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Yes, I had come to terms with taking care of him and ignoring previous bad behavior (anger during his cancer & COPD journey). Was in hospital and transitioning to hospice at home. Early this morning RN called to say he kept sitting up (fall risk) and pulling out his nasal cannula… She said she just wanted to let me know.


That evening when I came home from visiting I was in a cleaning mode - to make room for possible hospital bed. She called when I had been asleep an hour. I thought about going back but RN didn’t sound alarmed and she had been his evening nurse 3 consecutive nights. An hour later the social worker called to say he had died. He looked like he was sleeping, not ashen and no painful expressions (drip fentanyl 10mcg and that night increased to 25mcg).


I am relieved he is not in pain but really thought he had a few more weeks. Lots of mixed emotions so I am glad I started lots of the end of life planning early. But I feel bad he died alone but comfortable. RN said they had just gone back to check on him and he wouldn’t respond… He was still warm and laying there quietly.


I know not being there was OK and we had a nice all day visit earlier (he was really loony but then asked about what else does hospice need - and not grumble to come home).


Have not had my cry yet.


This is a great source of comfort and information. Glad I found it early.

You did so, so much.

You did so much for so long.

He's gone now and it is over.

You did enough. You did a good job. He was lucky so to have you.

I'm sorry for your loss.
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Reply to Bobby9
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I'm sorry you are feeling distress. You have nothing to feel guilty for.

Just because you weren't physically in the same room when your husband died, you did not let him die alone. You had been actively caring for and visiting him. He was aware of your care and presence. He was on your mind even when you weren't there.

To me, "dying alone" is how actor Gene Hackman died.
Big difference.
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Reply to Dogwood63
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I want to say sorry for your loss. You know most people pass away when there's no one in the room. It's like they wait for everyone to go. You have nothing to be sorry for or to feel guilty about.

It's okay if you haven't had your "cry" yet. Everyone always thinks there's something wrong with them if they're not crying when someone dies. There isn't. Believe me, crying about it doesn't change anything or make it any better. Don't beat yourself up over that.

Now is the time when you need a rest yourself. Time just for you to relax and have some peace.
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Reply to BurntCaregiver
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I had a similar situation when my 90 year old Dad died in the beginning of the pandemic (January of 2021). He had pretty severe COPD and my brother and SIL were living with him to take care of him. He contracted COVID (our worst fear) as did my brother and SIL. My Mom had died less than 5 years earlier and he said not to put him on a ventilator. I think he just wanted to go be with her.

Anyway, he was in the hospital and, since my brother and SIL were both very sick with COVID, I went every day after work to visit him. He made it clear to everyone that, when he started to deteriorate, he wanted to go on hospice in the hospital. He didn't want to go home and be a burden to any of us. The hospital staff was great. They let me come in every day. They provided me with full PPE. They let me stay until I wanted to leave.

Toward the end, I made calls to his sister and his son (my step-brother) so he could say goodbye. I also called his pastor so the pastor could pray for and with Dad. The last day I saw him, he was unresponsive. I noticed his breathing changes (cheyne stokes breathing) and his skin was warm when it had been cool the entire time he was in the hospital. I wanted to talk to a nurse before I left, but they were so busy with other COVID patients that I couldn't. So, I took off my PPE, kissed Dad on the forehead and told him that I would come the next day but, if he had to go, I understood. Shortly after I got home, the nurse called me about his changes. I told her I noticed that too and asked if she thought I should come back down. She said it was up to me, but she has seen people last for days in his condition. So, I told her I would get some rest and come in the following morning. My brother called me at 11:30 PM and said that the nurse had just called him and Dad had passed away. I have beaten myself up for not going down every day since January 21, 2021. I was there when Mom died and I wanted to be there with Dad. But, some people say that he may have wanted to die alone. Some people will hold on until "everyone" is there. Others will hold out until nobody is there. I have just come to accept that I was not there for a reason.

Don't beat yourself up. If you were meant to have been there, you would have been.
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Reply to dmg1969
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You Can ask Hospice for a grief counselor or someone to tap to who Understands . My Mom was brain dead we had to turn Off the machines but her whole Family was On the Floor . My brother was given Morphine . I Had to Move him On His Bed Saturday Morning . I came home and went to bed at 2:00 Pm and Put a Pillow Over My Head and that night dreamt he was in Black Denim and he said " Karen I am ready to go , I want to leave . " and I broke down On a sea of conch shells on a beach in The Bahamas . I woke and the Nurse called me and said " His breathing was shallow . " The second call was " That he had Passed and would I Like to see him ? He Looked Like a Angel " and I said " no " I wanted to remember him alive . I then called the Cremation service to Pick up the Body . There are Many things That go On In your head : I should have Visited more , I Had no idea he had stage 4 cancer for 3 Months . I became his mother the Last year and a half of his life . Do I Miss him ? Yes I do and so you learn to really appreciate the Ones you Love because death is unpredictable . It takes a long time to heal .
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HappyNana70 May 16, 2025
KNance -

Thank you for sharing
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It’s a phenomenon my hospice doctor friend sees all the time— many many people die when loved ones aren’t there, even if they just went to the grocery store or down the hallway to the vending machines.

