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The current situation is this hospital is allowing her to sit in feces and open wounds and claiming they can’t move her. My mom is obese and tall and this nurse just told me this. I have been told even before it got this bad that she is heavy and they don’t have anyone to move her. After the arrests two weeks ago, she is nonresponsive. She has internal bleeding that they couldn’t check which requires biopsy and the nephrologist won’t do dialysis. The reason I am reaching out is this… I know she is passing but why all this confusion. I said go ahead with the trach last week and the surgeon calls and said she doesn’t want to be the one that kills her. Then she said the reason the docs are just wanting to turn off vent is because they need the ICU room and to get out of this facility for however long she has left. Also that the next step is an ethics meeting. How is it ethical to allow someone to sit in soil and not clean them but unethical to abide by their wishes? Also the care coordinator called on Friday to see who the medical Poa is claiming it was to update the record. I think they are trying to do whatever to expedite her out of here to save money when I tried to have her moved before it got like this. Accepting she is passing is not enough., to them it is not soon enough. But my question is can they try to take away her rights or mine in this meeting? This same facility barred a family from seeing their parent due to them administering some alternate treatment that the doctors did not agree with. They had to go to court to get their rights back and he died several days later at another facility. I sure wish I could move mom… no one should pass where they are not wanted. Ty for all advice.

This post really breaks my heart.

Your mother is being kept 'artificially' alive. The vent is making her breathe. The reason a Dr doesn't want to do the trach is probably b/c your mom will NOT breathe on her own and she may likely pass on the operating room table. No Dr wants to be a part of that.

Simply (well, it sounds simple, but I realize it's rife with emotions!) removing the vent and making sure mom is comfortable and out of pain--she will pass within minutes.

You do have to ask yourself the very hard questions: "Am I capable of making the decision to remove all the equipment she's on that's maintaining a very low quality level of life?" If that answer is no, you can't, then you have to live with the results--mom can be sustained on a vent for a long time. She's not getting better and she won't.

Is this what she wanted? Did you ever discuss EOL wishes with her?

The hospital is caught in a bind: they don't want your mom to suffer and they know a LOT more than you do about her actual status. I'm sorry, it's very, very hard.

Do you have POA?

The hospital is making very little money on your mom as a patient. They're not going to turf her to another facility, they want to give her comfort and peace.

I think this committee may meet and discuss your mom and make recommendations to the family as to what they can do for her, but it will be up to the family to make the final decision.

I wish you peace and calm as you move forward. This is really hard to deal with, I know.
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Reply to Midkid58
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“This same facility barred a family from seeing their parent due to them administering some alternate treatment that the doctors did not agree with.”

Well, yes, absolutely. Doing something this stupid will get you removed from the hospital, yes.
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Reply to Bulldog54321
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She is not living, she is dying. Fighting with them about moving her is senseless. It won't make a difference. It sounds like the family is having a hard time letting go. I'm so sorry. It is not easy. Take a breath and really think through what your goals are. To get her cleaned up and comfortable? Why not turn off the vent and let her die naturally instead of extending her suffering?
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Reply to ShirleyDot
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Also, if the hospital suspects she is brain dead, you will have a hard time finding a doctor to do a trach because operating on someone who is brain dead is unethical. It’s futile treatment, and doctors have the right to not perform a medical procedure on someone electively when they are likely brain dead.
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Reply to Bulldog54321
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Have her assessed for hospice if the doctors think she is passing. Hospice is covered by her Medicare. Not home hospice, but in a hospice facility.

I'm so sorry for these distressing circumstances. May you receive wisdom and peace in your heart on this journey.
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Reply to Geaton777
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In most states, if the patient meets criteria for brain death, the hospital can remove a vent: this from internet: "In cases where the patient is brain dead or has no brain activity, the hospital may remove life support, but this decision should be made in consultation with the family3.". The patient must meet the legal definition of "death" per state law. When a patient gives organs they remain on a vent though legally declared dead, until the organs are harvested; that is the norm.

It is excellent that this will go before the ethics committee. They are there to explore all options, all laws, and reassess whether life exists according to verifiable measurements of same. They will call in the experts. The family should be/will be involved. We cannot be privy to the details here, and there may be some that you, yourselves are missing. When there is no longer any chance of any quality of life whatsoever or any return of brain function, Hospice may be brought on board.

If you feel this hospital isn't being just, call Joint Commission on Accreditation of HOpsitals, JCAHO, which numbers you will find online.
Wishing you good luck.
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Reply to AlvaDeer
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Isthisrealyreal May 4, 2025
My personal experience, the family was told what was happening and that we needed to make a decision about pulling the plug.

I think what you posted says this, just in a different way.
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Trying:

Have you any updates for us on how you are doing, and on your mom's condition?
Thinking of you.
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Reply to AlvaDeer
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Please have your mother transferred to a hospice home where she will receive excellent 24/7 care and be able to die in peace.
Your mothers Medicare will cover the transport charges along with the care she'll receive at the hospice home 100% if she dies within the week. After that you will have to pay out of pocket for her to stay there, but it will be worth every penny as she'll be well taken care of and be able to die in peace. And you can't ask for more than that.
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Reply to funkygrandma59
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Isthisrealyreal May 4, 2025
Funky, I think the problem is that mom is on a ventilator and needs a trach for that to be removed, both life saving measures.
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This is so sad. I am sorry for your mother's and your suffering. I hope your mother is not in pain and she passes quickly.
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Reply to Hothouseflower
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So sorry your going through this..when.you go to the meeting ask for a member of the safe guarding team to attend . It's their role to safeguard mum and this includes your concerns about her personal care . Best of the best to you
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