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Saying Goodbye to Someone You Love

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Mary Kay

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Apr 3, 2009
12,873
2,328
West Tampa Fl.
Mike,The kids, my cousins and I are now at the point where we are saying goodbye to my Mother. Her mind is more and more confused. The few times she is 'With" us is rare. She still remembers me, but confuses me with the nurses. She thinks they are me. I have asked my cousins to come down soon, in the next few days before she is not able to recognize them.
Mike will go up to see her with me tomorrow, normally I won't let him near a hospital for fear of what he might catch. My kids are coming up this week to see her too. My older grandson will go up but the younger one has a bad cold, he may not go up or even come up here.
I believe in talking to the very ill about death and dying (if that is what they are facing). It gives them a chance to express themselves about leaving and what's to come. It also gives them the chance to say goodbye and what's in their hearts. They like to make peace with this world and the next. Most people are too uncomfortable with this, My cousins are in denial about her impending death. They think she can come back from this. If she does what is she coming back too? A mind that is gone, a body in crisis, a life of nursing care, never being able to do anything for yourself again and being treated like a child.
I bring pictures of her and her family every where she is. Sometimes she wants to see them and share them, at other times they make her sad. So many in the pictures are gone now. A natural result of out living everyone of your generation and above. The nurses need to see her as a person who was once young and happy, it helps them see past the old lady who is now in their care and to treat her like someone they know.
This is hard on her, She is scared of dying but knows she is. We talk about my grandmother, grandfather, my sister who died at 30, 23 years ago and my Uncle, her only sibling. I tell her they will be there for her.
She has seen a Priest and had last Rites and Communion. She has to be reminded of this though.
Mostly we talk about the happy times we had, I try not to let her hear too much of the Nurse stuff, but let her listen to the Doctor. It's not as scary when they talk about her health. The nurses discuss procedures which is a bit scary.
The procedure of Death and dying is in steps, one thing goes and then that causes something else, like domino's. Once you get past a certain amount of problems then there is no coming back. That is when hospice takes over..we aren't there yet, even as bad as she is. For now I will let them do what they can, but as soon as she passes the point of no return, I will have her moved back to the nursing home and start hospice.
All of this stuff is hard to do and to make decsions about. You feel like no matter what you do is up for discussion and criticism.
The cousins think I am letting the hospital and Nursing home get away with managing her care badly. They refuse to understand she is never going to recover and this breakdown is no one's fault, it's the natural progression of death.
One of the nurses told me he thinks Nursing homes, no matter how nice are places to go die, not to get well. Another one is telling me to make my goodbyes.
My neighbor is telling me about hospice in the home, like her mother did for her dad. Her dad was home for 18 hours before he passed. He was also a heart patient with his full mind. She is appalled that Mom is in a Home (was in I should say).
So far Mike is agreeing with me, because he knows Mom. If she was here, I would not get a second's peace. I don't care how many people are here to help her, it's me who she would call.
O.K. now that I have rambled on forever..you guys can have a go.
 

SudokuGal

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Jul 15, 2009
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USA-Florida
Oh MaryKay, my heart goes out to you. You do what you have to do for yourself and ignore everyone elses opinion.

I think I mentioned that my sister (who was 80) died in March. She had fallen and broken her hip. Because she has had chronic bronchitis her whole life, her lungs weren't in good shape. She was also diabetic. The first week the hospital staff was trying to get her well enough to have surgery. She came through the surgery fine but they couldn't get her blood levels back to normal. It was touch and go for 3 weeks. Fortunately, her mind was clear so we could say our goodbyes. She didn't want to leave us, but she said she was tired and knew it was her time. She passed while her husband of 54 years went for coffee, so I was alone with her. I'm so glad she went peacefully, and as hard as it was to lose her, I wouldn't have wanted her to suffer and surely she would have. We can keep people alive, but at what cost emotionally? My brother, who died at age 81, spent the last year of his life with dementia and was bedridden...it was awful to see him suffer so.

