Daughter beginning Hospice

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  • luvtotravel
    luvtotravel Member Posts: 933
    edited May 2009

    You are such a kind and loving mom.  I am amazed that your DD can do so much.  I am sorry that Hospice has not assigned your a permanent social worker.  I think that will make this journey a little bit more manageable.

  • sparkie
    sparkie Member Posts: 23
    edited June 2009

    DD has been in the hospital for almost a week now with a blood infection. We were supposed to transfer her to a nursing facility today, but she fell in the hospital while trying to get into bed, so they have to keep her there an extra day for observation.  Tomorrow we will take her to the nursing home, where she will continue on antibiotics for a couple more weeks.  Then she will be able to come home, we hope.  Her kids hate to visit her in the hospital.  They'll talk to her on the phone, but they won't visit.  We hope they're willing to visit in the nursing home.  It just seems to remind them how sick she is. I guess if they don't see her they can imagine she's doing well.

    We do have a great hospice nurse and social worker now, but hospice will suspend their care while DD is in the SNF, then resume when she comes home.  Next week, the two younger kids are going to a camp for children who have a parent with cancer.   They went last year and loved it.  

  • pbcc1
    pbcc1 Member Posts: 659
    edited June 2009

    Sparkie,

    I have to say you and your family have certainly been through the mill ! I am so sorry you are having to deal with all of this.

    I just chimed in to give you some more info about hospice. I am a breast cancer survivor, but I am also an inpatient hospice nurse.

    Your hospice nurses should be assuring that your daughter is in no pain, or at least as little as can be attained. It's their job to educate all involved  about the medications and how much/how often to use. Most  lay people are scared to death to give as much medicaton as we use, and they should be. However, the nurses should be teaching you all you need to know about the morphine, how much, how often, and what to do for breakthrough pain should it occur.

    You can use the morphine, which is frequently combined with a dose of Ativan more often than people think. If you are not getting adequate pain control for your daughter, then you need to speak either with the hospice doc or her oncologist.

    Also, with hospice, you can go to the hospital for treatment. Hospice doesnt mean dont treat, just essentially nothing curative at this  point.

    I hope the kids can adjust and have someone to talk with that give them good information. It has to be hard watching all those "adult" things when you are just a kid. And being scared... young or old.... is perfectly normal.

    If I can answer any questions for you, or you just need to talk, you are welcome to PM me. I USUALLY am on here daily, but I work nights, so sometimes I skip a day.

    Prayers for your daughter and your family .....

  • hollyann
    hollyann Member Posts: 2,992
    edited August 2009

    Sparkie...Wondering what is going on now......Prayers for your daughter and you and the family......

  • sparkie
    sparkie Member Posts: 23
    edited August 2009

    All,

    A lot has happened since I last posted.  Except for a 3-week stay in a skilled nursing facility (SNF) recovering from a blood infection, DD has been on hospice.  Then, with their help, we cared for her at home, but it became increasingly difficult, since she cannot stand or walk at all.  We had to lift her every time she wanted to move.  And she wanted to 'go' all the time--then wanted to come home just as urgently.  She was trying so hard to be normal that it wore on all of us--her kids included.  The hospice social worker and nurse both recommended the SNF to give us and the kids a break.  On August 4 we put her in a SNF while we took the kids camping for a week.  While away, we realized how exhausted we all were, and how much a toll her care was taking on us and the kids.  So, with the full support and recommendation of hospice, we made the difficult decision to keep her in the SNF.  She was very angry at first, but slowly she is adjusting.  She is about a 7-minute drive away, and about 3 minutes from our church, so she gets lots of visitors.  We visit twice a day.  The kids visit a few times a week, but it's very hard on them.  I always invite them to go, but they often decline.  Today eight of us (including the 3 kids) enjoyed a picnic lunch with her on the shaded lawn behine the SNF.  She really enjoyed that.  

    DD hasn't had a voice for several months.  She can only whisper, and it's getting increasingly difficult to understand her.  She tries to write notes, but they are often illegible.  She struggles for the right words, but often they elude her. She is often confused. When she wants something, she persists until she gets it, or until we can convince her that it's not doable--or in her best interest.

    Today she got a reclining wheelchair to replace her upright chair, so our walks around the neighborhood will be more comfortable for her.  We took our first walk with it this evening, and she really seemed to enjoy it.

    I can't help but feel guilty that we've turned most of her care over to professionals, but the hospice social worker and nurse both assure us that we're doing the right thing.   The SNFstaff are very attentive and caring.  We certainly haven't abandoned her, but we have to balance caring for her with providing a healthy and nurturing environment for her kids.  We're doing the best we can.

  • PT6
    PT6 Member Posts: 76
    edited August 2009

    You did the right thing. This way you can be the supportive family rather than the overworked caregiver.

  • Debs-husband
    Debs-husband Member Posts: 19
    edited August 2009

    Sparkie,

    You're definitely doing the right thing.  You need to care for yourselfves as much as you need to care for your daughter.  This is an incredibly difficult time for you right now, and you wouldn't be doing her any favors if you were completely exhausted trying to care for her at home.

    With Debbie, not only did I have home health care nurses and aides coming 5 days/week, I also had Deb's parents over helping 1/2 the time.  Even sharing the workload with other adults, it was tiring for us all.  Don't feel bad about it in any way.

    My prayers are with you as you continue on this journey.

