I have posted on here many times and answered questions every now and then. Dad passed away Oct 7th 2013 from Liver Cancer . He was in a hospice facility for 11 days until he died. The day before he was admitted he was in the hospital and was talking,eating and very clear headed but his ammonia levels were high and he had been very combative, not eating and wouldn't take his meds for 4 days at his nursing home. ( He was in for a Psych Evaluation.) The hospice worker talked to me about admitting him instead of returning to the nursing home. I agreed to this and arrangements were made. He was transferred later that day and was alert and in good spirits. The next morning he was unresponsive and stayed that way until he passed. They gave him morphine and ativan around the clock. He never got any water but they did cleanse his mouth and moisten it with swabs. It seemed like he could hear me the first few days because I would shake his shoulder and say "dad". His eyes seemed to be moving under his eyelids and his mouth would move slightly. I did ask about them lowering his dosages so he could wake up a little. The nurse said he was getting a very small dosage already. I just wonder if the drugs made him unresponsive and if less was used he could have ate and drank and lived longer. I know it was time for him to go but I'm kinda puzzled about his going from complete alertness and straight into unresponsiveness so quick. The nurses did a Great job. I myself don't know how they do it. They treated dad like he was their baby. So gentle and compassionate. I was just wondering if anyone else had the feeling that death felt a little rushed once their loved one was placed in Hospice.
The infection finally got so bad from never being treated. She was saved by a good doctor though. She was still unconscious from the original drug overdose, but her skin healed up for the first time after just two days of treatment. She had actually been sent to icu because of the overdose when the infection got bad. She was getting as much adivan cocktails as the staff wanted to give her while she was unconscious from the original overdosing. Then they were saying she was having stroke like symptoms, seriously, what do they expect. All the nurses had to do was call out dnr and adivan and they would rush it over to her. When I saw that I was shocked. The nurse was a little frazzled and surprised to see me so soon. She did not expect me to come in at that time. I was supposed to have still been waiting for them to set her up in the icu. She told me with a little nervous voice and acted somewhat ashamed, that I could say no to the advain. I told her will yeah she is unconscious and she is in here for an overdose. She just gave me an uncomfortable smile and that was that. This was not the first hospital that this happened in. The exact thing happened for the exact reason at the original hospital. It was on her chart that she could not have the sedatives and I explained it the staff and mom said no too, but I walked out for a second to run to the pharmacy and when I came back she was drugged into a coma. I also looked at them in shock and they also told me in the same way that the other nurse told me that I could say no to the drugs. This was also while she was recovering from a previous drug overdose. My mom never had time to recover before she would be overdosed again.She could not tolerate it but then again who could tolerate that much deadly drugs. It almost killed her on other occasions. She must have been so weakened from the overdoses over and over again. Even though she was unconscious she was getting much better after the infection got so bad.Her skin had cleared for the first time during this proper treatment that she got for 2 days in the hospital. Her vitals came back to normal but she still needed to be treated.
She was then transferred back to the hospital that did her procedure. This happened to be the same hospital that would not treat her for this infection when it was still a skin infection, even though it had been diagnosed. Some how we thought that they would treat it. All records had been transferred over to this hospital explaining the treatment and what she was diagnosed with etc all the details and the nurse had also been told what my mom had. The nurse knew of the treatment and knew that it had to be continued at least for two weeks to a year. I explained it to her but she knew already she had some knowledge about this. They instead treated it with antibiotics which will only make the infection worse. As soon as this hospital took over with the antibiotics the infection on the skin came back and she started going down hill. In the charts it said that there was a meeting of doctors who decided because of her age she did not deserve the treatment maybe not in those words but if you read between the lines you would see. They also made up that she was terminal and only had less than six months to live.Since she was elder and unconscious they were able to say that one of the things she was dying from was end stages of alzheimer's and many other things that elders can get. all of them the investigators found out to be wrong. It is amazing how well the medical staff was able to manipulate everything to get what they wanted. At the very end she swelled up cause she was dying like at the other hospital before she was treated. When that happened hospice took her off of piccline food and gave her as much insulin as they wanted to. The other hospital was always carefully monitoring her insulin level.The good staff at the other hospital said that even though she was on the picc line that she still never needed any insulin. So she was not given any. They did right by her.When she was bloating up and her body was shutting down they not only kept the antibiotics going and still would not give her the anti fungal meds they actually put the needle in her neck to make sure she would get enough antibiotics as if she was not getting enough to kill her. The nurses knew her history from the other hospital and I had also explained it and they knew of the proper treatment. If I was in that position I would definitely not use that antibotic on someone with that serious of a fungal infection. They even knew better. Since they knew better I thought they would do right by her but I was so wrong and really I should have called 911 at the beginning. I did not protect her enough. I dont know if I could have done anything to get them to listen cause they always did as they wanted to no matter how much I protested and I was afraid that they would just call security on me if I complained too much. It was all so unbelievable. I felt like I had no other choice but to trust them and that was very wrong. There just has to be laws in place and reinforced. Euthanasia of any form is not allowed in this state but they are getting away with it cause no one wants to deal with it.It is just easier to sweep it under the carpet. When my lawyer( who was also a medical doctor) went over the medical records he also did not want to deal with euthanasia especially with an elder. He knew it was done but he did not believe in it himself. He worked in one of the hospitals that she was in. I just don't know how anyone can just euthanize a real human being like they are a dog and then to top it all off a healthy human being. WTH are sickos like this working in the medical field. I am usually a pushover when it comes to punishment, but in this situation these monsters deserve punishment like prison time. An example needs to be set so monsters can not get away with these kinds of things. I have not even spoke of all the abuse that took place by medical staff this is just some of it.It is just does not feel real how this can happen with ones that you are supposed to be able to trust. I wonder how many times this happens where the family is unaware what happened. I knew because she was healthy and I knew my mom well.
