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Medical Forum / Diseases and Disorders / Cancer / May 2004delusions?
This is a tough one... I don't think it can be done... Is there a way to sort out delusions and loss of timeline due to (a) high blood sugar (on the order of 300) (b) tumor effect (c) morphine like pain meds ??? Noticed that if pain meds aren't administered for a few hours the delusions do not go away. I'm concerned about the tumor effect, even though it is shrinking from the radiotherapy, there isn't much room in a person's head for 2 lemons (I was told it doubled in size). Just trying to figure out what it all means. > This is a tough one... > I don't think it can be done... [quoted text clipped - 13 lines] > > Just trying to figure out what it all means. Hi Wolfgang, Tony suffered from both delusions and then psychosis. The delusions were put down to the morphine and the psychosis down to the tumour (he had a GBM4). The delusions could be "talked" through, albeit sometimes continuously and loads of re-assurance given. The psychosis was treated with medication (can't remember it's name something like phenobarbitone). It was probably the worst symptom that I had to deal with, because he so obviously wasn't my man by then. Best wishes Wolfgang, and hang in there. Hugs Alayne > This is a tough one... > I don't think it can be done... I think you're right. It's hard to tell from the blood sugars to the brain involvement to the dying process. Ron, I have been reading all your posts. (even though some I did not comment on). I was thinking about you (during my walk today) and what has transpired since your first post here back in July. And wanted to say "hats off to you, Ron". You said "I think providing aid and comfort to someone stricken and their family may be the most important thing I've ever done." You're right. You kept true to the patient's and family's goal of keeping her alive and reasonably independent and comfortable for as long as possible. And knew when it was time to call in hospice. You kept the family (close and extended) together and all on the "same page", despite the challenges along the way. And stayed sane (by all appearances - so far) through all kinds of weirdness (boyfriend) and other family health issues and (I'm guessing) continued to work and/or hopefully continued to have your own relax/enjoyment time (guitar etc). They couldn't have picked a better person to manage the situation. I just wanted you to know that, Ron. J Wow. I'm moved. Thanks J. That was kind of you. And thanks for not commenting when I was venting... or misunderstood something... She is home now... Hospice did not start because she claimed she didn't want them after signing herself in. I think it was another panic attack. That is ok. We can handle things for two more weeks --- then she gets the follow up MRI that she wouldn't qualify for if she's in Hospice. After that, there is documentation to enter Hospice without her specific consent. At that point it will just be visits from friendly nurses as far as she's concerned. Vans with wheelchair access are expensive to rent! A taxi ride in one is $30 plus $2 a mile. Living out in the country ain't quite as attractive as it used to be! The good news is that it looks like she will make it to her son's wedding - even though she swears she just missed it. Does anyone here have good advice on how to deal with bedsores? >> This is a tough one... >> I don't think it can be done... [quoted text clipped - 27 lines] > >J Bed sores are really tough to treat especially if they are already broken through, meaning weeping. If they are on the tailbone or the hip areas, alevyn pads and second skin barriers are your best bet. If the site hasn't broken down and is mainly just really red and sore, pad the area with 4x4 gauze after washing with gentle warm water and a mild soap, and apply body lotion to moisten the skin and keep it from chaffing. over the 4x4 pad add a second skin ( also called OpSites) Bedsores are really hard to cure once they have started. If it is seeping (draining) you will need to have a nurse check it often or show you how to check it. When Patrick had them, we flushed his with saline water when they opened, but the closed ones were washed with mild soap and water and an Alevyn was placed over the site. It helped for his elbows and his tailbone was mainly red so I would wash it and apply cream to keep the skin moist, and then I would keep him off of it. Try to turn someone who is bedridden every 2-4 hours depending on the type of mattress they are on. Ask your hospice if they can get you an air mattress to place on her bed or even a roho mattress. It relieves the pressure points. Take care. Salisha I am not a doctor, but work in a nursing home and did 24/7 palliative care with my husband for 4 months. > And thanks for not commenting when I was venting... > or misunderstood something... sometimes silence is golden or so I hear. > She is home now... Hospice did not start because she claimed she > didn't want them after signing herself in. I think it was another [quoted text clipped - 14 lines] > > Does anyone here have good advice on how to deal with bedsores? I'm glad to see that Salisha posted to you about bedsores. I didn't realize you're out in the country. If there's a doctor and a retired nurse out there, perhaps that would work for a while. I'll leave it up to you. You know what's best. It's good all the preparations are in place for when you're all ready. Just wondering what's the point of an MRI? *hugs Ron * J :) Thanks J After awhile, it feels like I know almost as much as others who when to school for years (although I did go to school for years too...lol) anyway, glad to hear you agree with my advice. Non medical to non medical...haha... I really need to finish my premed soon...I only have 2 more courses to go and then I can apply for med school but that really won't mean much cause I make too much to get a student loan and not enough to get a bank loan....I guess I will be where I am forever, unless I win the lottery!...talk care Salisha > :) Thanks J > After awhile, it feels like I know almost as much as others who when to [quoted text clipped - 5 lines] > guess I will be where I am forever, unless I win the lottery!...talk care > Salisha Never give up on your dream, S. It can happen. You've got lots of time. Even people in their 50's and 60's (or older) continue their education. You'll get there.. Hugs J |
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