Toll of caring for grandparent with terminal diagnosis

Hello all,

This is a wonderful resource for people going through this and reading posts has made me feel slightly less alone. I don't know what this post is - asking for advice or a stream of consciousness. My Grandad was diagnosed with an aggressive bladder cancer in 2023. He had a stroke around fifteen years ago meaning his treatment options were limited. He made the decision to refuse treatment and monitoring, so we've been in 'wait and see' mode.  Since November last year he's had frequent hospital admissions. He was discharged on Thursday and the doctor has told us his life prognosis is poor, with his life expectancy in weeks rather than months. His medications have been withdrawn, he's now on pain relief only and we're in the process of trying to arrange at home hospice care.

I feel like my family have barely had chance to catch our breath since he was diagnosed. I come from a small family and lots of the sorting and care has fallen to me or my Mum. My Nan has dementia and is overwhelmed with everything and has shut down. I don't think I've had an opportunity to process anything yet and I've gone straight into making arrangements mode. The thing I'm struggling with the most, which I feel guilty to admit, is that my Grandad has become an awful person since his diagnosis. I don't recognise him as my Grandad anymore. I can only begin to try to understand the impact of the diagnosis on the person, which is complicated by his limited speaking ability due to the stroke. However, we're also coming to terms with it in our own ways.  He has become verbally abusive to us. He's nicer to strangers, like carers and the hospital staff, than us. It takes my breath away sometimes. The way in which he speaks to my Nan, swearing and verbally abusing her when she's only trying to help him. I've had similar. I had a barrage of abuse yesterday and it's always over stupid things, like yesterday he was trying to do his cardigan up crooked so I offered to help.  I've seen him to do the same to my Mum too and it fills me with rage. I hate the person he has become.  He also expects us to do activities for him that we all know he's independent in, he never says please or thank you.  He clicks his fingers at us, bangs his stick on the floor from upstairs for attention. He's thrown items too. Whatever we do, it's never enough and he never seems grateful. 

As time goes on, I get the same advice of making the most of my time left with him. How can I make the most of this? It's replacing my memories of him with how he is now. It's only on this forum have I seen this matter discussed. I'm dreading having to make arrangements for his will, because I know I'll be in for a barrage of abuse or just not co-operating. I'm just trying to protect my Nan to ensure she has a roof over head when the time comes. Thank you if you've made it this far and any advice would be welcome.

  • Hello Haymee

    I am so sorry that you find yourself here, with the problems that you are trying to deal with.

    If your grandfather's changed suddenly into this aggressive person, it may be the pain killers that he has been put on in hospital.  When my Mum was given morphine, she turned from being the kindest person into an aggressive, ungrateful *** that was shouting abuse down the phone at my dad at all hours, overnight.  I was scared that she would be like that until she died and that I would end up hating her for the way she was treating us.  Luckily she was still in hospital and got aggressive with one of the doctors, he realised that she was hallucinating also and changed her medication, within a few hours she was back to her lovely self!

    It would be worth speaking to his gp to see if a medication change might help.

    My thoughts are with you, its one of the hardest things to deal with!

    Annie

  • Hello Haymee and welcome to the Cancer Chat forum.

    I'm very sorry to hear about your grandad's terminal diagnosis and for the very difficult and upsetting situation you and your nan are now in. Being given a terminal cancer diagnosis can be very distressing. Such life changing news will, naturally, bring about a whole host of emotions, many of which can be very difficult to cope with. They may become so overwhelming that an outlet is needed to release all these emotions but how your grandad is behaving towards you or your nan is not acceptable and I can imagine you are trying to protect your nan too knowing that she has dementia. It's important to remember that domestic abuse isn't always about violence and it can also include emotional, verbal abuse and controlling behaviour. Please don't hesitate to reach out to Refuge for advice on your situation as they have a 24-hour National Domestic Abuse Helpline and the number to call is 0808 2000 247. Their phone lines are open 24 hours a day, 7 days a week, and they have expert advisers who offer confidential, non-judgemental support, so there is always someone available if you are ever in need of some advice. 

    It may be worth speaking to your nan's GP about this especially given that she has dementia and you mentioned she is "shutting down" and it is a lot for her to have to deal with. The doctor will be able to give valuable support and advice as well as Marie Curie who support anyone living with, and affected by, a terminal illness, including friends and loved ones. The cancer charity Maggie's also offer free support to anyone with cancer and their families. You can find out more just here.

    You are right that it is also very important to make these practical arrangements for your nan to ensure she is financially secure and safe and it would be worth discussing your difficult circumstances with someone who will have expertise in issues like this. Macmillan have a wealth of information on managing money at the end of life and on other financial and practical matters and there is also a helpline you can ring to talk to a financial guide on 0808 808 0000 (Monday to Friday, 8am to 8pm, and Saturday and Sunday, 9am to 5pm). It's worth reading all this very carefully and finding out what your nan could be entitled to and how to go about making arrangements explaining to an adviser your difficult circumstances and how your grandad has been towards to you recently. 

    Annie123 has also given you some very useful advice based on her personal experience and it might be worth investigating whether his pain relief medication may be having a detrimental effect on his mood and whether a change or simple tweak in the medication could be helpful. I would follow Annie123's advice and speak to his GP in case this is what is causing this personality change and aggressive behaviour. 

    I'm sure some of our members who have been in a similar situation will be along soon to offer their thoughts and advice but in the meantime, we're thinking of you and sending all our strength and support your way.

    Best wishes, 

    Lucie, Cancer Chat Moderator