Prepare for End of Life

Fair warning - this topic may not suit everyone, so please do not read further if likely to get upset.

Why I created this topic here on this forum

I am a carer and I have been caring for my Mum with help from family and third-party carers for just over six years now. It has not been easy and perhaps we put on a brave face and “get on with it”. Sometimes I feel the need to write things down and I do so on this forum in the hope that it may help someone who might be in a similar situation to us.

Our post-stroke journey is reasonably well documented on this forum and you can read up by searching under my user name if you so wish. I may be repeating things or I may not but this is not necessarily a bad thing. Sometimes I have no idea!

Getting back to the why…
I happened upon an article on the internet with [click bait] title “Hospice nurse reveals what happens to you moments after you die.

I read it and have read similar before, and it reminded me, not for the first time that death is inevitable and we will all die sooner or later and that today is the first day of the rest of our lives.

This leads me to my Mum and I wonder what she might be thinking and how she really feels about the life she now leads which is very different to the life she led before her stroke. As her carer, I am duty bound to care for her and make her life as comfortable as possible and it is my belief her quality of life is as good as it can be. We (my siblings and I) try to do our best but is it ever enough? There are times when we see the happy side of Mum and there are other times when we see the not so happy side of Mum, when she is struggling with something but is unable to explain to us what it is she needs help with. Funnily enough, I find this reassuring as it tells me there is a real person there just like me who is happy sometimes and sad at other times, tolerant and forgiving and angry and intolerant at other times.

So how do were prepare for end of life?
Is this something we are doing right now? Just over six years ago, when Mum was in her first few weeks post-stroke and lying in bed, we were told that she was “gone” and what we were looking at was just a shell. We were told to grieve for her even though the “shell” was still there and inside was trapped someone which we believe is our Mum but which the experts were telling us was not. We were given access to a psychologist (the one who told us our Mum was gone and we should grieve for her), but we did not feel the need to use their services. Mum was still there and we were not going to grieve for her just yet, in fact, we fully expected her to recover. As foolish as this may seem, we did not know the nature of the beast that is the stroke and so we thought it is just another illness and Mum being Mum she will recover as she always does.

We all receive such information differently and my younger sister cried when we were told [in a not so diplomatic/sympathetic manner] and was inconsolable for a while and I was putting on a brave face. My elder sister did not show too much emotion so again she may have been putting on a brave face. I told my younger sister not to worry about what the consultants were saying because they did not know our real Mum and they may be following a script that protects them from potential law-suits or something, or that they are just doing their job.

In time, we brought the “shell” home and we have looked after the person inside the shell who is clearly our Mum. Every now and then in subsequent sessions with certain consultants we have been told that Mum is in palliative care and that is about all we can do for her. I take that to mean we are Preparing for End of Life for her, and accordingly we have been doing so for the last six years or so! Well if that is what it is, so be it.

In truth, we don’t really know where we’re at. We have the healthcare sector’s view and we have the Carers’ (family) view and they are totally different. But it may be that they are the same. We’re trying to give her a better quality of life, trying to promote independence and encouraging her to live for the day and she seems to be fine with that. Indeed, the person we see today is very different to the one we were told to grieve for in a physical sense - much stronger, more alert and more communicative in her own way.

It is hoped that when the day does come, she will feel she was well prepared to Meet her Maker!

I believe I may not be alone in facing this scenario and that there are other members of this forum who care for someone who may also be being prepared for end of life and there may be stroke survivors who themselves may be preparing for end of life. I suspect there are those that are quite comfortable with this and I have seen on TV adverts for planning your own funeral, so perhaps it is not that a difficult subject to talk about. This might not be an easy subject or something we might want to think about and now you have the assisted dying bill that may soon become law and which may be of concern to some.

Thank you for reading. Please forgive the incoherent nature of this article as I did what I often do: “a brain dump” and this is now a tired brain of an old fool who knows not what he is doing!

As the saying goes, you are not alone.

Today is still the first day of the rest of your life!

Namaste|
:pray:

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Thank you for a thoughtful a thought provoking post. A lot to think about, but one thing I’m sure of is that your mum has a loving and capable family around her, and for that at least she is vey fortunate. Whatever the future holds, make the most of now.

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@manjib

Thank you for being so brave and posting this, there is nothing to forgive when you are sharing your truth. Your mum is an incredibly lucky lady to have you and your siblings in her life.

