Friday, January 11, 2013

Hospice


This is awful!
And, truly there is no one to blame -- although my family is trying
let me try to sum it up

since Tuesday, dad has been suffering -- his body is slowly dying
and it is not an easy process
its awful to watch -- he is pain 45 out of every 60 seconds
and it is spasms

my mom - didn't like the hospice staff from the beginning
she is not a shy person
but is of an age where authority still is authority
so she would not request a different nurse/team
but then when she didn't like  the medicine dosages prescribed, she didn't administer them as prescribed
at first she was open to have him go to the Hospice facility, but now that a bed is available, she changed her mind and said no
She really dislikes the primary nurse in charge of dad's care and doesn't trust her
everything else from there is tainted
each day the medication routine has been changed
but mom doesn't comply and then doesn't understand why it doesn't work
she said today that she thinks he is over-medicated

sister #1 is angry but feels as if we should comply with the rules, take copious notes and complain after everything is over.  "we don't want to make the nurses angry because that may negatively impact dad's care"

sister #2 is very angry and thinks the medication dosages are wrong and interacting badly -- but she just complains to us -- never directly with anyone at Hospice (which is ok -- just observing)

sister #3 is also very angry but she believes that Hospice needs to be doing a better job overall.  She has spoken to supervisors and managers at the Hospice and raised the level of concern regarding dad's care.  we think that is what led to the bed becoming available at the facility.  that would be ok -- but mom is now saying no to that.

she asked why they can't give that level of care at home.  the nurse tonight said that the medicine delivery mechanisms they have at the facility are different and they can manage the meds more continuously and steady that way.

does this make any sense?
I'm not sure...

frankly, I'm not angry just exhausted

I don't really blame the hospice people
they give you advice, you don't follow it
then how can you blame them when the results are not what they predict?
at one point I tried to say this
but I was shouted down

I know, I'm perfect  -- Not!
its just that my family is so loud in its process
this is not new
we play our roles -- and I'm learning that the death of a parent makes these roles more pronounced

tonight I see things better than I did during the day
it helps to write it out

Now, maybe, some sleep????

1 comment:

  1. If you can get mom to let him go to hospice - 2 things. They will administer all his meds on time and that will help reduce his pain. They can adjust meds quickly based on his reactions. And they will provide most of the care which will give your family some relief.

    Our mom chose to remain at home and it was a huge burden to all of us, but it was not a long, drawn out process. At the end, she was in so much pain it was unbearable to watch her. I just sat by her side praying for God to release her.

    I was also at my dad's side when he died 20 years ago. Hospice provided his home care. Nothing has changed. They do the best they can to keep the patient at home and comfortable. But the process of your body shutting down is simply painful.

    Keeping you in my prayers tonight.

    DW

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