My Dad is in the Hospice, query about syringe driver

My dad got admitted to the Hospice on Wednesday this week after refusing to go to the Hospice as he was getting more and more ill at home despite us caring for him. 

Dad has B Cell lymphoma and is terminal the Drs at the Hospice have said he has days left if that. It’s been so painful sitting every day since Wednesday watching him suffer it’s awful and horrifiy painful watching a parent dying. Since dad had the syringe driver put in on Monday he’s got progressively more sleepy and dosey and since the hospice upped the doses of his driver meds including the pain med and sedative he’s just sleeping all the time and since yesterday he’s not really responsive and not talking at all. It’s awful why are the meds doing this to him? I feel the Hospice are just drugging him up it’s like my dads gone now he cant even speak now or move he’s just asleep but breathing. The dr told me it’s because his liver is probably failing and he’s not processing the meds properly and his cancer has also maybe got worse which is taking its process in the background. Does anyone else feel that when somebody goes on the syringe driver and the meds get upped in the hospice that they just drug the patient up until they pass away? It’s awful to witness I’m tortured by this week seeing dad like this. 

  • My mum was on a syringe driver for the last few days before she died, however she was at home not in a hospice.  I have to say that I was very grateful that she was on it, however she had been in horrific pain prior to it being fitted, to seeing her like that was even worse.  Yes, she was very sleepy, but at least she was no longer in pain.  I kept talking to her as I wasnt sure how much she could hear.

    I hope that you can gain some peace that your dad is not in pain or distressed.  There is no easy way to get through this, it is so hard watching our loved ones suffer.

    I wish you strength to get through this dreadful time.

    Annie

  • Sorry, please ignore my reply, I did not notice that this was posted in the Ask the Nurses section.  They will be back online again on Monday and will respond then.

  • No sorry your reply was exactly what I was looking for peoples experiences with their loved ones on syringe drivers at the end of life. My dad’s been unconscious all day today and I believe it’s because they upped his meds on the driver this morning as he had still some pain. It’s been horrid to watch him lying unconscious all day breathing weird very distressing time. I’m so sorry you had to go through similar with your mum. I appreciate your messsge 

  • Hello Misty, and thank you for posting.

    I am so sorry to hear about Dad and his deteriorating condition.

    It is so hard to watch someone slowly die, and I understand that you feel this is partly to do with the medicines in the syringe driver.

    Doctors and nurses are not allowed to give these medicines unless the patient has symptoms that need help, and a patient's comfort is always the priority.

    If Dad still has had pain sometimes, despite the driver, it is a sign to his care team that he needs more in the next 24 hours than what he has been given before. This is why they have added a higher dose to the syringe. The hospice team monitors the patient's symptoms, reviews what has been needed, and then changes the drug doses on the prescription chart. Unfortunately, as a side effect of helping this pain, and as your Dad's cancer progresses (particularly if his liver is involved) he will become more drowsy.

    This page on our website may have answers to some other questions you have at this time. I would also encourage you to talk with the nurses at the hospice so that you understand Dads care plan.

    Grieving for someone who is dying, before they have gone, is normal. I have linked to CRUSE, the UK bereavement charity, that may be helpful for you.

    Take care of yourself Misty. If you want to talk to the nurses on the helpline the number is freephone 0808 800 4040, the lines are open mon-fri, 9-5.

    Sarah.