his room at the care home one morning . However, he had spent the last 6 months of his life in bed, unable to communicate and unable to eat proper food, and really it was a release .

My mum passed earlier this year. When she went into hospital I realised that she was further down the road than I had previously thought as she was struggling to swallow. She had an infection and was quite poorly in the hospital, eventually she returned to her care home on 'end of life'. The hospital had prescribed medication that the district nurse could give to make her comfortable, but she wasn't in any pain .

I think the end was peaceful for both of them, although there had been many difficult and distressing things on the way.

I hope you are able to get the care and support that you need for your nan Flowers

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FallingStar21 · 13/10/2023 13:47

Hi OP, I don't have a personal story to share, but wanted to tell you about this book which I believe could bring a lot of comfort to both you and your nan 🙏
Written by a hospice doctor, it has many beautiful accounts of real patients' experiences at the end of their lives.

Death is But a Dream: Hope and meaning at life's end https://amzn.eu/d/4SDCRcG?tag=mumsnet&ascsubtag=mnforum-21

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Alonglongway · 13/10/2023 13:57

My dad died just about 12 months ago. He had dementia and had lost mobility and speech. The nursing home were brilliant about recognising he was reaching the end and very gently told us. We spent a lot of time with him the last week. He didn't open his eyes very often but sometimes did, sometimes tracked movement, seemed to smile when we played his favourite music. He had stopped eating but they offered him food and drink and there was a day middle of his last week where he ate some food and said hello to people. We told him it was ok to go. I got a call early on a Saturday morning to say it's time to come. I wasn't able to go immediately but my daughter did and stayed with him, talked to him. I then arrived and she came out to meet me and he died in the few minutes he was on his own. I don't know why that happens but I have often seen it described. It is also a huge relief to see their suffering end.

Wishing you the best.

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WhenRobinsAreNear · 13/10/2023 14:25

Mischance · 13/10/2023 13:09

Is there a local hospice nearby? You need the help of someone specialising in end of life care, not just the district nurse. There is no need for pain - we have the means to alleviate this.

When my OH was dying he was by that time in a nursing home. When there was a sudden rapid deterioration in his condition and as soon as the decision was made to not take him into hospital for aggressive life-saving treatment, the doctor ordered an "End-of-life Care pack" which was delivered to the nursing home. As well as other stuff this contained adequate means of pain relief and midazolam which is a sedative and can be given subcutaneously - at the first sign of restlessness or distress he was given this and he slipped quietly away with the minimum of distress.

You should not be in the situation where you have to call the district nurse when she is in pain, then wait for them to come. The means to relieve her pain should be on the spot. A specialist end of life professional could help you with this. It really is worth speaking to the nearest hospice about this. And the GP - tell him her pain is not being adequately dealt with.

I am sorry you are in this sad situation and having to fight for help. That is wrong.

Thankyou 💐
So it's all a joke tbh. She's at home which is where she would like to die, however if this continues we may have to look into a hospice. The Gp has been fantastic, we have morphine patches and liquid morphine, however because she struggles to take more than 10ml every 4 hours we can't get enough into her to stop the pain.
She has the end of life medication in the house, has done for weeks but the district nurses are coming out every single time when she has been through the pain and agitation and has fallen asleep again, so to them she's not in a position to need them. They have been called and been out 5 times this week. They refuse to come at the same time as the carers or of they get there before will not wait. Apparently they can't facilitate this. I do not understand. The gp has referred several times this week, has said she needs the injections giving or if they can't do this a syringe driver. They will not do it.
She shouldn't have to be in constant pain or agitation to receive help.
I wish I was making this up I honestly do but no amount of pleading or crying is helping.
I get there are protocols and criteria that need to be met but if they would just come out at the times we are asking that would all be met.
I don't want to have to be forced into sending her to a hospice because of the lack of support, I am at my wits end

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Spencer0220 · 13/10/2023 14:29

OP please find out who your local hospice is and phone them directly. They do home calls too.

Surprised gp hasn't referred already x

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Mischance · 13/10/2023 17:34

Firstly the hospices provide both in-patient and out-patient care and should be able to come out to you to assess her pain relief needs. You can self-refer.

Secondly, if she is already on morphine you must ask for a morphine pump so you do not have to try and get it down her.

Who is the "they" who will not give the syringe driver that the GP has suggested? If it is the district nurse then you must go over her head to the health authority (her employer) and report this. I know this is the last thing you want to be doing at the moment, but what choice do you have? Does the GP know the DN is refusing to do this? You are going to have to start kicking up a fuss I am afraid.

I had some huge battles on behalf of my OH during his years of care needs, but the care at the end of his life was good - as indeed it should be.

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