My dad has been really healthy until about a month ago, when he fell. A trip to the hospital revealed a broken hip from the fall....and a whole lot of stage 4 cancer. He was just released to hospice yesterday and I am the primary caretaker. I still have kids and a husband at home, but for now I am staying with him at his home 1/2 hour away from my own. My dad and I get along but today I had to clean up his first bowel movement. It was everywhere, and the smell was overwhelming. I felt nauseous for about 2 hours after. He's also completely sound of mind and I know this is very embarrassing for him. I feel like a weakling--I know many of you have been doing this for years and I probably sound so silly, but does this get easier? Any advice? Thank you in advance.
1) are you his medical Durable Power of Attorney? If not, who is? It is very important that someone trustworthy, responsible and local has this. Also financial PoA. He needs a Healthcare Directive, and also authorize you on his HIPAA release so his doctors can release and discuss his info with you.
2) Do you have any local relatives who can help you? Does your dad have any neighbors, friends, church that can be engaged until you get a handle on things?
3) Do you know what his financial means are? If good, you can seek in-home care services to do what you are willing to give up (and try to get a guy, for your dad's sake).
4) If finances not good you can contact social services to have him assessed and they can offer some in-home services.
Wishing you peace on this journey.
How does dad feel about this being so hard on you and your family because you are not where you should be?
if your Dad is in hospice care, you can have that at home or in a hospice facility. If you meet with the hospice nurse you can get a plan of care and ask for the maximum amount of help. Respite help, volunteers, cna visits, nurse visits, etc. if this won’t work for you, a facility near you might be a better choice.
You are certainly no weakling. You are there for him. If you weren’t strong, you wouldn’t be.
The course of my LO’s care was7 weeks. If you are able, focus on researching comfort care and doing what your dad wants done.
If he has a preference as to in home or residential services, I think the decision is his to make.
My own feeling is that children and teens should also be allowed to vent, visit, and/or FaceTime as they and your dad wish.
Everyone may feel somewhat better if you’re able to develop some sort of routine to balance your time between your dad’s home and yours.
Don’t let yourself forget about caring for yourself and your other dear ones.
May God give you the guidance & strength that's needed right now to see your dear dad through to his next phase of eternal life.
All the best of luck.
You must remember, as difficult a time as this is for your dad, it is difficult for you too. you are a person too and you matter. Your feelings matter. Your needs matter. It is all too easy for caregivers to put the needs of everyone else before their own, to give up their own lives so their loved ones can remain at home and keep their same lifestyle. It’s often a recipe for disaster and leads to burnout and even death. It’s said that 40% of caregivers die before the person they are taking care of! So.....please don’t forget about your needs & try to get him some caregivers.
If Dad can afford it, get help for the times an aide isn't there.
I agree with others that this will not get easier. You might get more used to it and if you have a proper amount of help, you might find it tolerable. But you need LOTS of help. Don't be a hero. Don't feel guilty. You're only human and have normal limitations.
For myself, when it was my dad, he wanted to die at home, so we had him at my house. That way I could take care of my kids and still help him. My family's routine was disturbed as little as possible. This was in 1974 before Hospice. It worked out well for me. I did have my mother to watch him at night and then she slept in the day and I took over. Some people didn't think my 10 and 8 years old girls should see it. I asked them if they would feel better if Grandpa was in the hospital. They both said, "no, because they couldn't see him". They were close to Grandpa and when he was dying they would sit and do homework with him and watch TV. It was a natural, circle of life for us. When he had hallucinations from the morphine, I just explained Grandpa was having a nightmare and he couldn't wake up from it. I realize we are a different sort of family, we believe this life is not all there is, and we all were calm about it. My telling you about this is for you to think about moving him to your house or your family coming to live with him.
Since then I have had lots of deaths of family and friends. I think it would be great to make full use of Hospice. You can shop around if the first company doesn't meet your needs. Perhaps you can hire a caregiver to be with him at night while you sleep.
It was my second time going through this and since then I have learned a lot. My heart and thoughts are with you. If I can help you please let me know. ((Hugs)) to all of you.
And Tricia: I wish you all of God's blessings. I'd like to say it does get easier, but I've found out in the last several months that would not be the truth. Now just reaching out as you have at this forum is a true sign of strength. Never forget that. Hugs and all my best.
My mom's a fall risk and I've had to stay home. Sometimes I feel I'm trapped and can't get out, but I have a strong and supportive sister and can text her all the time for help.
What my sister said was for me to take a handle on my stress before I spiral down. I take care of my mom and we get into arguments. Yet, my sister said to nip the arguments on the bud. I have to accept that my heart is racing and my mind is going crazy and I have to tell myself to shove it and wait for my stress level to go down. Sometimes I wait 10 minutes, maybe 15. I have to give myself a break and say, "I've done enough for now. It's time for me to rest." Make your mind and heart at ease.
I'm not perfect. It's not a fool-proof plan. I'm not a super hero. I have to listen to my body and if it says, "I'm too tired for this.", than accept it.