    Rob

  • Anonymous
    Anonymous Member Posts: 1,376
    edited August 2009

    (((Sparkie)))

    If your daughter were able, she would tell you it was okay...that she wouldn't want to be a "burden"... I am certain of that.  I know I would feel that way.

    Just know that you are doing the best you can...that's all any of us can do.

    Hugs

    Peggy

  • sparkie
    sparkie Member Posts: 23
    edited August 2009

    Thanks all, for your supportive comments.   Rob, I especially apprciate your encouragment, given that you and your children have just lost your precious wife and mother. 

    The hospice social worker told me that if I ever feel guilty, I should give her a call.   We try to visit twice a day, but DD is deteriorating rapidly now, and there is very little communication.  Yesterday was a pretty good day.  We took a long walk outside, then she wanted to play Bingo with the other patients.  We played, but she had a hard time following.  Sometimes she'd get a number, but more often I had to point it out or cover the number for her.  But she seemed to enjoy the diversion.

    Today we took her for another long walk in her reclining stroller, but she didn't seem to enjoy it as much as she did yesterday--even though her kids were with us today.  Tonight I stopped by and just sat and stroked her hair while she slept.  Her nurse came and woke her up to give her her meds, and she tried to talk to me.  It didn't make sense, so she wrote it out.  It still didn't make sense.  Finally, she just wrote, "Thanks, bless you all all" and signed her name.

    The kids can hug and kiss their mom, but that's about all the communication they have with her now.  She just stares most of the time, and rarely smiles--even when her kids enter the room.  I think that's part of the dying process--to turn inward and sort of shut out everyone.  

  • deborye
    deborye Member Posts: 7,002
    edited August 2009
     Hugs And KissesYou ARE doing the right thing Sparkie♥ 





  • deborye
    deborye Member Posts: 7,002
    edited August 2009
  • Makratz
    Makratz Member Posts: 12,678
    edited August 2009

    Keep your family in my prayers.  So sorry you have to go through this. I pray that God blesses you all.

  • sparkie
    sparkie Member Posts: 23
    edited September 2009

    Just a note to update you all and thank you for your love and encouragement.  Our daughter, Jennifer Anthony, died the morning of August 27.  She leaves three precious children.  We are all doing okay.  We're planning a celebration of her life in a couple weeks, and her 13-year-old daughter is going to sing--because she promised her mom she would.  Jennifer wanted a party, so that's what we're going to give her. 

  • celia088
    celia088 Member Posts: 2,570
    edited September 2009

    I am so sorry to read of the passing of your daughter, Jennifer Anthony.  My heart goes out to you and to her children, and to all the family and friends. 

    I have entered Jennifer's name in the List of Angels in Commemorating Loved Ones in the "from the Boards" section.

    celia

  • Debs-husband
    Debs-husband Member Posts: 19
    edited September 2009

    My deepest condolences to you and your family, especially to your grandchildren.  You have all had such a tough road to travel, and I can empathize.

    God bless you, and we will pray for all of you, especially Jennifer.

  • Marple
    Marple Member Posts: 19,143
    edited September 2009

    Oh my, I am so sorry. 

  • cheers247
    cheers247 Member Posts: 270
    edited September 2009

    Deepest sympathy to your family!!  I have been praying for you for some time now, and will continue to do so.

  • dreamwriter
    dreamwriter Member Posts: 3,255
    edited September 2009

    I hope that the celebration of her life is as beautiful as she was.  I can just imagine her daughter singing....

  • Irina
    Irina Member Posts: 987
    edited September 2009

    so sorry

    PRAYES and (((HUGS)))

  • Anonymous
    Anonymous Member Posts: 1,376
    edited September 2009

    ((((Sparkie)))

    I am so sorry for your loss...the celebration of life is a great idea!

  • deborye
    deborye Member Posts: 7,002
    edited September 2009

     Candle You have my deepest sympathy.  I will light a candle for Jennifer.  She is alive in all your hearts♥





  • luvtotravel
    luvtotravel Member Posts: 933
    edited September 2009

    I am so sorry. 

  • Jadai
    Jadai Member Posts: 182
    edited September 2009

    I am so sorry for you.  I lost my mom to this disease in July.  It's not fair to any of us.....it sounds childish but it isn't fair.  Thinking of you.

  • CapeBretongirl
    CapeBretongirl Member Posts: 364
    edited September 2009

    My deepest condolences to you and your family.

  • sparkie
    sparkie Member Posts: 23
    edited September 2009

    We celebrated Jennifers life on Friday, Sept 18.  Her 13-year old daughter sang, and it was beautiful.  She smiled confidently and sang like an angel.  I dont think there was a dry eye.  Our niece and music minister also sang beautifully, and our neighbor helped us put together a very nice slide presentation of Jens life.  Several pastors and her younger sis gave beautiful eulogies.  Then we adjourned to the party.  Two thirds of the tables (for 300) were adorned with tulips (3 yellow and one red or 3 red and one yellow), representing Jen and her 3 children.  Jen was a collector of all things penguin, so about a third of the tables were adorned with Jens stuffed penguins, to which were tied 4 red and yellow balloons.  It was very festive and fun.  We had a great collection of photos which we projected on a big screen during the lunch, which was catered by our church.  It was wonderful and uplifting and, I think, exactly what Jennifer wanted. 

  • CapeBretongirl
    CapeBretongirl Member Posts: 364
    edited September 2009

    Dear Sparkie;  What a beautiful healing experience for you and your family.   Thank you so much for sharing this with us.  God Bless you and your family.

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