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Navigating life - having a parent with cancer

2 replies

SticklebrickMinefield · 03/07/2024 14:04

I’ll start with I’m not sure why I’m writing this post, because I don’t think there’s any specific answer.
Oh and I’ve name changed too but have been around for a long time.

My parent is 75 and has terminal Lung cancer which was treated initially with chemo and radio therapies which stabilised the growth. However they were diagnosed with brain mets in mid May. No treatment options.

Recently “discharged” from oncology (their words) in to community care/district nurses/Macmillan - again their words as they’ve not allowed myself or my siblings to know much or accompany them to appointments.

No-one is using the term palliative and neither parent will ask about life expectancy.

They are becoming increasingly frail, mobility is declining - certain stairs are taken on all fours and despite a good dose of steroids the swelling of the brain mets is causing constant dizziness.

I know average life expectancy with brain mets is around 5-6 months but my parent is declining weekly, which is indicative of them really only having weeks.

My parent is somewhat burying their heads in that they don’t want to discuss end of life care and have only just agreed to look at a DNR.
As it stands all care could fall to the other parent who is 80 and is good health but caring responsibilities could affect this.

Neither of them are discussing the things that will be needed - hospital type bed at home, commode as no downstairs toilet. They both seem to think they’ve loads of time to look at having a stair lift etc fitted…

Healthy parent seems to think dying one could live a year, we have tried explaining otherwise but it falls on deaf or denying ears.

Healthy parent knows what’s coming, their father and sibling went the same way.

One of my siblings gave them a list of things to discuss and offered to do the leg work of getting help in place but it’s mainly been ignored.

My siblings and I all have young families and I’m the nearest at 3 hours drive away. I’m also the eldest so the siblings often default to me!

Dying parent now doesn’t want us visiting, particularly not the children, as it’s not the quality time they’d like - there’s no trips to beach cafe etc now as it’s exhausting for them.

How do we navigate this one!?
Keep the daily check ins going and let the healthy parent do the carer role without engaging with other agencies? Then panic when help is needed?

And all the while my heart is breaking, for the imminent loss of a great, wise, caring, talented, funny human, who 18 months ago was busy and active.

For the fact that I don’t know how it will all play out - I hope for a peaceful death for them but does that happen?

And for the fact my youngest child (8 months) won’t know this grandparent, who so utterly adores them, but is too afraid to even hold.them now.

OP posts:
HalfasleepChrisintheMorning · 17/07/2024 06:41

Hi OP,

I’m so sorry. The anticipatory grief is so hard.

My amazing Daddy died last week, he had a oesophageal cancer and was only diagnosed with metastasis at the beginning of May so it was a quick decline. It is heartbreaking and the hardest thing I have ever been through . Obviously I am now grieving.

We had amazing support. Firstly is there a local hospice/ palliative care team? My parents had weekly contact, initially phone calls but later visits from the Sue Ryder nurse.

A visit or long appointment with the GP needs to be arranged to do a “Respect” form. This will lay down their wishes. DNACPR is important otherwise staff have to attempt CPR which is not a peaceful death.

They need a referral to the district nursing team who will be in regular contact and arrange all the things like commodes etc. They will also send a box of end of life drugs. Once prescribed these can be given to ease symptoms by visiting district nurses.

Is there a will? If not get one done. Also a short conversation about funeral wishes - particularly get them to choose a funeral director - is very helpful.

Get all financial stuff in joint names if possible.

Where do they want to die? My Dad died in hospice and as far as possible they made sure he was comfortable and looked after. They also looked after us. I would be pushing for that. People think they want to die at home but in the last week he couldn’t get out of bed. It doesn’t matter where that bed is as long as loved ones are beside it. You can stay 24/7 with them in hospice. I was with my Dad when he died and I’m glad I was there for him. You don’t want any regrets or guilt.

Support for you- your GP can sign you off work with stress so that’s one worry less. In the last month or so you’ll want to go and stay- does your DH have a supportive job? He may need some time off to look after your children.

Hope that helps. Thinking of you.

SticklebrickMinefield · 24/08/2024 22:55

@HalfasleepChrisintheMorning I am so sorry to be replying to this a month on and so, so sorry to read of the loss of your father and not acknowledge it. I hope you are finding moments of peace in your grief.

Thank you for your guidance. We are slowly rolling through wills and bills and ensuring surviving parent understands. But gosh, it’s tough.

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