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Struggling to cope

User
Posted 16 Jan 2019 at 23:58

My Dad was diagagnosed with Prostate cancer a couple of years ago. In July we found out that the cancer has spread to his breast bone, his spine, his ribs, his arms and his lymph nodes. He’s at home and my Mum is looking after him. He is too ill to have any treatment as the cancer is too agressive. We found out last week that there is a strong possiblity that the cancer has now spread to his brain. The nurses are unsure, but believe that it has spread. My Dad is getting more confused and sometimes, he doesn’t recognise my Mum. Sometimes he doesn’t recognise me either. I was just wondering if the cancer has spread to his brain, what do we do? Do we just make him feel comfortable? Have we got him for a few more years? I’m just lost and empty and numb at the moment. I just don’t know what to do. My fiance, family and friends and colleagues have been so supportive, but I am finding things harder each day.

User
Posted 17 Jan 2019 at 08:10
Natalie, when you say he is too ill for treatment do you nean that he isnt on any treatment at all? Or is he still on hormones but they aren't offering any new treatments?

I hope the onco is checking whether it has actually gone to his brain and is ruling out other possibilities such as UTI, too much calcium in his blood, sepsis, tumour in the skull which is putting pressure on his brain .... all of which can cause confusion.

If he is on no treatment, has a referral been made to the palliative care team? Is that where the nurses work? Has your mum got any support from the local hospice?

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 17 Jan 2019 at 08:38

Natalie

its very difficult to know what to say to you without a few more details. Like Lyn says there are other reasons for confusion, UTIs can cause terrible confusion. It does appear from what you say though that your dad is in palliative care but its not clear whether he has hospice support. No one here can tell you how long he has as we are not medics, but the palliative care team will give you their best view of how things are going, assuming mum and dad want to share that information (sounds like they will). Often they will put it in terms of months or weeks rather than being specific if that were to be the case or if its not that way they wont say as no one can.

 Last week my husband was potentially too ill for further treatment, this week he has picked up and is going to be having some additional treatment. We don’t kid ourselves  though, this is giving us time potentially, and that is gratefully received but no promises. If you read the posts by Kentish you will see how someone who is terminally ill still rallies from day to day, these are written by his wife. Depending on your state of mind, it might be helpful to read. If you are very fearful then maybe don’t.  It does give good insight into it from a family perspective which could be useful. 

Apart from that, you have my deepest sympathy for what you are all going through, it is very frightening. i do hope that you have Hospice support as they will be able to help the whole family through this.

 

with love Devonmaid xxx

 

User
Posted 17 Jan 2019 at 09:23

Hi Devonmaid.  Thank you for your reply. I’m sorry, I’m at sixes and sevens today! He has had UTIs, but they have cleared up. Dad is having support from the local hospice too. All the oncology team have been outstanding. In September, one of his specialist explained that he believes he has months rather than years.  I’m so grateful that we had his birthday, Christmas and his and Mum’s wedding anniversary to celebrate. They have been married 37 years. It was their anniversary on 15th January. We’re a close family and we are just hoping that the diagnosis is wrong. We are hoping that he is here for years to come. However, we are fully aware that everyone is different when it comes to cancer survival. We are aware that he had declined over the last few months. He’s sleeping more and although we know thats the best thing for him, its hard to see him slowly slip away. 

User
Posted 17 Jan 2019 at 21:50
Hi Natalie -lily,

My husband has been "away with the fairies" for several different reasons and it took a hospital stay then a move the hospice to find him some kind of balance. He is making some progress and may come back home next week.

Low sodium

Dehydration

Sepsis (undiagnosed uti)

Kidney failure

Over medication of anxiety drugs (haliperidol)

Pain

All of these have at some point drastically altered his personality and behaviour/mood. The hospital diagnosed and then stabilised him and the hospice have adjusted his medications so he is on the minimum required. He is almost his old self except for the fatigue, this won't change.

I'm sure your mum feels like I did and just isn't confident to make a big decision like ringing for an ambulance. A district nurse called for one for husband because of the indicators of sepsis. Or perhaps the local hospice will give him a review at home, this will be done by a doctor who takes his history into account and looks at his current medications, they will order tests if they think it's necessary. Maybe your mum will let you arrange this for him or you could ask your hospice nurse if they could request it. The last thing I mean for you to do is undermine your mum, please don't take it that way, but perhaps you offering to take the lead on this will be a relief for her in some way.

I hope you all find some peace in this.

Best wishes xx

User
Posted 18 Jan 2019 at 21:20

Dear Natalie -lily,

My heart and thoughts are with you, it's really tough to lose the person who you've depended on, even if you are grown up yourself. I know I felt very vulnerable when my dad was ill and it all happened so quickly it was difficult to process it. I hope they can make him more comfortable soon.xx

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User
Posted 17 Jan 2019 at 08:10
Natalie, when you say he is too ill for treatment do you nean that he isnt on any treatment at all? Or is he still on hormones but they aren't offering any new treatments?

I hope the onco is checking whether it has actually gone to his brain and is ruling out other possibilities such as UTI, too much calcium in his blood, sepsis, tumour in the skull which is putting pressure on his brain .... all of which can cause confusion.