I have a part-time caregiver that helps. Caregivers are expensive, but they offer a lot of advice and experience so they can teach you what to do and give yourself a break.
I hoped I helped.
My husband used to be extremely private. When he got sick, it was a shock for both of us to be in these new roles. What helped me was watching a friend (who I called to help get him up after he fell in the shower). Our friend was so professional and nonchalant about the intimacy of the situation- covered him properly with a towel keeping respect at all times, spoke out loud what he was going to do (without too much detail, of course), addressed him with a title of respect and provided encouragement throughout. It was actually kind of beautiful, and I learned so much from observing that day.
Also, I learned how to change him in bed from the nurses at the hospital. Knowing the technique has really helped! Also finding out about disposable pads and other useful gear has helped.
In in many ways, it has gotten easier. But things are always changing, so there are new challenges.
Tip: consider buying a bidet for the toilet so he can clean himself without reaching around. It helps as long as he can still use the toilet.
It appears Dad needs Hospice Now, Please, Medicaid will pay for this and he will get the Kind of Care he needs. You are an angel for Giving up much of your Life but the Strife? Will just get worse. Mom died last December of Stage 3 Lung Cancer, It began to Travel up her Throat. Her lung collapsed and we lost her, It is so hard for Dad, But thank God my own Dad has an Angel to care for him with his own Emphysema, My sister.
Those needs can't be met without a good lawyer good medical team great social worker and united front that is on step ahead of the person.
And even then there will be hard days.
I don't know what the live in Hospice facilities are like around you or around him (another consideration) but even just to have all your options at the ready in case this does get to be too much it would be worth taking some time to visit them and gather all your info.
As to your question; Does this get easier, yes and no. It's like any big change in life, the brand new discoveries good or bad hit you like a bulldozer but as you navigate your way through, get skilled at the method that works best for you (and him) as you do it repetitively it becomes more habit and you just don't think about it as much. I hesitate to compare this way but it's like when you were a brand new mom and were faced with diaper changes and clean up, (well I don't know about you but my DH went running and it was left to me) at first it's a bit horrifying but it has to be done and soon it becomes brainless. Not the same as cleaning up your parent I know but same principal. There will be all kinds of "new" events & situations including wonderful ones. This time forces the opportunity to spend quality time and share a very special bond with your dad too, don't miss that by getting caught up in the negatives, bodily functions are bodily functions & loosing them are the disease not the person, you are so fortunate to have your dad fully present now, focus on that with him, tape conversations with him about family and family history, learn things about him you didn't know, find new joys he hasn't experienced things you enjoy maybe that he can still be some part of. Read together, garden together, paint together, puzzles...include him in your life, get his in order together, let him learn new things it will help push the negatives in the background and keep the end of his life from being simply about cancer and dying for both of you. Out of cha
She passed away after 3 months there. She was on hospice in the nursing home. They were wonderful.
Your in my thoughts and prayers.
If he is agreeable to hospice facility, that would be best. You can come and go as needed at home (find a place as close to your house as possible) and he would have 24/7 staff to handle the more private things he needs.
I am a caregiver who never had kids - never changed a dirty diaper in my life. I've had animals and there is not a mess I cannot clean up that is created by an animal. Yet, cleaning a grown adult up is very, very difficult. Never gets easier, but if you have no choice you figure it out. If you have to do it, get some Vick's rub and put a tad under your nose. It does make a difference.
But since he's dying of cancer it probably won't take as long, so do the best you can. I know this sounds awful and I apologize but in a way he's lucky because death by other means can take many, many years. My mom has had Alzheimer's for 10 years, and the last five were very severe. Bedridden on tube feeding is far from easy. Apart from having virtually no brain--she cannot even talk--physically she is doing okay because her needs are met. She is taking in the tube feeds and fluids quite well. However, I got the tube put in because death by dehydration is slow and horrible and can take 3 weeks even under hospice.
My daddy died of cancer when he was 68 years old and he was a horrible sight. He ended up looking like a skeleton with a distended belly like those third-world people. When he threw up black stuff across the room, which was blood, he died shortly after that. Mom took care of him the whole time, and she was also 68 years old. Never put a peg tube into someone dying of cancer because they cannot digest the food. Keep him comfortable and hospice will give him a plentiful supply of narcotics. When daddy was unable to take anything in by mouth, I gave him pain medication rectally because that was the only other way to do it.
Mom is now 90.
RE: cleaning up a bowel movement, what helped me was to think in terms of food in and food waste out. Some people compare it to cleaning up a baby, a very large baby. Some never even get used to changing diapers on babies.
I had to handle bad bowel issues the last 2 yrs. They way I dealt with that is to tell myself that nurses and professional caregivers do this all the time. People with children must do this too. By cleaning her and keeping her dry I was improving things by making her comfortable, so I focused on thinking I was making an improvement. You are not a weakling by any means, but a caring daughter. I wish you all the best, ((Hugs)), Katie22.