Do Dr's & nurses know when someone has days or hours to live

I've posted a much longer thread in 'Coping with loss', but wanted to ask a professional, isn't it usual to know if someone has only days or hours to live?

My father was admitted to hospital after being told he was anaemic. He was then diagnosed with bowel cancer. He didn't appear to have had many symptoms, and wasn't on morphine or pain meds in hospital. He looked well when my sister saw him, but a day later when I saw him he was jaundiced. 

The Dr told me Dad had months to live if not treated, or longer if he agreed to treatment, and I was told I could make arrangements for him to go home with carers, or go to a care home. I asked if he could come to my home, but I live 125 miles away, and the Dr advised against it.

I spoke to him on the phone the day after I'd seen him, and told him I'd be back in a couple of days, but he died before I had that opportunity. We were phoned early on Sunday (I'd seen him Thursday) to say Dad had died in the night. They couldn't give a time of death? I just can't understand it. A week before he was admitted to hospital he was shopping for himself and neighbours, gardening etc. What happened, why did he die in the night and no one called us to say he was dying?  Aren't patients monitered in the night? I think of him all the time, and hope he didn't suffer. I'm struggling to sleep and I have so many unanswered questions.

  • Hi

    i am sorry your Dad has died and from what you have said suddenly and unexpectedly. This has left you with lots of unanswered questions. I am not sure if this will help you but I would suggest you contact the ward and ask if you can have a meeting with the dr responsible for your dads care who may be able to give you a bit more information. 
    from my experience time of death isn't always possible especially when patients have passed away peacefully in their sleep. Patients are usually monitored during the night but the level of monitoring varies depending on the patient. Eg if the patient is in pain/unwell/distressed that patient will receive more monitoring than a patient who appears to be sleeping and settled. 

  • Hello there and thanks for posting

    I am so sorry to hear about the loss of your father and appreciate this must be such a difficult time for you and it is understandable to have questions.

    It seems your dad appeared quite stable and well when you last visited him in hospital and I am sure if the staff involved in his care were concerned about his ill health they would have let you know sooner. Usually when someone dies from cancer there is a gradual decline where they become less well, more sleepy, lose their appetite and all the body systems start to slow down. When this happens patients are put on a special palliative care pathway to ensure they are kept comfortable in the last weeks and days of their life. When a patient becomes closer to passing away often the nurses and doctors will know the signs that someone is nearing the end, and family are informed so they can be there, if they aren't already.

    Sadly some people can die more suddenly and unexpectedly out of the blue and this is often due to some fatal medical emergency such as a heart attack or a pulmonary embolism (where a blot clot that travels to the lungs) and things like these can never be predicted unfortunately. Events like this can happen so quickly and are unfortunately irreversible.

    I don't know if you have been in contact with the hospital since but they may be able to arrange a time for you to speak to a doctor and go through the notes about what happened and ask some questions to help give you more understanding. There is a leaflet that you may already received about your fathers passing but do take another look here as this may help.

    I hope you have other family and friends around to support you at this time and do remember you can ask for bereavement counselling if this would be helpful to you.

    Best wishes

    Naomi