Confusion and hospice care

Hello All,

I haven't posted for a long time. My OH had a good few months when we got on with living our life together and managed to get away on holiday (Off to Scotland! There are ways of getting around the lack of travel insurance) and continued working on our first ever house.  At the start of September life dealt us the usual sledgehammer and OH's brain tumour decided it was done being dormant and wanted to ruin our life again.  OH has a grade 4 GBM tumour.  We woke one morning and he had severe headaches and was throwing up. He tried to get to the bathroom and collapsed.  September was taken up with a pattern of him going into hospital, being discharged and then having to be readmitted (sometimes by ambulance) a few days later. Finally three weeks ago he was taken in and a scan showed significant swelling and shift of the brain midline.  We were told that there was no further treatment options and he was given signifcant doses of morphine to try and control the symptoms. He began sleeping all day, barely talking (yes/no answers) and not wanting to eat.

He was moved onto end of life palliative care and referred to a hospice.  The doctors told us that it is very difficult for them to predict brain tumour end of life 'timelines', especially as OH is very young (just turned 30).  He was transferred to the hospice on Monday and they have been super, as I expected.  They managed to control his symptoms and he started waking up more and has started eating.  I am really struggling with the unpredicatbility of everything - I can walk into the room one day to find him wiped out and quite unrespnsive and the next day to be sat up and chatting.  The changes aren't related to drug doses, as this has remained the same since his admission to the hospice. Yesterday he managed to stand using a frame, the first time for three weeks. I am so confused. The doctors have talked about trying Avastin as a treatment to prolong life but say he is still too unwell to have it. I have been trying to prepare myself but everything but I can't help getting hopeful when he shows improvement and I am scared I am setting myself up for a fall.  I am trying to manage each day at a time, it's just so hard.  Is it normal for patients to be so variable? How can he be so normal one day and then almost comatosed the next? Last week he became so disengaged with the world and I thought I had lost "him" and that we would never have a proper conversation again - this week I am just thankful that we have been able to talk and i have caught glimpses of the man I want to spend the rest of my life with.

Is there anyone with similar experience who can give me guidance or just assure me that this yo-yoing is normal? I feel emotionally drained now with the constant (and extreme) highs and lows and news from the doctors or nurses just seems to wash over me - whatever they say.

Thanks

Biscuit x

Parents
  • Hello all. Just a quick update to say it's nearly a month since my last post and we're still here. Just gone through month 6 and starting month 7 of hospice care. I don't think anyone saw this coming. On the whole he is stable although in the last week incontinence has really started and he is eating substantially less (but still eating and is drinking quite well). At the weekend he had the first seizure he has had since September (when the first crash happened). He doesn't always remember who I am anymore but is still waking up and talking to us all - still crazy halluncinating stuff. His circulation has been a bit bad and we now have to position his 'bad' arm (which has been weaker ever since he was first diagnosed) across his chest and 'up' to try and help circulation to it. He seems comfortable and tells us that he is not in any pain. Never ever imagined I'd have to see all the things I have seen at 28 years old.

    Hope you're all well.

    Biscuit x

  • Hi Biscuit, I was just reading your thread. My father in law has stage 4 Glioblastoma. 

    We are expiriencing lots of ups and downs but I think we’re just at the beginning.

    My father in law was diagnosed in May and has slowly deteriorated, well physically. He has no strength anymore but I’m puttting it down to the Dexamethasone (steroids)

    Somedays he’s wide awake and others he’s exhausted and on the exhausted days you think uh oh this can’t be good but then he perks up again. 

    The reason I say at the beginning of the rollercoaster is because he’s slowly becoming more confused and confusing dreams with reality, this has only happened this week.

    It’s quite a lonely experience. 

  • Hi Binks,

    My original post was made almost 5 years ago now, so a lot has changed, but I couldn't bear to not reply.

    Firstly I am so sorry you are going through this. Of course every family's experience, particularly with brain tumours, will be different. But I understand entirely about the rollercoaster feeling. The unpredictability makes it all feel so uncertain and uncontrollable, which it is I guess. I used to spend hours searching for blogs and other hospice care posts to try and find out 'what to expect'. Perhaps that's how you found my post? I'd then spend my time looking for signs that other people had mentioned, which was really just my brain trying to feel like it had some kind of control over the situation.

    I remember that the confusion between dreams and reality almost brought a lighthearted side to things at times, when really it was just horrendous that he was in that way. How is your father-in-law doing this week?

    I don't know if I can help, but if I can answer any questions about what we went through then I will try. Please know my thoughts are with you all and I hope you can feel a little less lonely here.

Reply
  • Hi Binks,

    My original post was made almost 5 years ago now, so a lot has changed, but I couldn't bear to not reply.

    Firstly I am so sorry you are going through this. Of course every family's experience, particularly with brain tumours, will be different. But I understand entirely about the rollercoaster feeling. The unpredictability makes it all feel so uncertain and uncontrollable, which it is I guess. I used to spend hours searching for blogs and other hospice care posts to try and find out 'what to expect'. Perhaps that's how you found my post? I'd then spend my time looking for signs that other people had mentioned, which was really just my brain trying to feel like it had some kind of control over the situation.

    I remember that the confusion between dreams and reality almost brought a lighthearted side to things at times, when really it was just horrendous that he was in that way. How is your father-in-law doing this week?

    I don't know if I can help, but if I can answer any questions about what we went through then I will try. Please know my thoughts are with you all and I hope you can feel a little less lonely here.

Children
  • Hi Biscuit

     

    I just wanted to say thank you for your posts. My brother is 31 and has grade 4 glioblastoma, having progressed from an "aggressive" astrocytoma, so it draws some parallels to your partner's journey. 
    2 months ago my brother was given a 2-3 month prognosis and he's currently staying at my mum's on a hospital bed in the living room, desperate not to go into hospice care until he has to. He is sleeping a fair bit and had most symptoms we'd expect (occasional seizures, very limited mobility, a few bladder control issues recently, his speech is mostly limited to one word at a time and is hard for him to find the right word, periods of confusion, really swollen feet etc.), but his appetite remains as strong as ever, a side effect of the steroids. 

    I found your post while looking for help spotting end of life symptoms so I could be prepared and help my mum and whilst this journey is never easy on loved ones, your story did help me understand the variability of experiences and I liked what you said "if your loved one can find the strength to go through this, so can you'. 
     

    I know your original set of posts are from a few years ago, but I just wanted to say thank you for posting them (in case you receive this) and I hope you are doing well. 


    Take care.