What the hell just happened?

My dad was diagnosed with terminal Stage IV metastatic Lung cancer just under 12 weeks ago.. I can only say I'm utterly disgusted by the lack of support from diagnosis to his death, promises were made but no palliative care, no district nurses, no carers, no end of life support.There was little pain relief in the end, Oramorph supplied by a half arsed GP but told we can't administer it so he ended up on ibuprofen. His sheets needed cleaning every day as only three weeks in he became incontinent and bed bound, he needed feeding by hand, didn't know what day it was and would cry himself to sleep most nights and all I could do was watch him deteriorate and try and stay strong. 

He gave up eating and lost so much weight, unable to talk or sit up for the last five weeks, he had one and a half sessions of chemotherapy, that's all he could stand. 

He's only just gone and all I can think is what on earth happened.. is it always this difficult? The nurses who came to clean him up and verify his death were asking where his charts and medical files were and all his meds... there weren't any. 

He looked at peace and think he stopped breathing in his sleep during the night, he was sleeping alot anyway. Apparently there was a DNR notice but I wasn't aware and I'm left now trying to piece together the last three months and try and get the information together for the death certificate... is it always this difficult? 

I feel guilty about feeling relieved that he's now at peace but certainly couldn't have gone on much longer myself.. when all the forms are filled I can finally relax and start to grieve. 

  • This has been a terrible ordeal for all of you and as my husband has stage 4 incurable cancer I hope we get better care.  I am aware of others going through the same pain and lack of care and when you are struggling with this and a dying parent the strength to fight is lacking.  This is not our fault but it seems that treatment is given then you are left to cope.  Perhaps when things are sorted you could contact PALS, put everything in writing and a lesson may be learned so others are supported a little better.  My warmest wishes to you and your family, don't feel guilty about being relieved, it's human nature to not want your loved ones to suffer.  Carol 

  • Hi,

    So sorry to hear about your horrible experience and the loss of your father. Even when everything goes as it should it is bad enough, I can only imagine what you and your Dad went through.

    Nothing you do can turn the clock back, but you might be able to save someone else going through the same. 

    Your complaint may be complicated as so many services are involved from different NHS bodies.  There’s a good guide to making a complaint at www.nhs.uk/.../

    Citizens Advice are pretty good too. The services are all commissioned by the local CCG who are responsible for making sure they are all coordinated - something many GPs lead on. 

    In the past I’ve had cause to complain about my son’s care (not cancer related) and our MP and local councillor were useful (councils are involved in overseeing the NHS locally).

    Good luck

    Dave

     

     

     

  • Dave, you are so right, complaints are necessary or those involved will carry on treating us as if we're not worth bothering with.  It's so sad to see the lack of care that lots of patients on this forum are not getting.   The problem is that fighting cancer is hard enough without fighting the authorities as well.  You have to be strong to use energy on those not doing their job properly.   Take care,  Carol 

  • Hear, hear. Well said Carol and Dave. 

  • That's heartbraking ... can't believe you had to go through that alone .. someone , the G PS especially should hang their heads in shame ... I'd hopped no one would have to go through that now ... my heart goes out to you ... and I know exactly what you mean, you didn't want him to go .. just couldn't bare seeing your dad suffer like that .. you did amazing .. thankfully he had you to hold his hand .. but if your strong enough , take that advice and anything you do may help someone else to not go through what you and your dad have ..

    Sending you a big hug ... Chrissie 

  • Thank you, Carol. I am so sorry to hear you’re fighting the battle against this awful disease with your husband and I hope that he stays comfortable for as long as possible. I think if my fathers cancer had not spread to his brain he would have had many a word to say to his GP! He passed away yesterday with his GP still denying there was anything wrong with him, I’ll certainly be taking that up with them. Take care, CA

  • Thank you, Dave - really useful. I used to work in the NHS but even then, other than PALS there’s not really any open conversation about when things go wrong or how to treat their customers, because that’s what we are, with dignity, openness and with the service we ultimately pay for. My dad was doing them a favour by dying quickly and not burdening them with a lengthy care bill! Cynical I know.. I’m sorry you’ve had trouble with your sons care, it must be difficult.

  • Me too. Ironically, one of the roles in my old job was on a committee of managers and patient reps that independently reviewed complaints (how our Trust had responded and what might have been done better). I had a similar role after I retired and became a patient governor at a cancer centre. 

    Almost invariably things went wrong because of poor communications, especially when care was transferred from one care setting and team to another or because people wrongly assumed that everything was OK because no-one had complained.

     

     

     

  • Hi CharliesAngels, My sincere sympathy on the death of your dad. I have lost both of my parents plus many relatives and close friends to cancer. I have also had 2 bouts of breast cancer myself in the past 8 years, so I know only too well the impact that it can have on families. There are certain protocols for cancer treatments, but sadly they are not always followed. My initial treatment was nothing short of atrocious and I had to fight really hard to get another surgeon and oncologist. These are people that you really need to be able to place your trust in. I am much happier with my treatment now - it is like night and day. It seems as if you and your dad have had a similar experience. Listening to him crying himself to sleep at night must have been really heartrending for you. It is bad enough at the end when you cannot ease his pain or do anything to stop his suffering. Please don't feel guilty for being relieved that it's all over. This is a natural reaction and he is now at peace. My mum died 21 years ago and I still remember feeling relief that she was no longer suffering. I cannot imagine Ibuprofen doing much to ease your dad's pain. They should have allocated you a nurse who could give him the Oramorph or something similar. My mother-in-law is currently receiving end of life care at home and I cannot praise her care team highly enough. She has a hospital bed with a special mattress to try and reduce bed sores. She has carers coming in 3 times a day to wash and change her. She too is incontinent now. She hasn't eaten for the past year and a half and has been living on 1 bottle of Ensure (build up drink), which is divided into 3. She takes one of these at each meal time. We are all surprised by how long she has lasted with only this form of nutrition. She is tone deaf, so communication channels are difficult to find. Her hearing aids are of no use now and there is no more that the audiologists can do. We have been using a boogie board to write things down for her, but find that, in recent weeks, she has been more inclined to examine the back of it than reading what is on the front. Her dementia is taking a firmer hold as time goes by. Her carers are a cheery bunch and they even wash her hair for her - not easy when she is confined to bed. Her district nurse comes in once a week and changes her Morphine patch. She has various pressure relief items such as mattress topper and heel pads. She also has an over-bed trolley. On top of this she also gets a monthly delivery of incontinence pads, Ensure drinks, and medication and all of this is delivered to her door free of charge. When you compare the services we get in the UK, we are very lucky. Other countries don’t fare nearly so well. I don’t say this to rub your nose in it. This is the sort of service that your dad should have had too. Sometimes we really have to fight hard to get what our loved ones are entitled to. I’m so sorry that you didn’t get a gold star service, but don’t beat yourself up as none of this was your fault. You will probably find that your grieving started shortly after your dad’s diagnosis, but you will have more time to grieve now that you’re not trying to take care of him too. Look after yourself now, as I’m sure that taking care of your husband and subsequently losing him will have had quite a detrimental impact on your own health. We are always here for you. Kind regards, Jolamine xx