Struggling and fearful: end of life support needed

My wonderful 93 year old Dad was diagnosed with terminal lung cancer 4 weeks ago.  It came totally out of the blue.  The consultant sent him home saying it was now just palliative care and 'how long is a piece of string' to his prognosis. A few days before his diagnosis he had been out shopping using just a walking stick. He was independent, running his home, cooking, gardening, going on holiday, inquisitive and active.

Today, 4 weeks on, he can barely walk, he is sleepy, his voice is just a whisper, he is  weak and frail.   His wish is to be cared for at home which my brother and I are doing. 

We feel so let down by the lack of support.  The Palliative team at the local hospice are only available for phone advice. There are no house calls.   Dad can't get to the hospice to take advantage of any sessions they do. He can't hold a conversation with anyone on the phone as his voice is a whisper. The district nurse has come in 3 times in 4 weeks, twice at our instigation.  On all occasions she just asked how he was and did we want carers (no thank you we can wash and dress  Dad and feed him). I don't know what I'm expecting from end of life palliative care but to be honest the 'support' seems negligible. 

My fear is what happens in the middle of the night? Are we attending to Dad's needs well enough? How do we know he is approaching his last days? How do we ensure we are giving him the right medical support.? It's as if he was discharged to die and we just have to cope. 

I'm sorry, I don't really know what I'm asking or expecting.  TV adverts for cancer charities  show cosy scenes of dying people surrounded by loved ones and a friendly nurse holding the patients hand... All I feel is a sense of abandonment, fear and sadness. 

 

 

 

 

  • Hello DiHod, 

    I am so sorry to hear about your dad's recent diagnosis. It must have been a real shock for everyone especially if he was still very active just a few days before his diagnosis. It's so sad how his health deteriorated so quickly and that he is so weak and frail. 

    I can imagine you and your brother are both truly exhausted at the moment as you are caring for him at home. I am so sorry to hear you have had such little support from the palliative team at your local hospice and that no one has come to see you. 

    I thought I would share with you a few resources which might be useful to you and which will help you identify the type of support you may be looking for at the moment. Our page on getting help and support mentions for example Marie Curie nurses who give nursing care to people in their own homes. They can visit you during the day or spend the night to give you and your brother a much needed break. Their website will be a great source of information too and they have a free helpline you can ring on 0800 090 2309 - I am sure they will be able to point you in the right direction. 

    It is really important during these next few days and weeks for carers to make sure they are themselves being cared for and I suggest you have a look at our page on caring for the carer when someone is dying so that you get a few good tips to help you cope during this very emotional time. 

    Our section on Dying with Cancer can be a rather difficult read but it includes information on what happens in the final weeks and days to help carers know what to expect.

    I hope this helps a little and if you would like to talk to our cancer nurses about this in more detail, they are available on this free number 0808 800 4040 - their line is open Monday to Friday from 9am to 5pm (but closed this Easter Monday). 

    I really hope that you will find the support you need very soon to face the difficult moments ahead. You are not alone and many members of our forum will have been through this before and I hope that they will be along shortly to share their experience with you and give you some helpful suggestions. 

    We are thinking of you, your brother and your dad during this challenging time. 

    Warmest wishes, 

    Lucie, Cancer Chat Moderator