Plane reservations, that is. I'm flying out to San Diego on Friday, and
so is my brother. We're going to see Mom, which will be very hard.
Last time we saw her she was demented and paranoid, but at least knew us
all, and spoke in full sentences. Now she rarely speaks intelligibly,
sometimes doesn't know even the family members who see her regularly (my
sister and my dad,) is permanently bent over, and can't swallow solid food.
But the big reason for going is to meet with the director of nursing at
ActivCare, and discuss when we give up on treatment, and turn Mom over
to hospice care. Mom asked me repeatedly to "leave the pills on the
bedside table" if she was like this, but that doesn't completely take
away the feeling that we're plotting Mom's demise.
Still, I really feel that when aspiration pneumonia starts, we should
just treat her for pain, and not try to keep feeding her and treating
the consequent infections. What's the point?
Dana
Tumbleweed - 13 Jan 2007 08:55 GMT
> Plane reservations, that is. I'm flying out to San Diego on Friday, and
> so is my brother. We're going to see Mom, which will be very hard. Last
[quoted text clipped - 15 lines]
>
> Dana
There is none. Would your mother have wanted to be like this? No, she said
so. You are carrying out her wishes, and the right course of action.

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Dennis P. Harris - 13 Jan 2007 10:59 GMT
> Still, I really feel that when aspiration pneumonia starts, we should
> just treat her for pain, and not try to keep feeding her and treating
> the consequent infections. What's the point?
i'm with you. everyone in my family essentially agreed on that
about the time my grandmother died. shortly after, alaska passed
a living will law and we all made them.
from my experience, it's more likely that she'll start refusing
food and/or liquids than get aspiration pneumonia. you should
probably also discuss whether any major infection should be left
untreated except for pain relief.
Alan Meyer - 13 Jan 2007 22:37 GMT
> ...
> Still, I really feel that when aspiration pneumonia starts, we should just treat her for
> pain, and not try to keep feeding her and treating the consequent infections. What's
> the point?
> ...
No point at all.
I think all of us have faced this issue and most of us have made
the same decision. Once when my Mom stopped eating and she
was eventually induced to resume, we all had great doubts that
we did the right thing. If you worry about second guessing yourself
and feeling guilty after the fact, I can tell you that making the
opposite choice, to keep a loved one alive in the face of all
the horrible conditions they face, won't make you feel one bit
better.
Alan
Adelle - 13 Jan 2007 22:49 GMT
> Plane reservations, that is. I'm flying out to San Diego on Friday, and
> so is my brother. We're going to see Mom, which will be very hard. Last
[quoted text clipped - 15 lines]
>
> Dana
Dana,
Its so hard. No matter what choice you make, its hard to keep from second
guessing oneself.
But your mom made her wishes very clear. And you would be doing a great
thing by making decisions based on what she would want, even if they seem
'heard hearted.' It's actually a great kindness to let suffering end.
In Judaism, it is considered an important 'commandment' to bury our dead.
Not just hire someone to fill the grave, but for the mourners to actually
fill in the grave. Why? Because it is one of the few acts we can perform for
another with no expectation that they can thank us or return the favor. It
is the last kindness we can do for them. It's the selflessness that is
important. And it is considered a sacred duty.
You have the opportunity to do a similar kindness; to recognize that there
are some things worse than death; to recognize when treatment would no
longer be beneficial; to allow the cycle of life to complete its journey.
There are times, in our arrogant modernism, we think we should try
everything to prolong life. But just because we can, doesn't mean we should.
Wishing you strength at this difficult time.
Adelle