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My Mom, who is 88 years of age, has had Alzheimer's Disease for 10 years. She currently resides in a nursing facility (8 years). She had breast cancer about 15 years ago and the breast was removed and chemo. One year ago, she had a small lump appear on her chest. Now, she has the lump the size of a small fist and it is cancer, has begun to ooze. She had a directive in place for no heroic measures. When the diagnosis came as cancer, I made the decision not to treat or surgery. With Alzheimer's and she hasn't know me in over 4 years, it just seemed cruel to put her through such an ordeal. She had pain - facial expressions and movements, and was prescribed Percoset. The last few weeks, she's been more agitated and appears to be in more pain. I've finally convinced the doctor to consider low doses of Morphine. That helped, but now had to prescribe more Morphine and Ativan. At this time, she is still drinking Mighty Shakes. She is much calmer and seems to be in not much pain with the scheduled an PRN drugs. Alzheimer's Disease patients cannot tell or express pain. What can I expect later from these drugs? My goal is to keep her pain free and comfy. I'm an only child (65) and I'm extremely devoted to my Christian Mom. The only thing I'm hoping is that God sends his best ANGEL to take her home and she can be whole again. The hardest thing I've had to do is watch her suffer. With the new meds, I hope we can stay ahead of more agitation and pain. Your opinion will help, please give it. I do want to be with her when she passes. I understand even if I'm there all the time, that one moment that I step away, she can go. PLEASE HELP! Thank you in advance. God Bless You.

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Have you considered calling hospice? You shouldn't have to " convince" a doctor to give a patient such as your mother comfort care.
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Bumping this post back up so folks may see again in the morning

God bless
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Dear AlzCancerMom,

I'm so sorry to hear about your mom's diagnosis. I know its an extremely difficult time. My thoughts and prayers are with you and your mom. Please try and talk to the staff about hospice care. I know its very hard, but hopefully they can ensure she does not suffer. Sending love and hugs.
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You are an only child.
There are other caregivers who have had a mother with Alzheimers and Cancer.
But I understand that is not your real question.
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Dear one with your Mom nearing the end......
This is a difficult time for you both, and you have my sympathy.
It seems to me that you are panicking and trying to figure everything out on your own.
This will not go the way you want it, even though I feel you were correct to fire the first hospice team. I hope you have found better care, and as her daughter, can sit by her side, talk about her life, how you will miss her. Can you have her trusted pastor/clergy visit now?

Did you get any sleep in the last 3 days?

How are you right now?
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How are you and mom doing today?
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