I think it’s going to take some time for you since it wasn’t unexpected but you didn’t expect it right then.

sending love and light to you
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HappyNana70 May 16, 2025
Bulldog -
My mom did that! Waited til we were all gone.

I appreciate your supportive & kindness. I sit on his bed at home (a couple of times a day) just sit there quietly. And yes, I know he is gone but it is tough.
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I’ve pondered whether I even want my family spending heaven knows how much time it might take for me to draw my last breath, especially since I’m 100% sure I will not be “alone”. I know there will be others waiting with me, ready to walk me the rest of the way home.
Your husband knows of the love and care you showed him. Please don’t feel bad anymore.
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HappyNana70 May 16, 2025
Thanks Lucy -
I was thinking today that his last 2 days I just sat quietly with him, holding his hand while he slept. All previous days and previous hospital admissions the TV would be on and some chit chat.

He had been in & out of the hospital since mid-December and almost every couple of weeks via ambulance when he said his breathing was difficult and twice our personal vehicle.

Thank you so very much for your kindness.
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Sorry for your loss. Remember the nice all day visit, the care you gave and preparations you were making. The time of death can’t be predicted and it’s not reasonable to expect that one person can be bedside 24/7.
 
My mom lived with me for her last 2 ½ years. She started home hospice what ended up being her final 2 weeks. On her final day, I gave her meds at 12N. My sister arrived from states away a little before 1PM and went to her room and held her hand. After my sister came out, I went in and found she had passed away. (likely passed before my sister went in) I felt so bad that I wasn’t with her when she passed…how was anything else I was doing around the house more important. 
 
Hospice people told me that some dying patients wait till their loved ones leave the room. For me, I think about the mornings I woke up early, couldn’t fall back asleep so sat at her bedside holding her hand. I look back on the care and companionship I provided in her declining years and the happy times we shared. I think about how I slept in the same room as her and made sure someone was always in the house with her.  I have to think of these as more important than sitting at her bedside while she was unresponsive waiting for her final breath. 
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HappyNana70 May 16, 2025
GNY -
Thanks so much for sharing.
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I am so sorry for your loss of a man you so obviously loved.
I understand many of us want to be with our loved ones when they pass, to comfort them.
Please realize that you gave your husband the wonderful gift of a really happy day right before passing.
If you had been there, he may not have felt the freedom of letting go.
Let yourself grieve as long as you need and in the manner you need. But don't beat yourself up over not being there. It sounds like there wasn't anything left unsaid.
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HappyNana70 May 16, 2025
Thanks JanPeck -
I told our sad little family similar (to give them relief) that if we had been there he may have lingered and he was in a lot of pain. That saddens me when I remember him telling the nurse his pain level was 8-9 (recent vertebrae fractures from the prednisone to ease hard lungs).

I will try to let go of the not-being-there.

Thank you
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May Gd bless you for all you do and did. May his memory and the memory of the love you shared be a blessing. Feel whatever you need to feel, but allow yourself grief without guilt.
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fluffy1966 May 13, 2025
Absolutely!
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I’m so sorry for your loss. Here’s the thing - you can’t change it. You don’t know if he wanted to save you the trauma of being there in that moment. It was peaceful. He was not in pain and it’s done now. He’s no longer suffering and after a period, you won’t be either. My dad just passed and I don’t know if he was alone or if one of the nurses was there. I heard it was peaceful and he just slipped away. I haven’t asked because there’s no point in knowing. His suffering (dementia) is over. We give ourselves too much credit in thinking it would have somehow been different if we were there. The only difference would be the memory seared in your head of watching him take his last breath. Maybe it’s like taking a kid to first day of school. They don’t actually remember who took them .. it’s a minor detail to them. We remember - it’s a big deal to us. This is about him though. His journey to the next thing.
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Reply to Lmkcbz
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My mom died about two months ago similarly to your husband but after a long illness with Alzheimers. The one thing I told her hospice workers and her caregivers was that I didn't want her to die alone. When it became evident she was dying, they let me know that she was getting close and I left work and went to be with her. I spent the rest of that day with her, singing and talking to her and about her to her caregivers even though she wasn't lucid. I gave her permission to die and I assured her she would be okay. She and I had a very difficult relationship throughout my life, but that day felt a lot like good closure for me. At one point, she opened her eyes and made eye contact with me for about five minutes, and I am still puzzled as to whether she understood it was me or if she would have liked to say something or if she was in pain or - who knows. My husband came to sit with us in the evening and I left about 9:30 with him because I realized that we could be doing this for days (we had already had two close calls in the weeks previous) and I needed to rest. The last thing I told her was "Be good Mom. Don't cause any trouble and don't go anywhere." It was kind of a joke for me because since developing ALZ, she had been quite a troublemaker and an eloper. Hubs nudged me and whispered "She can go if she wants to" and I turned and corrected myself and said "But if Jesus tells you to leave, you can leave." I kissed her and we left.