I'm crying for my own losses yet again, but mostly for what you're going through now. I'll be thinking of you.
 

Kate51

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Mar 27, 2009
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Argyle Wi USA
I've seen in our family the denial you talk about. A comment was made by one of our kids when Gramma was failing, she couldn't come into her room past the doorway because "I just don't want to remember her like this!" : understandable to a point. But we went out in the hall way. And I explained to her that one day she will be here (figuratively) and wouldn't it be something if no one wanted to see you "this way"....she looked at me funny, turned around and went back in the room. And actually hugged her Grandmother and said I love you. Yes, it's hard, painful, excrutiatingly sad, but it is reality. We have to accept real or we can't heal, that's what Mom always said too. Sometimes hard to understand what that means, but it's not about us it's about the person who is failing. When that is over, my husband and I try to explain that it's ok also to touch that body. I've always had to do that, those hands especially, those hard working hands. Hubby's oldest daughter will not approach a casket. And keeps sobbing for years because she just can't believe it's real, they're gone ?? Reality is relative I guess. But everyone grieves in their own way.
 

Mary Kay

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Apr 3, 2009
12,873
2,328
West Tampa Fl.
I am up to my ears with this. Mom is so very ill, her kidneys are not working well, the lasix isn't working to help her lose all the water. She is just swelling up. Today she knew who I was only after I spoke to her. The MRSA is still in her system and she is weak as a baby.

She was better yesterday by a bit, my son came up with me, he was here for the day. She had a hard time remembering his name. The first words out of her mouth were "I am dying". He was shocked.
Mom has always been very forceful, not a passive person at all. This was new to him.

Later she asked me to take her to Keystone (cemetary where all our family are buried). I told her I would rather take her there after she died, if she didn't mind. She laughed out loud. That's the first time in a long time she has laughed.
Today she just said Hi and asked me to remove her covers as she was hot. That's all she said.

The Hospice Nurse came up and explained to me about Hospice and how it's paid. Medicare will pay for a hospital or nursing home if she needs skilled nursing (not just meds, bathing, meals and social activity) or it will pay for Hospice at home or in a Hospice facility. They will not pay for both a hospital or nursing home and hospice. That's where medicade comes in. Mom is not eligible because she has a small retirement a bank account and owns a home. None of which amounts to much. Her SS is very small because she was a Gov. employee and they (at that time) didn't fall under the law that says you have to take it out of your pay. Her home is over 50 years old, but it's cement block and in good condition.

The only Hospice nursing home is 2 cities away. She said I could spend the night! And who takes care of Mike? He has been very sick with God knows what. Flu, cold whatever. I can't stay away for days at a time.

I am going to let the Hospice thing go..the Dr. is pushing for it because they can give Mom drugs the hospital cannot. (snowing, putting a person under enough drugs that they don't know what is happening and feel no pain) They also provide extra care for her (pastorial care, comfort care and an aide round the clock.

It's kind of creepy to be honest! Like sitting Shiva (a Jewish tradition where people morn the dead for 7 days at the families home) except for a live person. I am fairly sure Mom would hate it..all the tippy toeing around and the fake concern. My way is better, tell like it is and make them laugh.

She is ready to pass and I hope she goes quietly and gently in her sleep.
 

Kelly79

Guest
Jul 7, 2009
686
1
Alaska
I can't imagine what your going through. This really brings home all my family went through when my little brother died of fibrous tumors (I was in Italy at the time and they chose not to tell me what was going on till it was too late.) The tumors had wrapped themselves around his lungs and were suffocating him but he fought to live, not because he was afraid to die, but for the parents who were taking it hard. Finally they made the decision to let him go, they took him off the respirator, and gave him some morphine so he wouldn't suffer the pain and fear and torture of the suffocation that ended his life. I never have been able to comprehend all they went through in the preceding weeks, but your posts about your mom is helping me to begin to understand.

I hope that when it's time for your mom she goes with all the peace there is, and that the time she has left will give your family a sense of closure and serenity.
 
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