Changes in skin color and temp

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The elderly retired Colonel for whom I am primary caregiver is, I believe, showing signs that life is ending soon.

His hands, feet, nose, and ears feel cold, even in a very warm room (they keep two fireplaces and radient heat going all the time). His hands look strange - with light yellow fingers, and somewhat mottled palms. His feet are similar, but the toe area isn't as yellowish, just lighter than the rest of his feet. He's cold, and night before last I wrapped him in a flannel sheet I had tossed in the dryer for about 5 minutes, then topped that with a blanket. He was so weak, he only very softly said "I'm cold" when asked if he was okay (that's why I did the blanket thing). I have zero previous experience with this level of decline. I'm just wondering what to expect next. I'm spending this evening and all night with them, then Monday night, and 24 hours Thursday. They are supposed to be flying to their primary residence in California on the 8th. I find that to be very strange, and ill-advised, as both of their children live here. The two children have airline tickets and will be accompanying them on the flight. I, along with another caregiver, will be preparing them and their luggage for the trip.
Hmm. Guess I wonder if anyone else has seen the end of life come preceded by this sort of change in appearance and temperature. It's unsettling. But if any of the caregivers were to actually be there for his journey across The Great Divide, I hope it's me, just because I've earned the title "favorite", and he seems to rest better with my presence. I'm loud, laugh a lot, and make sure we have fun every day. Seems like an odd mix, but it works for them. How do I prepare for what I may have to witness? How do I know the time is getting close?


Ruth, I don't think your Colonel will be making that flight, unless there is something treatable like an infection that he gets antibiotics for right away, or severe hypothyroidism. A home hospice nurse could possibly help you. You sure seem to be doign the right thing if they do not want any more interventions for him, keeping him comfortable and in the company of a trusted favorite caregiver! Have you let the children know about this develoment? Have they already decided about ER, hospital, other interventions to be done or withheld?
He has a POLST indicating all life-sustaining actions are to be taken. He was so weak this morning I could barely get him to his chair from the bedroom. His son, daughter, and grandson are all flying with them next Saturday. I have no "say" in the matter... This morning the Colonel was on the potty and his poor head dropped down, he started fiddling with his fingers, and he said "I'm going to miss you..." to which I replied - "You're not allowed to say that right now." gah. Why do I have to care? :-) No, actually, I'm thankful that I do care, and they know they're loved.
If it is what it sounds like it may be, he could be within days of his passing id say within a week. It would not be advisable I wouldn't think for him to make that trip. Has his dr. Been contacted? If he is to have life saving measures there may be something they can do. I did see one gentleman completly moddled and in the final stages who was sent out to the hospital and recovered but only for a short time. Normally when they start moddeling along with the palms the fingers will model to, and become cold and stiff. Normaly when someone is in that shape they are to week to get up and most I have seen are bed ridden at that point. They ussualy just leave them in bed and give em comfort mesures. Is he on hospice as well? One important thing is to turn and reposition him every 2 hrs for comfort as well as to prevent painful bed sores.
Thank you, allshesgot.
As of yesterday, he is totally in the wheelchair with just a little bit of standing, supported, for post-toilet cleaning, etc. When his son saw that he was unable to stand, he cancelled all the flights. Today the Colonel cancelled his 35-year membership at the Country Club in California where they "live". Looks like he'll breathe his last breath in Washington, and will never see his old home again. That realization has kicked him in the gut. He was falling asleep already this morning as I got ready to leave after the overnight, and he'd only been up a couple hours.
Last night he was finally comfortable in bed at 11:30pm, and then got up around 3am for a Depends change and repositioning. He did make it to the potty, in the wheelchair, and managed to stand long enough for me to pull things up and down for him. I am afraid he doesn't have much time. We're going to start the .... oh what do you call them.... sheets that allow you to help a patient turn in bed. Because this client is SO demanding and difficult, and very hard on all the caregivers, the agency admin is changing shifts around. I won't have to do any more 84 hour weeks! I'm tellin' ya, I do NOT know how family caregivers do this 24/7. I love the couple deeply, but .... wow. If I get a call that he's failing, though, I'm racing down the freeway for a final hug.
Ahh, im glad his son did the right thing. Its so sad that he can't go to ca one last time, a hard decision im sure. My grandmother was supposed to go home with hospice from the hospital one morning and when my mother went to get her they said she wouldn't make the trip, she passed away a few days later,and my mother in law was fortunate enough that when we told the dr. We would take her home one morning they had her there at home at 11 o'clock that night,many loving people worked so hard to get her home so that she could pass away there. She made it for a week. He will likely fall into a type of coma,sometime in the next few days. I have seen people hold on for two weeks or better, usually within a few days after they start moldeling heavy,then I have gone into rooms of people that seemed fairly ok and noticed modeling and they would be gone in a few hrs. I took over on days for the night shift one morning and as I started dressing a resident, bragging what a good girl she was being for not kicking and fighting me, the pieces slowly started coming tohether and I realized she had passed. They said due to her temp she was probably passing or had just passed as I came in to take care of her, I absolutly lost it. I don't know why,I had taken care of so many that were passing but something about it reaaly upset me. He is so lucky to have you,it sounds like you probably enriched his final chapter.
I posted an update in the "surly bonds" post. The Colonel has, amazingly, still clung to life. He rallied for a short time, and now is very close to death.
God bless you both!
ruth ure a wonderful person . my daughter is a cna , goes to elders home to give em baths and a coompany for an hr to 2 hrs . they all love her , one time one called her and told her that lady has passed away , oh my daughter flung on to me and bawled onmy shoulder , says that woman is so sweet 1 her kids dont come around mom !! she was so torn up , i tol dher she s much happier up where the lord and all her love ones up there , its better for her , she calmed down some , whew , we need more people like u and my daughter , my hugs to u ruth !! xoxo
Ruth, you are a dear, dear soul. My thoughts and prayers are with you and the Colonel.
We do this because we love and care for people. It is richly rewarding. And deeply painful. Thanks to all for comments and support. I made my Colonel cry today, although he could not speak. I thanked him for making me a better person.

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