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RE: Time for Mom to die - 10/2/2007 1:36:56 PM   
SeeksOnlyOne


Posts: 2012
Joined: 5/14/2007
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ok, read the entire post and now i dont know if my advice was any good after all......did your mom have a living will? if so, follow the wishes she expressed in it-and the caregivers must do the same....many living wills, my moms included, clearly state not tube feeding etc....ill decide whether to delete my ramblings below here after im done blowing my nose....

sophia, you have a hard row to hoe.....been there got the t-shirt....

get with hospice.....i took my mom home to die, it was 3 weeks of the most incredible emotions i have ever experienced....when she was lucid, we discussed how she should look in the casket(she brought this up, not me), things such as no red lipstick and make sure they have my nails manicured.....no pantyhose-lol.....we said everything that needed saying, both good and bad, apologized for every imagined wrong done to each other throughout life.......we laughed and cried about the past.....she could remember the times of my childhood much better than the recent future......

and as she got worse, hospice made sure she did not suffer......liquid morphine was given freely to her, by me, as needed.......i had enough morphine there to kill her with, and i really dont think that was by accident.  i really believe they leave some things open so that, if the sick person said dont let me live that way, you can cease the suffering peacefully.

i wouldnt get my hopes up about taking her off the tranquilizers.......the pain may be too much, as may the anxiety be....mom had several episodes of panic, and thank goodness i had the ability to give her something to make it better, and to prevent it from coming back.

at the time of moms passing, she woke up after sleeping restlessly for a long time, looked to the foot of her bed, and called dads name.  i said mom you can go with him if you want to....she smiled the sweetest smile, closed her eyes......and went.....just like that.....me holding her hand......i have tears now remembering it.....it was the hardest and most wonderful thing i have ever had to go through......

and i am so glad she was able to die at home, where she was comfortable, where she raised me and my brother, where my dad died, in her home.

sorry if this turned into a hijack, but your mom is very lucky to have someone planning like you are....just know, it is an emotional roller coaster, allow your self to feel anger and joy and any other emotion that rises up in your throat during this entire experience.....

good luck on this journey.......

< Message edited by SeeksOnlyOne -- 10/2/2007 1:41:24 PM >


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it aint no good til it hurts just a little bit....jimmy somerville

in those moments of solitude, does everyone sometimes think they are insane? or is it just me?

(in reply to sophia37)
Profile   Post #: 21
RE: Time for Mom to die - 10/2/2007 3:53:24 PM   
nyrisa


Posts: 1830
Joined: 11/20/2006
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Sophia, I am very sorry this has happened to your mom, and you are faced with this difficult decision.

I will echo what others have said.....call the hospice center, and let them help you identify the options you have, and what will work best for your mother. There is definitely a point where quality of life becomes less than the pain of prolonging it. And admitting this to yourself is so hard. All the questions and worries that you are having, have been faced by countless others before you. If they were lucky, they had the support of a good hospice service. If they were unlucky, they had to suffer through alone. I have had dealings with hospice several times before, with family members, and they were awesome. They made it possible for us to give loving care and comfort in those final days, and they made if possible for us to accept, even in our grief, that we had done well for the person.

I hope you will find the information you need to help you through this.

_____________________________

A true lady takes off her dignity with her clothes and does her whorish best. At other times you can be as modest and dignified as your persona requires. Robert Heinlein

The last thing I want to do is hurt you...but it is still on my list.

(in reply to sophia37)
Profile   Post #: 22
RE: Time for Mom to die - 10/2/2007 4:31:13 PM   
windchymes


Posts: 9410
Joined: 4/18/2005
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sophia, sorry to hear, but I completely understand and applaud you for your decision to "let her go" rather than keep her alive to live a lousy quality of life.

Yes, patients can "refuse" treatment, BUT, if they're considered "out of it" by the nursing staff, it's not considered a true refusal, and yes, they'll hold her down and force meds and treatment on her.

Anyone can donate their body for scientific research.  My mother did it at age 70 a couple years ago.  In her case, it was because she was a lifetime diabetic and a bit of a rarity to have lived to that age with all the complications she had had.  She wanted them to use her body for research to help prolong the lives of other diabetics. In your mother's case, they may study dementia, or whatever else they might need to study. 

