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How severe is his dementia? I mean, are you repeating yourself constantly all day, everyday or does he retain a portion of what you're saying?

Are you planning to treat the cancer? That alone might kill him. Chemotherapy is horrible and I wouldn't wish it on anyone. Could he do that and handle the physical and emotional toll it will take on him?

This is up to you. If you feel he can handle the news and not have it upset him, unduly, and can understand any kind of txes without getting frantic or anxious--yes, I'd tell him.

If my cancer comes back when I'm 88 (and likely I will be long gone before that!) I would want to know, but then, we don't get to pick our levels of mental acuity, do we?

If he is actively sick/miserable, then telling him might give him some measure of peace as to WHY he feels bad.

This is a sticky question and one that does not have a on-size-fits-all answer. Good wishes to you in handling it, however you choose to do it.
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It is unlikely he will retain the information, but he does have a right to know, and some input into decisions going forth as to whether to treat, or accept palliative care and hospice. You will know much better than we can what difference knowing might make for your father. I sure do wish you good luck.
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Prostate cancer alone may not have been so bad (since it's slow growing and easier to treat depending at what stage it's caught)...but kidney cancer is another story. What is his prognosis? What does his oncologist say about treatment paths? Does he have any other health issues going on at the same time that might impact treatment? I'm asking because how complex it is may dictate if or how much you tell him.

I agree with others that you should tell him, once. If he's able to retain the info, great. If not, and he is not understanding what is going on with his body, I think you can tell him whatever "therapeutic fibs" you think will be helpful to simplify your answers and his ability to understand his treatments, or pain, in the moment.

I also agree that the treatments can be very challenging and very unpleasant. I'm so sorry for this dismaying development in health. As if caregiving weren't already hard enough. I wish you success in managing whatever he requires, and peace in your heart that there's no wrong answer in your situation. You're doing your best, no matter what.
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FLTNdaughter Jan 2021
The kidney mass is very small so they are going to watch it. What I know about the prostate cancer is it is “high grade” and the dr wants a CT and Bone scan and a PSA blood test.
He is now because of his care and his temper has been in assisted living since 12/16/20.
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I may tell him once but I would put him throught no treatments. Going under for an operation would only make his Dementia worse. He will not be able to understand what is going on or what he is suppose to do. For example, if the put a stint in he may pull it out.

My Mom had bladder cancer in her early 80s. She went thru the chemo and lost a kidney. She was 89 when she passed from Dementia. There is no way I would have put her through the pain and discomfort of going thru chemo/operation if she had a cancer again. She had already lost her life. She was in a world of her own. I would have just called Hospice in and allowed her to go pain free.
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Are you or is he seeking treatment for either? (please say "no")
I would tell him one time.
Contact Hospice. They will help you keep him comfortable. They will get the supplies and equipment that you need.
There is a Social Worker, Chaplain and others that are part of the Hospice Team that will be there to help all of you.
The main goal would be to keep him comfortable and with little or no pain.
I really see no need to continue to tell him after you tell him once.
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FLTNdaughter - I am sorry that your dad has dementia. My mother does too. I often wish she would not drag out her Alzheimer's disease for years and years to the bitter end where she becomes bed ridden, in diapers (which she is now) and has zero quality of life while suffering indignity. I wish that she would depart sooner as a result of something else so that she and the rest of the family can stop the suffering. Looks like your dad now has a way out of his life of dementia. I consider that a blessing.

You may or may not feel the same way. I wish you peace with whatever your decision is.
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