Confusing time - hospital are adamant that my husband should be on end of life pathway but GP & community nurses disagree, saying he's not near that stage

Hi 

I am wondering if anyone else has felt confused whilst caring for a loved one who has cancer .....

My hubby just came out of hospital where the staff were adamant he has months left to live and should be dnr and on end of life pathway for care though didnt complete the admin for this ...

Meanwhile he is doing okay and our community nurses and gp are like scratching their heads and say No absolutely not anywhere near that stage

It is very confusing ..... Why would the hospital push this ....which was very distressing for hubby and me and family

It was an awful experience.

  • I'm sorry you are going through this and your husband ,I would go with your Doctor not the hospital ,I say this because my Father in law a few years ago was admitted to hospital after a fall although he seemed fine to us and was just in shock after falling in the house ,( he didn't have cancer) on the same day he was admitted we were asked to sign a DNR in our ignorance we did ,big mistake ,they took him into a room I don't know what happened but the next time we saw him he couldn't breathe he died the next Day ,don't be bullied into DNR I wish you well ...

  • Oh my Jenny3109 i am so sorry to hear this happened to your father 

    Thank you for taking time to share what must be very painful for you

    When you are in the moment it is hard to think straight isnt it?

    And we trust the medics and nurses

    I am now very untrusting except of the gp......and of my own judgement too.

    Im sending you hugs for caring 

    Kind wishes

    RB

  • My oesophagal tumour was diagnosed over 2 years ago and several consultants suggested that I'd be unlikely to see the year. But since I'm writing this you can see that hasn't come about. However, around February last my consultant suggested to the GP that the palliative care nurses ought to be visiting. They did, twice, but then decided that I wasn't as sick as others who needed their help more. So they stopped coming and knocked me off their list. I now get no help from anyone other than the hospital, where I'm for a barium swallow next week, as the oesophagus has narrowed to the point where I can't swallow except for tea, coffee, soup! I feel a bit abandoned. 

  • Hello Greysquirrels

    Im not surprised you feel unsupported at the moment when your condition has altered. 

    Hubby had to have a new stent inserted hence hospital inpatient.

    It has made all the difference again and he is now eating and drinking much better/ variety I mention this incase its suggested to you....the team that did that was great....fingers crossed for a good outcome 

    I wonder if you might try having a chat with nurses here or Macmillan nurse support line ?  They really helpful 

    Mostly im sending you a hug 

    Kindest wishes RB

  • Hi RB

    Saw that you are experiencing more angst, which you really don't deserve. This time from the hospital healthcare team. The most powerful factor in getting through this dreadful disease is hope! It is very poor care coming from healthcare professionals not to try and nurture that hope. I'm sure you will not be bullied into DNR arrangements. Whilst palliative care can be open ended. Im on palliative care but do not feel it is end of life care. I'd go with your GP and the nurses on this who with closer contact with your husband probably have the more informed opinion. Im pottering about today making tomato sauce with the glut of tomatoes from our garden while waiting for the nurse to phone to approve next weeks immunotherapy. Wishing you and your husband a better day with some hope for the future.

    Ed

  • Dear Ed

    Thank you for taking time from your day to offer your support.

    I am as you say experiencing angst...

    I am quite angry and now distrust the local hospital and hope we never have to go through this again.

    Hubby has an appt with oncologist at the Cancer Centre next week see what they say.

    It is has you say HOPE that keeps us going and taking that away from patients is cruel and unethical.

    I will try to be more positive and wind up my battery to keep going.

    The tomato sauce sounds nice ..and a lovely thing to do. Away to ease the wait of wondering 

    I hope you got the green light for your next treatment be thinking of you

    Thank you for all your support sending strength 

    Kindest wishes RB