The Dying Process

Hello,

Before I start I would like to say that this post is meant to help those trying to cope with the dying process of a loved one. I do not want to upset anyone but I feel that had I fully understood what was going to happen I would have dealt with things differently.

I had searched the internet for something similar to what I've written below and could only find the same old ' they just fall into a deep sleep' articles. That's not what happened for us. I feel had I been better prepared maybe I would be coping better. I want to help explain how things could be so that you can make your own decisions when you get to that stage and the mistakes I feel I made.

My beloved Mum died from Pancreatic Cancer last Wednesday night. She was 61 and we had only known about the cancer for 4 weeks. Up until the Jaundice, she still appeared realativley 'well'. Within a few days she went downhill very quickly. She was taken into hospital with a blockage in the bile duct on the Friday night and by the Wednesday she had died. This is not the course of all Pancreatic Cancers, this is just how our Mum's progressed. Far too quickly.

I managed to spend the Saturday with her when she was fairly lucid but as the liver began to fail she would only talk nonsense and by the Monday there were only seconds worth of comments that made any sense. She began to lose control of her bowels and my sister and I took on that role of clearing up the mess. It was undignified for her and I hated seeing my Mum like that. She somewhat reverted back to being like a baby, unable to control her actions almost signing when she needed water and being washed by nurses without registering what they were doing. I found these small details hugely distressing mainly out of wanting to preserve her dignity.

At this point we were talked to about her going to the hospice across the road. My sister and I had a look and it felt a much nicer atmosphere than a hospital ward. But ridiculous worries went through my mind. The short walk to get her there would be undignified. People would stare at her in the bed. The walk across the road may be cold. Would it be too unsettling to move her again? She'd already moved wards and beds several times within the hospital. So we agreed to move her to a side room within the hospital ward itself. I also knew that if my Mum heard the word 'hospice' she'd have known she was dying, and I didn't want her to know. This was our first mistake. 

Hospitals are suprisingly unprepared to deal with the dying. Their whole goal is to make people well, to cure and to send people on their way. Though all the nurses and doctors were extremley kind it felt that when it came to dying no-one, including us, really knew how to deal with it. The hospices goal on the other hand is to care for the dying with the utmost sensitivity and compassion. Both for your loved one and the realitives stood at the bedside. It's what they do, day in day out. I wish we'd taken my mum there. I think that would have made the next stage far more bearable.

The next mistake we made was drugs. By the Tuesday night she had two iv morphine needles in her arms. Sorry, I don't know what theyre called. But they administered a constant stream of morphine, in theory, to take away any pain. The doctor had taken us aside and talked about a stronger version they could give her that would wipe out any pain but could speed the dying process up. I was so against it. I didn't want to send her off any quicker like some pet put out of its misery. But I also believed when she looked in distress I would ask for it. I didn't want her in any pain.

The whole of Wednesday she was very quiet. No food or drink. In a deep sleep most of the day without barely saying a word. It was calm and after popping home for an hour to see my children all was calm when I returned. After 5 minutes of being back there, the dying began. She waited for me to return. 

It started with what can only be described as a big horrifying growl. Like something from a horror movie. She called out my name several times and begged us to let her leave. She was incredibly distressed. Writhing about, moaning, struggling. The nurses came in to change her position and I remember the roll they made her do on her side. Her face squished against the pillow. I tried to make some space for her face and stupidly we'd left her glasses on which kept digging into her. I cupped her face in my hands and asked her to just focus on me. Look at me, everything will be okay. And so she did. She stared at me with the fear of god in her eyes the whole time. I simply held her face in my hands and sshhed her like a baby. It felt like God or whoever was there waiting for her was literally ripping her out of her body. This horrifying scene continued for about 55 minutes. I'd forgotten about the stronger drug to calm her. I didn't ring the bell for the nurses to help. I think they thought we wanted to be alone with our mum. I will never forget that look in her eyes and it haunts me. I should have asked for more drugs. I should have put her out of her misery. But all i could think of was holding her beautiful face and trying to keep her safe and calm.

After nearly an hour the nurse did pop in and witness the mayhem. She gave her the stonger drug and my Mum took her last breath 5 minutes later. 

I feared a hospice but i realise now that would have been the best option. And I feared that drug but I now realise that would have been much kinder.

I know she's in no pain now and hopefully with my Grandad somewhere beautiful. I just wish her passing could have been more gentle for her.

I hope this account can give you knowledge of the other side of dying to what we usually read and hope that no-one ever has to go through what we did watching our mum die like that. If your loved one is still lucid try and have the conversation about what they truly want at the end. 

I knew it was never going to be easy. But i now realise the hospice could have made it a tiny bit easier. x 

 

  • Hello. I am so sorry for what you experienced, it's an awful thing to witness. My Dad died of the same thing on Friday, but our experience was totally different to yours.  He also had a syringe driver to help settle him as he was getting quite aggetated as he struggled with his breathing for some time.  