We went through a similar experience a few years ago with my 93 year old mother in law. She had a fall and broke her hip aged 91, the hospital wanted to put her on palliative care and starve her to death, they said she would never recover from the broken hip and they had also found lesions on her brain which meant she was losing the ability to communicate. She was practically deaf and nearly blind at this point.

But as a family we decided to take her home and continue to care for her. She lived 2 more years and I am grateful for those years, she was kept comfortable and even managed to stand and walk a few steps again in the 1st year. She could not hold a conversation because of the brain lesions taking away her language but the hugs and holding of hands and her smiles, told us everything we needed to know.

Doctors are human and often mean well, but that does not mean we have to take their word as gospel. The human body and spirit is a complex thing and we should never underestimate its ability to overcome often seemingly unsurmountable challenges. Love has more power to heal than any pill or medicine

In the end there is only love and that is the greatest gift we have to give in life.

Truth be known, we are all preparing for end of life, every day of our lives, whether it be our loved ones or our own. Life is precious and the time we spend with each other and the connections we make, are the most precious of all.

Society has become disconnected from the natural ending of life that death is and the remembering and letting go of those who pass. People often shy away from talking about death and the end of life, but it is something we will all do one day, and having those conversations whilst living can help bring peace to those we leave behind

We only ever have today and your post is a reminder of the importance of living it well. Bless you for the love and kindness you share and show to others.

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Such true words. Thank you for sharing :folded_hands:

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very very inforative & great post

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feel happy after reading the detail post.thanks

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Thank you, I am glad if my words have taken you to a good place.

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Thanks Lizzie - I appreciate you sharing your experience. I think we are on the same page :slight_smile:

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What a wonderful thought provoking post @ManjiB I don’t believe your mum is a ‘shell’.she has you and your sister and that love keeps her going.my daughters and mother were told that my ‘baseline was staring at the ceiling,but my girls didn’t give up on me and put a marker pen in my hand and I began to write,yes it was unintelligible but I was communicating at last and aware of my surroundings,that’s when I met a wonderful lady,hellen who works for compass,the communication aid team at rhn.and she set me up on this iPad and now it ‘speaks’ what I type,I’ve lost my identity because I ‘sound’ like Stephen hawking.but nevertheless I get across what I need to say,albeit slow!

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I have shared some of my experience with my dad with you on a separate post but preparing for end of life is a difficult one. When we were told my dad was terminally ill we had the conversations around what he wanted to do when the time came, funeral arrangements etc etc. Caring for him was hard - my mum did most of it but nearer the end I and my 2 sisters took on some ofnit too. I often say we lost my dad many months before he passed as he became a different person & the last 3 months or so he was pretty much out of it & didn’t know what was going on. We still talked to him like he was still able to understand and communicate though.

Your mum I think, whilst being non verbal, would soon let you know when enough is enough. And however much you prepare you are never fully prepared in my experience. She has a great supportive family around her which I am sure she appreciates.

Best wishes

Ann

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Forgive my poor advice, dear friend

My Mother’s last words to me were “be a dear and get me a glass of wine!”. A minute later she was gone. I felt so inadequate, and would have done anything to give her that glass of wine, but alas, this was a hospital, after all.

One could argue she had been living in a shell for a year, but I knew she was still in there. The “shell” is something we say to make life more comfortable for us. You must remember to look after yourself, Manji, since you will remember this period as a trying one. (Look after your tingle). Yet, it should be filled with positive touches; your dear mother would want that, I feel. The way I lost my Father is even harder to talk about, but perhaps I will one day.

For now, I wish you much courage and love; you radiate a lot of joy and wonder, and you’re obviously a very caring son.

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Nameste ManjiB
Thank you for posting this. Stroke or no this is not an area discussed enough.
I looked after my wife at home during her last few months and in the latter stages very much what you describe. Our loved one is still there you pray and would give anything for more time but despite the fact that, as our palliative care consultant put it, the lady there is not the lady you know. And yet she is and always will be,
From all you say you have done an amazing job of looking after your mum and at whatever level she will know this and be prepared for whatever is next. You mum sounds an amazing lady.
I won’t lie the end when it comes may be very hard everyone is different some say a sense of relief that suffering is over and that may be so. My own experience was one of utter desolation and heartbreak.
But whatever emotions you have remember to live the life you would want them to have were your positions reversed. This will not be easy at first I won’t go on about my own journey theres not enough space but happiness will be found again. You will never forget your loved one and that is right but life is good even if not the one you both planned and hoped for…
I hope my experience is of some use it’s such an enormous life event. All you say your mum will be so proud of you I wish you the very best.

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