If you need to email twicehappy, just go back to her post and click on her name.  Her profile will come up and you just go to the "send message" space.  It's sort of like a quickie email.

Also, you might want to look into getting a legal medical power of attorney to be able to make the decisions for her, carrying out her wishes, especially if she did not fill out a living will or advance directive while she was still considered mentally sound.

Hugs to you, I know how difficult it is.

_____________________________

You know it's going to be a GOOD blow job when she puts a Breathe Right strip on first.

Pick-up artists and garbage men should trade names.

(in reply to nyrisa)
Profile   Post #: 23
RE: Time for Mom to die - 10/2/2007 8:03:02 PM   
feastie


Posts: 1793
Joined: 6/4/2004
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Sophia,

Have had a grandmother that was physically fine other than "losing her cookies", I can tell you that just because you *think* she'll pass if you bring her home for a "final" Christmas and so on ... doesn't mean she will.  I know it's difficult seeing her not be the person you remember, I really do.  But what you'll be bringing home is the need to provide the constant care she requires.  You have to sit with her while she eats, to either prompt her to eat or feed her yourself.  You have to take her to the bathroom and if she doesn't make it to the bathroom, you get to clean it up. 

The point I'm trying to make is that although you hate seeing her this way and believe that she would not have wanted to live this way, she's not terminally ill.  It's much healthier for everyone involved for her to remain in residential care. 

Believe me, things will be over much sooner than you think. 



_____________________________

Snarky and loving it.

Disclaimer: Any views expressed in any post are my opinions only. They may or may not be yours.

(in reply to windchymes)
Profile   Post #: 24
RE: Time for Mom to die - 10/3/2007 7:02:58 AM   
sophia37


Posts: 1433
Joined: 2/7/2006
Status: offline
Thank you one and all who posted. You all gave me something important to think on and think on I will. Thru your words I am starting to see my way, at least the start of it. And as the saying goes, first steps in the journey are the hardest part.

I've looked through the body donation sites for sure. I will talk to hospice. I will also be spending a lot of time with my mother to make sure Im completely clued in. I've also spent hours reading the thoughts and experiences of others on various web sites. And one of the most important things I've taken to heart is that we CAN refuse treatment. That to me was the biggest eye opener. Im about to become my mothers mother hen. Im sharpening my beak right now. xo

(in reply to feastie)
Profile   Post #: 25
RE: Time for Mom to die - 10/3/2007 11:19:38 AM   
velvetpetal


Posts: 127
Joined: 2/3/2005
Status: offline
Sophia,
I am sorry to read what you are going through with your mom.
My own mother died 14 months ago, after having spent aprox 10 years in a nursing home.
She died from a hereditary disease called huntingtons.

About a year before she died, i'd gone for a visit, and while there asked the nurses some questions i'd had, but mostly they didnt have answers. They left a message with her doctor that i wanted to talk to him, but instead of calling me he called my second oldest sister, whom was her medical proxy, and told her he refused to talk to me, and that i'd been causing problems, and if i didnt stop, my mother could be kicked out of the nursing home.

This was mostly over the subject of some test results i wanted from several years back, but also concerning having a feeding tube inserted. Both that sister, and my oldest sister decided that they didnt want the feeding tube inserted, which i didnt agree with.

So i had wanted the doctor to know some of their concerns for not wanting the tube, which i knew were unfounded fears. Anyways he didnt care to hear anything i had to say, and after being called a troublemaker, amongst other mean things, by my two oldest sisters, i stopped all communication with them. And for that year, i didnt talk to either of my two eldest sisters.

Fast forward to a year later, that sister called and said i needed to come to the nursing home, that things werent looking good with my mom. So i picked up my third oldest sister,and my younger brother,and we met my two eldest sisters there.

Two days or so before this date, my mother went under the care of Hospice, which against what you said, is not simply meant for cancer patients, but for anyone that is beginning the process of dying. For some, this means they are under the care of Hospice for months and months, and for some,like my mother only days.It is impossible to acurately predict when death is going to occur, but Hospice is called in when time is drawing close.