    Once again, I am deeply sorry for your loss. It's very tough I know. Xxx

     

  • Hi there I feel your pain my dad is at the end stage of his life in a small cottage hospital where he lives. It’s horrendous but you did the right thing my lovely thankfully he’s got a good Gp and he prescribed midazolam for agitation and he’s on a syringe driver with Fentynal. He is now unconcious and I spoke to him loads last night gave him a cuddle and told him to visualise his happy face with the sun on his face. Allyouneedislove try not to worry too much as your mum wouldn’t have felt any pain and she knew you and your sister loved her with all your hearts

     

     

     

  • Hello [@sparkle123]‍ 

    I'm so sorry to hear about your Dad. I truly know how it feels. But I'm pleased you had a different experience and hopefully he wasn't in pain. 

    I'm trying to hold it together for my 3 small children but obviously Christmas has been so hard. 

    Sending you and your family lots of love. x

  • Dear [@junie2]‍ 

    Thank you so much for your kind words. 

    I'm so sorry to hear about your Dad but thank goodness it sounds like he has the right medication and a loving family surrounding him.

    Sending love and hug to you and yours. x 

  • Hi there, 

    I read your story and could relate. Pancreatic cancer happens so fast and unfortunately for our loved ones is painful. 

    Im 25, I lost my dad to this cancer two weeks ago today. 

    I cared for him at my house, even though I felt all of his pain was managed correctly we all question our decisions. 

    I’m sure your mum honestly was comforted by you just being thrrr, it didn’t matter what room she was in or how much pain even because those last moments were with you by her side. 

    That’s all that really that’s all that counts - pancreatic cancer is a ***** and a hard journey for all involved. I find it hard to get the images of my lovely dad dying from out of my head. But you know what, he had me there someone he loved so much. 

    You need to focus although I know how hard it is, on how much you’ve done for your mum, how much you supported her. 

    She wouldn’t want you to regret or worry anymore, she’s not in pain now and I’m sure like my dad, she’d want you to be proud. 

    You sound like you don’t give yourself enough credit and you really should. Caring for a parent with this awful cancer is just hard. Yet we’ve both managed to do what was right for that moment in time - no matter what we think about our decisions now. 

    Here if you need a chat. Stay strong xx 

  • hi , I’m really sorry that your mum has died . I’m so sorry for what you all went through and for the difficult times ahead . What really strikes me though is that you are so hard on yourself when really you don’t need to be . You were brave and kind and present for your mum when she needed you the most . Death and dying is a great taboo but what you described is not unusual . It’s  not the dying we see on tv or even read about but that is what dying is like in many cases . You gave her what the dying need most someone brave and strong enough to be with them when they need it most and the power of human touch . You instinctively held her face in your hands and that was surely powerful and reassuring . You didn’t make mistakes . There is no euthanasia in the U.K. so drugs can only be administered at a level to help but not to end a life . I think she was reassured and comfortable enough to let go . 

    Taking her to the hospice would have made little difference in my opinion . Dying is dying and once again the difference is not staff memebers or a fancier / quieter room but the presence of someone’s willing to be really there during a horribly distressing time . Please try to be kind and gentle with yourself .You are a rare and good person .   

  • Hi allyouneedislove 

    my dad died on Xmas day at 9.15pm again the experience was different to yours as in all it took about 3 weeks from a cancer ward then to the cottage hospital. 

    Im so sorry you and your sister had to go through this but yes you were there and that’s the main thing your mum knew you loved her and you told her many times.. it’s so f*****g traumatic and devastating to see and it doesn’t matter what people say to you “there at peace now” f**k off we want are parents here not at peace.. much love  

     

  • Im so sorry for your loss.  I sat with my aunt last week who was dying from lung cancer.....her eyes were closed all day until the one moment she opened them and then smiled and took her last breath.  She was in local community hospital.  My mum is having palliative care for mantle cell cancer which has come back full force and as you said about the word "hospice" mum wont go there either.  We have tried to speak to her about the environment but still she wont listen.  I worked in hospital and have gave it up to care for mum so i do know the difference between hospital and hospice care.    

    But please do not dwell on decisions that were made at time of ur mums suffering and passing.  Take pride in fact that you were loving daughter who was there with her mum till the end.   And fact that your mum knew u were there.  The love cant be broken  

    Sending you big hugs 

  • Thank you for sharing. I hope that writing down your experience and feelings have helped you.

    I have recently found out my mums cancer has spread and options are becoming limited. I feel the message they are telling us is that she has done really well for 4 years but time is running out. I’ve heard phrases like “go away and make the most of Christmas” “it’s your choice, make a plan” “ you have done really well for 4 years” “as you have known it was never going to go away”

    Maybe I’m giving into this to early maybe she has more time, but I feel I need to prepare. I want to know what to expect. No one seems to want to talk about the end. 

    I am greatfull for your words and bravery. In some ways it’s been a comfort to hear what you had to say. God bless you lovely. Xx

  • Hi Allyouneedislove,

    Sorry to read about your recent loss and thanks for sharing your Mum's story in such an honest way, 

    As a society we don't talk enough about dying, it seems to be one of our few remaining taboos. Earlier generations had much more personal experience of death, as most people died at home and at a younger age than is the average now. This left them better prepared and better able to cope than we are.

    Don't beat yourself up about decisions that you made, these were done with the best of intentions and the outcome would have been unchanged wherever your Mum's final moments were spent. Her death was inevitable once her vital organs started to fail, she had you with her and she didn't die alone. 

     

    Best wishes

    Dave