About 1:00 am, I awoke and checked my watch and noted that I had not gotten a call from the MC facility where she was and I thought "maybe she's going to make it through the night" and I wasn't sure how I felt about that. I had wanted her to get her release for a long time, but after having one good day with my mom, I wanted one more. Fifteen minutes later, I got the call. They had been in and out of her room quite a lot since I had left (which gave me comfort, knowing that they were tending to her in my absence). One of the nurses had just given her a shot of morphine and when she went back to check on her a few minutes later, she had passed away. Alone.

Everyone has told me it wasn't my fault she died alone, that I had had a plan for being with her and I was wise for leaving when I did because I didn't need to wear myself out. Well - yes, to all of that. My brain acknowledges that but my heart doesn't recognize my own frailty.

Here's the thing that has helped me be okay with her dying alone: Our hospice social worker said that some people seem to wait to die until someone is able to be with them. Other people wait until everyone is gone. Would my presence have prolonged her leaving? Would she have wanted to linger with me for another good day if I had not left? I know that we don't order the time of our own deaths, but perhaps in cases like this, God gives a little leeway to allow it to happen the way we want it to happen. It seems like the least He could do when someone has suffered as my mother and your husband did.
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HappyNana70 May 16, 2025
mgm-
That was very supportive of your husband. Thanks for your kindness. I do believe that our loved ones are at peace now.
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I'm so sorry for your loss. I agree with the other posters here. Sometimes our loved ones choose when to go. After defying the doctors who said she wouldn't last an hour off of the ventilator, she proceeded to pull one last trick out of her hat, and passed on the fifth night right at midnight just as David Letterman was signing off for the week. My dad and I had fallen asleep during the show, but I woke up as the noise at the closing of the show had hit a crescendo, and I heard her take her last breath. The timing was impeccable given how much she enjoyed watching the show for so many years. She was a bit of night owl, and he kept her company when she couldn't sleep. I also think she held on so long in order to make sure that we would all be okay without her as our glue.

As for not crying yet, don't beat yourself up about that either. I didn't cry when my mom died. I know now that I was in shock, but at the time, I felt like there was something wrong with me. I didn't cry until mid-way through her memorial, which was two weeks later. Suddenly it just broke free.
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HappyNana70 May 16, 2025
Thanks Elaine.

The memorial is in a couple of weeks. I enjoyed your mom’s Letterman Show story. Appreciate you sharing that
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Ok
so you are not alone
in-unfounded guilt and grief - it’s very common and the
truth is..
you can’t be with someone all the time
they can go at anytime
and more often than not it’s when you aren’t prepared.
death has no timeline - it can happen whenever …
just rest assure that caring for someone is a mammoth task and mentally & physically draining with the changes in behaviour and actual illness that you also need to come to terms with …
you did your best and there’s no question of that.
try to be kind to yourself. You’ve been through a lot
you gave a lot !
and day of judgement - you can stand tall and feel proud.
forget the illness now and remember father for the good times.
dont feel bad about crying- either - let it out and if the emotions don’t calm down look to a little counselling maybe ..
you tho havent anything to feel guilty about …
look at the bigger picture- you should feel very very proud of how you supported father .
best wishes to you
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Reply to Jenny10
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So sorry for your loss. Keep in mind that it might take some time before you can have that good cry, there's all those arrangements that have to be made. Right now, it's confusion about how to feel. Happy for him, sad for yourself? Take it gradually, you're probably in shock at this point. I don't even remember crying for my mother as she/we were visited by the priest about 10 hours before she passed. She left with a happy heart. I couldn't feel sorry for myself, I cried really bad at a remembrance service a year later.
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HappyNana70 May 16, 2025
Julia -
You are so right! Getting all the business that comes after a death has kept me busy and packing up for donation the items he never used, never used the past year (my things too).

When I finished almost everything I was happy and told him “now to take care of me”

I had been getting things i order the past couple of months and told people I had to get things done, ask questions because I might fall apart when he dies. I did things quietly when he was at home so I wouldn’t make him sad.