There ARE natural signs that everyone whom is dying show. They dont show all, in every case, but usually they show SOME of those signs.  For my mother, for instance, she stopped eating. She was fed by a nurse everyday, so when she stopped eating, it was that whatever food was offered, was vomited. Along with pursed lips..she just wouldnt eat anymore.

Most of the time these signs can be explained away from other causes, which makes it often difficult for family to accept. Me, for example...i found it hard to not think maybe it was stomach flu...something...anything...but at least try to feed her again!

Those feelings really became concentrated when she hadnt been eating anything for days. i tried to get them to try feeding her, but the Hospice nurse explained to me that when a body is shutting down, it no longer needs nor wants food. So all we were permitted was water soaked on a mouth swab.

Dying didnt take long for my mother, but my whole family later agreed, it was done exactly like it was planned, and couldnt have been more perfect.
That first day after being called to come..my third oldest sister, her daughter, and i agreed to spend the whole night there with her, first to spend time with her..to say goodbye..but to also make sure she was watched all night long, so to ensure her oxygen mask didnt slip off.

Next late morning, we left to get some sleep, while the two oldest sisters stayed, but were called back after only a few hours rest,because a Hospice nurse had given them a pamplet on signs of eminent death. One of those signs was fingers going blue..apparently my mothers fingers were blue...so we all drove back down.

She seemed fine when we got there,and after an hour or so, the two oldest sisters left,with the promise that they would come back that night, and spend that night with her.

We again left that night after one of the sisters arrived for the night shift, and drove back home. The sister that arrived used the time alone, before the oldest was to arrive..to talk to my mom.. Things like... about it being okay to let go..go into the light when she sees it...That her mother and father and brother were already "there" waiting for her...that once she was gone...she would be free to come visit any of us.. her children.. anytime she wanted.

Repeating things like this over and over to my mom in the hour before the other sister arrived. When my two oldest sisters  were there finally..after the second arrived..within minutes..my mom let go.

I know this all seems about me, but i do have a few things to say to you, coming from a person that has gone through it..and i hope it helps.

By no means do i wish to make it seem that i think every death happens or should happen like this..but i think it was a natural death..i think she controled the final moment, to be what SHE wanted the final moment to be.. that she choose the minute she died, to die.

My mother, in suffering the effects of huntingtons..especially in her last 6 years of life or so was unable to talk, unable to walk..unable to feed herself..unable to do anything for herself at all. Living life confined to a specially padded chair..or bed. 

She too, wouldnt have wanted to see herself like THAT. Part of me believes that she choose to live like that..though..for her OWN reasons...probably for her children, probably for a chance for things like forgiving to occur...for the things she did.

Anyways, what i am trying to say, is that you dont have the power to decide FOR her..nor the powers of prediction...to know exactly when the moment comes for your mom to die.

Planning a last "anything"(christmas) is a big mistake. Your mom will likely choose her own Year,month,week,day,hour,minute..to die her own death. 

Bring your mom back home...if you wish, but please please please understand before you do, that you may have years and years to be a caregiver for her..with all that that includes. You need to stop thinking her death is eminent..and realize it just may NOT be..and can you deal with the reponsibilities of  caring for her at home?

Simply because a person cannot feed  themself on their own does not mean that they dont still NEED to be fed.. If death is eminent.. her body will take over in deciding if it doesnt need food anymore. Its not a choice you can legally make.The difference between /starving to death.. because she cant feed herself.. /against/ the natural process of dying with the body refusing food/..is HUGE..

I know you are having difficulities with the idea that a nursing home will keep her alive for forever, but trust me, when it is time to GO...there usually isnt a thing any nurse at a nursing home can do to stop it. They must first abide by any wishes your mother included in a living will..or  as a last resort. abide by your wishes...usually given to a doctor she is in the care of..to not do things to extend life.

My final bit of advice..before doing ANYTHING..is to find out the legalities further, because i am somewhat disturbed with the info you have shared here about what is legal.
And nothing would be worse,in my opinion, then for a well intentioned daughter to get herself in legal trouble. 

