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Medical Forum / Diseases and Disorders / Alzheimer's / October 2004

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Ida update

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Evelyn Ruut - 27 Oct 2004 12:49 GMT
Hi Friends,

We went to see Ida yesterday.   For those who are new, she is in a nursing
home near us, and she has been diagnosed with cancer of the pancreas and is
now on palliative care.

(We had stayed away for a little over a week since we both had bad colds,
and the nursing home asks that anyone with a "bug" of any kind to PLEASE
stay home.... but we were both well enough to go yesterday).

She has been taken off all her alzheimer drugs and it is amazing to see how
much she has declined.   I mention this because of the current discussion
about the effectiveness of Aricept.   When we got there she was in her bed
snoozing.   The nurse said she just sleeps a lot and doesn't talk much at
all, but she did exchange a few words with her son in Estonian.

She still recognizes both of us, she is just VERY sleepy all the time.   She
does get a dose of pain medication in the morning, but apparently it hasn't
worn off even by 3 PM.    They also especially allow her to sleep till 9
every day, so she gets a later start.

They say she doesn't seem too interested in her food either anymore either,
yet they claim she is not in any pain.   We asked her and she said no, and
she just wanted to go back to sleep, so we stayed with her a while and then
quietly left.

Signature

Regards,
Evelyn

(to reply to me personally, remove 'sox")

donnah - 27 Oct 2004 14:20 GMT
(((Evelyn)))
I know this has got to be harder for you in a different way...
When my brother was dying of brain cancer and opted for hospice care
at their facility, it was amazing to us how quickly he went downhill.
But he was tired of fighting and was ready to die. His only meds were
for pain and seizure control, and by his third day there, he became
basically comatose. In all honesty, it was a relief to know his
suffering had ended...
donnah

> Hi Friends,
>
[quoted text clipped - 23 lines]
> she said no, and she just wanted to go back to sleep, so we stayed
> with her a while and then quietly left.
Evelyn Ruut - 27 Oct 2004 15:33 GMT
> (((Evelyn)))
> I know this has got to be harder for you in a different way...
[quoted text clipped - 5 lines]
> ended...
> donnah

Hi Donnah,

I can relate.   While we were there, one nurse kept trying to urge her to
get up...... I told her several times to just let her sleep if she wants to,
and the nurse finally left the room.   I don't care if she doesn't want to
get up or if she doesn't want to eat.   Let her do whatever she wants at
this time.   She should have whatever comfort or peace she can possibly
have, never mind anyone trying to rethink it for her.   My only prayer for
her is a peaceful and painless passing as can possibly be had.    It breaks
our hearts to see her so lacking in animation like that, but she seems to be
seeking peace now....

-
Regards,
Evelyn

(to reply to me personally, remove 'sox")

>> Hi Friends,
>>
[quoted text clipped - 22 lines]
>> said no, and she just wanted to go back to sleep, so we stayed with her a
>> while and then quietly left.
donnah - 27 Oct 2004 16:02 GMT
Evelyn, I join you in prayer that she does have that peaceful
passing...
donnah

>> (((Evelyn)))
>> I know this has got to be harder for you in a different way...
[quoted text clipped - 53 lines]
>>> her and she said no, and she just wanted to go back to sleep, so
>>> we stayed with her a while and then quietly left.
Boydette - 27 Oct 2004 19:38 GMT
(((((Evelyn)))) I can relate....Dad is doing nothing but laying in
bed...I hate it when the nurses and aides try to make him get up when he
doesnt want to.....I asked him if he is in pain and he says no...so
leave him alone I say....about the loving deception thing when he asks
where he is I tell him in his apartment....then he says Oh Ok....I am
thinking he is just weak as the leukemia may be worsening.
Gwen Love - 27 Oct 2004 20:18 GMT
Anyone who stays in bed most of the time should be watched carefully for bed
sores.  Been there, done that!
Gwen

> (((((Evelyn)))) I can relate....Dad is doing nothing but laying in
> bed...I hate it when the nurses and aides try to make him get up when he
> doesnt want to.....I asked him if he is in pain and he says no...so
> leave him alone I say....about the loving deception thing when he asks
> where he is I tell him in his apartment....then he says Oh Ok....I am
> thinking he is just weak as the leukemia may be worsening.
Dennis P. Harris - 28 Oct 2004 03:53 GMT
> Anyone who stays in bed most of the time should be watched carefully for bed
> sores.  

That's one reason why nursing staff try to get the patients that
can get out of bed up and out!  

If sores are a danger, there are air mattresses with alterating
chambers and a pump that inflates and deflates the chambers
alternately, to help prevent sores.  They put one in my mom's bed
the morning of the day she died, since we had no idea if she
would last a day or a week.
Evelyn Ruut - 27 Oct 2004 20:21 GMT
> (((((Evelyn)))) I can relate....Dad is doing nothing but laying in
> bed...I hate it when the nurses and aides try to make him get up when he
> doesnt want to.....I asked him if he is in pain and he says no...so
> leave him alone I say....about the loving deception thing when he asks
> where he is I tell him in his apartment....then he says Oh Ok....I am
> thinking he is just weak as the leukemia may be worsening.

It is so sad sometimes, but I am just happy that she isn't in any pain that
anyone can determine.   I don't know how long she will be that way.... the
stent they put in the bile duct is apparently still doing its job.

Signature

Regards,
Evelyn

(to reply to me personally, remove 'sox")

lynn - 29 Oct 2004 11:58 GMT
> It is so sad sometimes, but I am just happy that she isn't in any pain that
> anyone can determine.   I don't know how long she will be that way.... the
> stent they put in the bile duct is apparently still doing its job.

Evelyn, so glad to hear that Ida isn't in any pain. These next weeks
can be so difficult for you and Peter. If you haven't already, be sure
to read the links in the FAQ (for the newsgroup) under "End Stages",
the ones labeled "Crossing the Creek" and "Death- What to Expect"-
they were both an enormous help to me as my mom was making her
transition. I learned more from these links about the dying process
than hospice ever prepared me for. The need for the dying to sleep a
lot is an important part of their preparation for death. And Ida's
need for you to just "be with her" (not necessarily interact) is
important as well. Keeping you all in my thoughts, Lynn
Evelyn Ruut - 29 Oct 2004 12:47 GMT
>> It is so sad sometimes, but I am just happy that she isn't in any pain
>> that
[quoted text clipped - 12 lines]
> need for you to just "be with her" (not necessarily interact) is
> important as well. Keeping you all in my thoughts, Lynn

Thanks so much, Lynn.
Signature

Regards,
Evelyn

(to reply to me personally, remove 'sox")

 
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