If he is on no treatment, has a referral been made to the palliative care team? Is that where the nurses work? Has your mum got any support from the local hospice?

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 17 Jan 2019 at 08:35

Hi Lyn.  Thank you so much for taking the time to reply. My Dad is on so many tablets to control the pain. Sorry Lyn,  I didn’t make myself clear earlier. He cannot have any chemotherapy or radiotherapy as his doctor said that as the cancer is so agressive, it would do more harm than good. 

The nurses who come and see him every other day are really good. So much support has been offered to my Mum, but she won’t accept help. My Mum wants to do this for my Dad on her own. I have accepted that now as I worry about her wellbeing too. She knows I and my brother and all the rest of the family are a phone call away. 

User
Posted 17 Jan 2019 at 08:38

Natalie

its very difficult to know what to say to you without a few more details. Like Lyn says there are other reasons for confusion, UTIs can cause terrible confusion. It does appear from what you say though that your dad is in palliative care but its not clear whether he has hospice support. No one here can tell you how long he has as we are not medics, but the palliative care team will give you their best view of how things are going, assuming mum and dad want to share that information (sounds like they will). Often they will put it in terms of months or weeks rather than being specific if that were to be the case or if its not that way they wont say as no one can.

 Last week my husband was potentially too ill for further treatment, this week he has picked up and is going to be having some additional treatment. We don’t kid ourselves  though, this is giving us time potentially, and that is gratefully received but no promises. If you read the posts by Kentish you will see how someone who is terminally ill still rallies from day to day, these are written by his wife. Depending on your state of mind, it might be helpful to read. If you are very fearful then maybe don’t.  It does give good insight into it from a family perspective which could be useful. 

Apart from that, you have my deepest sympathy for what you are all going through, it is very frightening. i do hope that you have Hospice support as they will be able to help the whole family through this.

 

with love Devonmaid xxx

 

User
Posted 17 Jan 2019 at 09:23

Hi Devonmaid.  Thank you for your reply. I’m sorry, I’m at sixes and sevens today! He has had UTIs, but they have cleared up. Dad is having support from the local hospice too. All the oncology team have been outstanding. In September, one of his specialist explained that he believes he has months rather than years.  I’m so grateful that we had his birthday, Christmas and his and Mum’s wedding anniversary to celebrate. They have been married 37 years. It was their anniversary on 15th January. We’re a close family and we are just hoping that the diagnosis is wrong. We are hoping that he is here for years to come. However, we are fully aware that everyone is different when it comes to cancer survival. We are aware that he had declined over the last few months. He’s sleeping more and although we know thats the best thing for him, its hard to see him slowly slip away. 

User
Posted 17 Jan 2019 at 21:50
Hi Natalie -lily,

My husband has been "away with the fairies" for several different reasons and it took a hospital stay then a move the hospice to find him some kind of balance. He is making some progress and may come back home next week.

Low sodium

Dehydration

Sepsis (undiagnosed uti)

Kidney failure

Over medication of anxiety drugs (haliperidol)

Pain

All of these have at some point drastically altered his personality and behaviour/mood. The hospital diagnosed and then stabilised him and the hospice have adjusted his medications so he is on the minimum required. He is almost his old self except for the fatigue, this won't change.

I'm sure your mum feels like I did and just isn't confident to make a big decision like ringing for an ambulance. A district nurse called for one for husband because of the indicators of sepsis. Or perhaps the local hospice will give him a review at home, this will be done by a doctor who takes his history into account and looks at his current medications, they will order tests if they think it's necessary. Maybe your mum will let you arrange this for him or you could ask your hospice nurse if they could request it. The last thing I mean for you to do is undermine your mum, please don't take it that way, but perhaps you offering to take the lead on this will be a relief for her in some way.

I hope you all find some peace in this.

Best wishes xx

User
Posted 18 Jan 2019 at 10:16

Hi Kentish

Thank you so much for your reply. I could never undermine my Mum as she has done so much. Its just getting harder and harder not knowing what will happen.  I’m a planner and I like knowing what is happening. I have had to adjust and take each day as it comes. So has my Mum and the rest of the family. At this moment, I feel numb. I’ve cried so much because Dad is slowly getting worse. I remember how he used to be when me and my brother were children. We have all helped him to the toilet, washed him, dressed him and maintained his dignity. When he was in hospital, I was helping him in the bathroom and he was upset because the said he smelled. I reasurred him and said he didn't and that he is the most important person in our lives. I keep thinking about that day when I'm holding his hand and he is asleep. I just wish he was better. 

xx

User
Posted 18 Jan 2019 at 21:20

Dear Natalie -lily,

My heart and thoughts are with you, it's really tough to lose the person who you've depended on, even if you are grown up yourself. I know I felt very vulnerable when my dad was ill and it all happened so quickly it was difficult to process it. I hope they can make him more comfortable soon.xx

User
Posted 18 Jan 2019 at 22:18

Thank you so much Kentish. Its just not knowing what to expect xxx

 
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