Anyways...give your mom a hug and kiss, you are lucky to still have her.
~vel

*****edited to break it up some to be easier to read

< Message edited by velvetpetal -- 10/3/2007 11:28:46 AM >


_____________________________

When love beckons to you, follow Him,Though His ways are hard and steep.
~~ from The Prophet, by Kahlil Gibran

(in reply to SeeksOnlyOne)
Profile   Post #: 26
RE: Time for Mom to die - 10/4/2007 2:28:32 AM   
winterlight


Posts: 1319
Joined: 2/18/2006
Status: offline
my worry if you were to bring her home is that if something happens you would be blamed. By all means get Hospice involved.

My mom had been sick for a long time. For 10 years i heard i am going to die soon. in Feb she said this is getting worse (her heart). I called an ambulance and by the end of the week she was at a facility for rehab. She refused the rehab. Now mind you she had been getting strange (acting odd, saying things that had happened that never happened). I would get blamed for things that weren't my fault nor had occured. I was her caregiver for 10 years. After no rehab they put her into the Nursing home. Before the Hospital she was complaining that a 2 ft walk to a porta potty was too much. She ended up being in diapers etc. She looked at me one day when i was visiting and said pay attention so you can do this. I work and was expected to stay up nights with her taking care of her. How many people want people in their home 24/7 taking care of somebody. There is no quiet time to yourself. At times she would say i want to go home. i want to go home i don't want to be with old people in a home. The nurse that got involved in her care told me there was no way she could come home. It would be too hard on me etc. She needed to be there. To this day i wish i had brought her home but that would have evolved to how to get her to take meds (she wouldn't). She wasn't eating. This way at the home she got meds when she needed it and care that i couldn't give her. The end result in August she finally passed away.
I miss her very much. I think about my parents every day and what follows me around is Guilt, Guilt and more Guilt. I did this by myself with no help from a sibling that is 500 miles away. She only became involved when a phone call from Mom alarmed her and i said i can't take any more. Then the nursing service was called in. You know the rest....My mom one day said i keep asking you this and you ignore me. I went what Mom? You know what i want!! She was furious with me. This was one of her more lucid times. She wanted to come home. I have no training in Nursing, meds (injections), i have a bad back how could i change her. As i said the guilt will follow me forever. I did the best i could. The verbal abuse that i got wasn't fun. I didn't want to be hit and i knew that would be coming...Guilt? oh yeah, big time!!
Tears running down her face...

(in reply to sophia37)
Profile   Post #: 27
RE: Time for Mom to die - 10/4/2007 7:03:40 AM   
OrionTheWolf


Posts: 7803
Joined: 10/11/2006
Status: offline
Greetings Sophia,

I am in a similar situation. I am in the process of moving my Mother into a nursing home, because no one in my home can look after her 24/7. She needs assistance in moving around, getting food and drink, needs insulin 5 times a day, blood sugar checked 5 times a day, daytime and evening meds, bedside commode cleaned often, other clean up since she cannot do it without gasping for breath.

What has to be done, by you and me, is a hard decision. I cannot allow my Mother to die at home, because my two kids would be severely, emotionally scarred. We want a nursing close by so we can visit 4-7 times a week, but Mom just wants to waste away at home and die apparently. Many people do not understand what it can do, to watch someone deteriate in front of their eyes.

Strength to you, and do not allow the guilt to hamper you. We all have to make these decisions alone, as that is the person we ultimately have to look at every day.

Orion

_____________________________

When speaking of slaves people always tend to ignore this definition "One who is abjectly subservient to a specified person or influence."

(in reply to sophia37)
Profile   Post #: 28
RE: Time for Mom to die - 10/4/2007 7:20:38 AM   
Marc2b


Posts: 6660
Joined: 8/7/2006
Status: offline
I’m trying to think of all sorts of helpful things to say but I’ve never had to experience such a situation directly myself (and hope I never have to) so I’ll just say that my thoughts and prayers go out to you.

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Do you know what the most awesome thing about being an Atheist is? You're not required to hate anybody!

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Profile   Post #: 29
RE: Time for Mom to die - 10/4/2007 12:16:49 PM   
leatherette


Posts: 255
Status: offline
Dear Sophia,

Prayers and well wishes to you in this difficult time.

love, leatherette

(in reply to sophia37)
Profile   Post #: 30
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