Medicare pays hospice 100% of costs of care. HMOs save a lot of money not treating elderly in the emergency room or the hospital because they don't have to accept Medicare payments which are far below private pay. From their perspective It pays to put elders on hospice. Most HMOs have an in-house hospice. In the assisted living facility where my Aunt lived, I was asked every so often to place her on hospice. I don't know what their motivation was, but my Aunt was having a choking episode, turning blue and the facility nurse called me and asked me what I wanted to do. I said take her to the hospital, but that didn't happen until I had the doctor give the order.(she coughed up a wad of phlegm and was fine). At the hospital, I was told by the RN that the EMTs had told him the facility was trying to force hospice for my Aunt, by not calling for help. This was outrageous.
I moved my Aunt, and the new facility only calls hospice when the patient is in a serious decline, has stopped eating and is withdrawing from the world. In other words, days from death. My Aunt is in good health, still eats heartily, loves to do things and is happy to enjoy her time with family and friends. I will protect her life until she is ready to go and that is not having a problem with making peace. It's respecting her life until it's over.
I have heard many times that even if patients are coherent, eating and enjoying life, they are drugged and given meds to "ease their breathing". No, to depress their breathing until they die. . It sounds so harsh, but I've heard these stories from friends who have lost parents for years. If you haven't been through it before, you trust medical professionals, and you don't realize what is happening until it dawns on you how awful it is. Caregivers suffer horribly when this happens to a loved one. We arent' given enough information about what is really going on. We all want a peaceful death for our family, even if it's rare.
We need to know more about what we can demand ethically from our medical providers. I sure want to know where the lines are. When my doctor gave the order to move my Aunt to memory care, he gave them a list of all the orders she would need as a dying person. He told me to stop all medical care. I didn't. She will be monitored and cared for and kept comfy until she's ready to go. Just not with that doctor.
It's good to hear some real life stories that are different from the OP. Everyone's stories are not the same just as everyone's death experience of their loved one is not the same. I'd never discourage someone from at least checking out their local hospice. They were a godsend to my family as well.
Thanks for listening all. He's been dead for 5 years and I still miss him in every single corner of my life.
My dear dad has been gone almost five years. He died in a hospice house and I would'nt change anything. They taught me how to moisten his lips with a q-tip when he couldn't take liquids any more. Hospice does more good than harm.
I'm sorry my comment made you feel bad. It certainly wasn't intended that way. I don't want to hurt anyone.
Chemotherapy saves millions of lives every year but the side effects are horrendous and sometimes life threatening in themselves. Medical professionals are dedicated to saving lives not taking them but at times the only available treatment may be worse than the disease but patients cling to the hope that this last thing may just prolong life. Think of the distress of someone with end stage kidney disease dragging themselves to dialysis week after week. They will die in the end and the way they die will be little different from the way they would have died 50 years ago when dialysis was not widely available. Organ transplants are another modern developement but rarely are they such a perfect match that anti rejections drugs can be avoided. For most people it is worth the risk because their lives can be extended. During WW11 airmen shot down into the ocean with their flaming planes did not suffer as badly from their burns as other burn victims. It was assumed that it was the salt water that was so healing. Treatment for burns became to immerse the patient in a salt water bath which was probably very painful. These days better treatments have evolved but the lesson learned was to exclude air from the burnt skin. currently in the news again is the bombing of the Boston marathon. In recent years the use of tourniqets to stop severe bleeding had fallen out of favor in preferrance of special wound dressings and application of direct pressure. Some of the caualties whoose limbs were blown off would not have survived more than a few minutes if people in the crowd had not had the presence of mind to remove their belts and tie them around those severed limbs.
Of course there are evil people from all walks of life who do things for evil reasons as we see on TV every day but the majority of medical professionals are devoted to relieving suffering in whatever way they know how.
These sedatives alone cause death and the person does not even have to have any disease.You may not need hospice at times cause sometimes the hospital will be glad to start these deadly sedatives, then hospice can finish it.So very wrong when that happens.
People have to be very careful who they chose for their medical care(hospitals), especially when it comes to elders.It does not just happen on tv it happens in real life also. That is what I found out.
My pain is not controlled with Percocet. My case worker is going to talk to the doc about putting me on methadone for chronic pain and keep the Percocet for breakthrough pain.
I don't feel they are trying to evict me from my body to get me off the program. Medicare pays for six months and then after that hospice has to eat the expenses. However they have some clients that have been on hospice for years.