Thanks so much for your kindness
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My father-in-law actually seemed annoyed that my husband wouldn't leave the hospital so he could get on with the business of dying. He woke up near the end, looked at him, and said in his normal annoyed voice, "Oh, are YOU still here??" and went back to sleep. My husband went home for a little bit to get some much needed rest, and 45 minutes after he left, the nurse called to say his father had passed. My husband felt awful. But I believe that is exactly what his father wanted. His wife had died several years earlier while in the bed next to him in a similar fashion. After a prolonged illness (undiagnosed bowel cancer, she refused to go to the doctor for 35 years--we all knew, but had no official diagnosis), she woke up and sat straight up in the middle of the night, and when he woke and tried to ask her what was wrong, she ordered, "Go back to sleep!" The medical examiner estimated she died from a burst colon minutes later.
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Reply to AgingKid
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One of the things that I learned from this forum is that what we think is guilt is really just grief. I felt the same way when my husband died. He was in a coma at the Memory Care facility. I had been with him all day, praying, singing and holding his hand - hoping that he could hear me, even though he couldn't respond. The hospice nurse said there was no way to determine how long he would last that way, so I went home to get some rest in order to be with him the next day. He died that night. My first thought when they called was, "I SHOULD have stayed!" You and I did the best that we could - we have nothing to be guilty for. A wise friend once told me, Don't ever "SHOULD" on yourself.
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HappyNana70 May 16, 2025
Thank you Weary- I hope you are getting along.

I had the similar thought “why didn’t I go back when the nurse called earlier” but feeling “better” with all the kindness and sharing here.
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So sorry for the loss of your husband. You were with him. It's not your fault. Your husband did not want you to watch him pass away. He gave that gift to you. My mom did the same thing to me. They want to spare us the gasping for air etc. Please remember the life you had. The good memories only.
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Reply to Onlychild2024
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My deepest condolences for the loss of your beloved husband. Like a previous poster stated, you were there for him when it counted and I’m sure he knew that. 😊
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HappyNana70 May 18, 2025
Thamks Snoopy 🩷
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So sorry for your loss. Seems he went peacefully. I went to visit my Mom and left at 1:30pm. She passed 20 min later.

Please do not berate yourself. This could have happened when he was home while you were sleeping.
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Reply to JoAnn29
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I work in the health field. I have seen this time & time again. Many people slip away after their loved one has left the room.
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Reply to Beatty
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I’m very sorry that you’ve begun this journey of loss. There are no words for it and no one can understand who hasn’t experienced it.
Even though your husband had not begun hospice, they should have support available for you—I would advise you to ask about it or other grief support in your area. Groups with others experiencing loss have been invaluable to me, along with individual grief counseling. It sounds like your husband knew the plan, and was ready to let go. I think your mind understands that you have nothing to feel guilty about and I believe that your feelings will follow. All the best to you.
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I'm very sorry for your loss.
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Reply to brandee
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I am sorry for your loss. Dying while alone is very common. My husband, father, mother & cousin all did that, it was the way they wanted to go.

Don't beat yourself up, remember the good times and accept that he is in a better place, no longer suffering.
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Reply to MeDolly
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Thanks sooooo much! My girlfriend also added if I had been there he would have lingered and he was in so much pain (fractured vertebrae and his COPD & Lung cancer issues).

I cannot wrap my heart around his absence. The last 5 months he had been in & out of hospital so I have a sad headstart on being alone.

Love the forum💖

My next challenge is SS after I get his death certificate.
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Reply to HappyNana70
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Happynana, try to focus on the happy times, when the memory of not being there pops in your head , try to not dwell on the , push them away, and remember the good. It's what your husband would want you to do.

My deepest condolences 🙏 😔
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HappyNana70 May 18, 2025
Thank you Driving 🩷 I try to push away the last weak months he endured. He was always so positive and that was a good memory too,
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Happynana, no matter how well prepared we think we are for death, it can still surprise us.

I am sorry for your loss.
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Reply to 97yroldmom
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My sincere condolences to you. He may have wanted it that way. I know I do.

Remind yourself that you did the best you could in handling his illness and passing. I wish you peace as you embark on the next phase of your life.
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Reply to Fawnby
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The fact that your husband died when you weren't with him was EXACTLY how he wanted his death to go down.
And if you are a Christian then you know that no one dies alone, as Jesus is right by their side along with many family members as well who have gone on before them.
You did a great job caring for your husband and he knew that, and obviously didn't want his last breath to be your last memory of him.
So honor that fact, and now move forward in ways that will continue to make him proud.
God bless you.
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Reply to funkygrandma59
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Happynana, I am so sorry for your loss.

May The Lord give you grieving mercies, strength and comfort during this difficult time and new season in life.

I believe that he went exactly as he was supposed to, in his sleep. That is truly a blessing and you have NOTHING to feel bad about.
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