My fell 9 days ago in the bathroom and broke her neck. She's 87 years old. She was living with me at the time. She's been in the hospital since but hasn't eaten in over 8 days now and they can't get her meds into her. They stopped her IV meds and want her to take meds by mouth. She is refusing and is completely confused, scared and just plain not there anymore. I guess they call it hospital psychosis. Today, the docs want to talk to me about alternative solutions for her meaning feeding tube I guess. She is a DNR and I am absolutely sure about her wishes. She would never want to live this way at all and has stated many times before this that she was ready to meet God. She is not paralyzed from the fall. Has a neck brace on as surgery was out of the question. They have her hand tied in mittens cause she was pulling off the neck brace. She's become a very difficult woman now and is actually not very nice. I adore my mom so please know this before I ask this next question. I'm an only child so I have no other people to really ask. Should I allow the feeding tube so she doesn't starve to death and gets her meds or should I do what she has asked me to do and allow her to eventually "go to God"? Even writing that sounds like I'm a horrible person. I'm really lost here so any help would be appreciated.
I know I've rambled but hopefully I've given you some hope no matter what decision you make. Just think of her quality of life and would she/you be able to accept it? Will she just end up having more problems that will prolong suffering for her or will she return to what she was? As I said, it is difficult but pray about it and go with your gut feeling. That is what kept my mom going until she gave up. And maybe that's what you need to do is let her give up first. Then you don't have to make that decision. My prayers are with you. Please surround yourself with caring friends/family.
My suggestion is to make her completely comfortable with food, water and warmth and appropriate pain meds.
in constant pain. She got so she could not eat or drink or swallow. The nursing home suggested Hospice and they kept her quiet and pain free until she passed
away one week. I was with her alone in the room when she died so it has been
very hard for me. Somehow I have to keep myself together today for her funeral, I
have to play the piano for the funeral and give a talk. She would have wanted me
to play for her funeral though, she had everything planned out what she wanted,
and fortunately had most of it paid for in advance. The decision was easier for my
sister to make than me, as she is a doctor and sees death all the time with her work. I took care of mom in her apartment for 7 years and then came to visit her every day in the nursing home, so it is harder for me to see her go. I do recommend Hospice, they were very good at knowing what to do and keeping
her comfortable.
I wish I could give you advice but we're still trying to decide on a hospice for mom even though I feel that she is still wanting to live. She can't talk, just lays in bed and moans occasionally and is so contracted that any touch, movement is painful. So it is difficult.
Please know that you are not alone. It hurts and it's a matter of like you said, you know she wouldn't want to live like that. My mom is a DNR too and I know she would want to go out peacefully not in agony. I wish you nothing but peace of mind and comfort for your mom. Sometimes people end up recovering in Hospice. It's a long shot but who knows, there's always room for a miracle.
I'm so sorry about your brother's attitude. It's hard to understand. Hugs to you and blessings.
Carol
You are fortunate in that you know what she would have wanted. Palliative care - comfort care - is certainly what I would choose for myself under those circumstances and it sound like that is what your mother has wanted. Who would want to live this way with no chance of recovery? I know that it's a very hard decision for you, but please remember you want to see an end to her suffering and let nature take its course. You are a loving daughter with a good heart. We are with you. As you can see, many of us have had to make similar decisions. Please check back with us and let us know how your are doing.
Carol
Hugs and kind thoughts to you.
Now, back to work.
Have you recorded all of this? I know it's painful. It's also useful. It will help explain why he is NOT part of your own "final plans."
Now, while you have the engergy, is the time to put your own plans in order.
Do you have:
1. A durable power of attorney?
2. A durable power of attorney for health care?
3. An intensity of treatment statement?
4. A crisis information sheet with all of YOUR vital statistics along with your SS number, current drivers' license number and name of primary care physician, the name of your health insurance company, and YOUR patient number with that insurance company?
5.A will? I know, you're not going to die for a long time. But you need to put something in writing so it can include the phrase, "I am not leaving my brother (fill in the blank) anything because of the way he treated our mother." If you don't and you do die before he does, he will get his sibling portion of your estate wether you want him to or not!!
In the mean time, I reccomend one of these sites.
beliefnet.com or freemeditations.com
The chief thing is not to let this horrible event become the focus point of your life. Yes, it's horendous. And may someone treat him in his hour of need as he has treated you and your mom. But living well is the best revenge - I know it sounds trite, but it's true.
If you want me, look for me at thesurvivingcaregiver.com.
I'm glad I could be helpful.
Did you try the omnibusman? Try your state's office on aging. People get stuck like this all the time. That's no comfort, but it does mean there are people designated to help you and your mom.
If your mom's doctor won't listen to you, go to the facility's omnibudsman (they all have to have one). Get this person to translate what the doctor's orders mean for your mom.
One thing for which you can be thankful is that your mom knows nothing about all of this. She is so out of it you can give her comforting answers and she will simply accept them rather than pushing you for details.
If you were Christian, I would know what meditation advice to give. However, Buddists have their own meditation guides. It's time to look into them. If they don't fit, look for secular guides (yes, they do exist).
Also, give yourself a vacation. Mom isn't going to get any worse over the weekend. If she were, the doctors would be treating her differently. Vacations don't "solve" anything, they just give you renewed energy to deal with it.
Again, push your mom's doctors for a realistic time-line (even if they insist on giving you all the if, ands, and buts. I found the line that worked best was: "how can I make good decisions if I don't have accurate information?"
This means good decisions about your own life as well as your mom's.
Hang in there. Hugs from here as well.
How often do you and he talk...if at all, about your mother's care? It is your right to express your opinion and ask him questions. Perhaps you could get a better understanding of his thoughts and what the future holds for your mother if the two of you talk. But, I wouldn't approach a conversation with him in a combative state, but in wanting to be informed.
1. The hospital's omnibudsman.
2. Your own spiritual advisor (Pastor, iman, etc.)
2. Your state's representative from the Office of Aging.
3. A laywer.
You may have "no recourse." But it's still worth the fight to make people explain their actions. Harass your mother's primary care doctor until he makes your brother explain his choice of treatment. With luck, they'll make him so upset about explaining himself, he will agree to do what is right for your mother rather than what's easiest for himself.
Good luck