October 10, 2013 at 6:18 am #74356gavinModerator
I’m really sorry to hear what you are going through right now with your husband and I so agree with what the others say about you getting some extra help if you can. My dad was in hospice care and they took great care of him there. And please do not feel like you have ever said enough in any of your posts. Talk as much as you want to. Vent away if you feel that will help also as you certainly are among friends who know what you are going through.
My dad was on Haldol as well and that helped him quite a bit. In hospice, he was given it through a syringe driver along with some of his other meds and that way he was getting a constant dose of it and that worked really well for him with agitation etc. Perhaps that is something that you could discuss with the hospice team.
I really do think that you need more help here Shellina as there is only so much that any of us can do for someone. I was there with my dad throughout all of this and I so know that this is such a tough time for you right now. Please keep coming back here and talk with us as I know that when I was in your shoes talking with people who knew what I was going through helped me so much. Thinking of you right now.
GavinOctober 10, 2013 at 2:55 am #74355sweetgreenMember
Hi Shelly, my husband was on Haldol, an anti psychotic, for hallucinations like that. It did the trick and gave him several clear days. He is off it now because it has become difficult to swallow pills…though I think it can be crushed. Hope that helps.October 7, 2013 at 10:30 pm #74354marionsModerator
Shellina…given the circumstances it is apparent that you need intervention in order to keep yourself safe and your husband’s behaviour controlled. As Kris has mentioned, call the 24 hour Hospice hotline and explain the situation. If indeed the blood test results reveal encephalopathy (high ammonia level) then treatment is available. Either way, dear Shellina, you may need to consider tending to your husband full time or you should refer to one of the options Kris has mentioned. You need help, Shellina and it should be available to you. Please keep us posted.
MarionOctober 7, 2013 at 5:41 am #74353
The confusion causing bizzare behavior alone is difficult to deal with aside from Al’s physical needs. sometimes I had to hire private people to sit with my father even though he was in assisted living dementia facility. It takes a village! He was so confused that he repeatedly pulled out his urinary catheter (no small feat since its inflated at the end). It became a medical emergency every time. I was relieved to have hospice after so many hospital ER trips but was surprised that they only come for quick visits, not to sit with patients. In Al’s case, I agree with Lainey that it seems like you need more help and he needs more supervision so please look into a hospice facility or skilled nursing. I’m glad we can be a sounding board during this extremely stressful time.October 7, 2013 at 1:49 am #74352lainyParticipant
Dear Shelly, when you find out what his LABS are tomorrow and IF there is no ammonia problem, think about taking Al to a Hospice Facility. They will be better able to deal with what ever is going on. This could become dangerous for you or for him. I have never heard of anyone going this far. You unload here as much as you want, that is what we are here for and we are family! At this point the Hospice Nurses should be staying longer. They used to spend an hour with Teddy and that was before he got bad. Perhaps they are not giving him enough Meds or the right ones. I feel so bad for you. If his daughter does not come that will be her problem you certainly have enough to handle as it is. Please keep posting so that we know you are OK. Again, feel free to email me and I will send you my number if you like.October 7, 2013 at 1:47 am #74351pamelaParticipant
This is exactly what this site is for. To come here and let out things that are bothering you. We will never judge you, just offer you a sholder to cry on or a kind, listening ear. I’m sorry, but I have never had to deal with what you are going through. It must be very troublesome. I hope someone that has walked in your shoes will offer you some good advice. I would document all the things your husband is doing and tell the hospice nurses about them. Maybe he needs his ammonia levels checked as I know this can cause confusion. Can the nurse come over and stay with him once in a while so you can go out and get some alone time to gather your thoughts? I’m sorry for what you and your dear husband are having to endure. Take care.
-PamOctober 7, 2013 at 1:21 am #74350mcwgoatParticipant
I’m so sorry what you are going through with your husband. Please don’t ever feel you’ve said too much on your posts. You need to have a place where you can say what you feel and this is the place to do it. There are a lot of caring and knowledgeable people here that are more than willing to listen and help you with advice.
Please take care of yourself. That is the best way to help your husband.
You are in my prayers.
MaryOctober 7, 2013 at 12:18 am #74349
It has been a really rough day. Actually, it has been a really rough couple of weeks. When I try to talk to the hospice nurses about his confusion, they come over, spend 10 minutes with him and don’t think he is confused. I came home the other day and he had totally rearranged everything in the refrigerator. Now all of the jars are in the cheese and lunchmeat drawer. He also placed bottles of pink beverages on a table in the dining room. He was decorating the house with refrigerator items. He can’t remember when he last took his meds. He thinks I am trying to keep them from him. I have to keep them locked up. The other day he broke into the small safe I had them in. Thankfully, he didn’t take too many extra pills. One morning I woke up and he was asleep in his hospital bed with a box cutter in his hands. He wasn’t intending to hurt himself. He had been trying to sharpen a pencil. But, because of his confusion and agitation, it really scared me. I try to hide sharp objects now. He also has a biliary drain bag and he messes around with it. Today he broke a part of it. He’ll stand in the bathroom and fool with it and bile drips all over. I am constantly cleaning up after him.
I am sorry to go on and on. I just feel like maybe you guys understand what I am going through. It is such a roller coaster. Don’t get me wrong, we have some good days. But lately they have been very stressful. Unfortunately, I have no one to help me. Al’s teenage daughter has only seen her dad twice since his diagnosis last December.
Anyhow, I probably have said too much. It just feels good to talk to someone.October 6, 2013 at 10:28 pm #74348kvollandParticipant
I am sorry that things have not gone smoother. Keep after the hospice nurses….keep calling and asking. There are wonderful drugs out there that can help with everything from the pain to confusion and agitation. The only trade off is of course he will sleep more. Your hospice should have a 24 hour number to call them and you should do that.
You may also research or talk to your hospice team about any local inpatient hospice. Sometimes those are available. The other thing I know that in my state our hospice patients are allowed a GIP (not sure exactly what it stands for) but it allows a patient to be admitted to the hospital and remain under hospice care. It’s for control of symptoms that are difficult to manage at home such as pain or agitation. I am not sure of you state and your insurance but you may ask.
Also if he’s covered under Medicare then he should be allowed a few respite days in a skilled nursing facility to so you can get some rest. Again in varies from state to state and if you don’t have Medicare it varies from insurance to insurance.
You should have a social worked with you hospice team you can talk to and I encourage you to do that.
Hang in there.
KrisVOctober 6, 2013 at 10:28 pm #74347lainyParticipant
Dearest Shelley, this is the hardest part of all but know that it is hurting you more than Al. He is tired of the war and is preparing for his peace. As I had written to you use this time to just be together and cherish any thing he says and try to keep things light. Talk to him even if he is asleep and touch his arm gently, even confused and sleeping a lot he will feel your touch. Part of me hopes it is his ammonia level while the other part hope he gets what he wants. Shelley if you need to talk feel free to call me. Just e mail me and I will send you my number. I don’t think we should post our numbers on here. We are all with you, right by your side giving you the biggest hugs.October 6, 2013 at 9:52 pm #74346
I am so sorry, Shellina. I empathize with what you are both enduring, though I can not imagine going through it with my spouse. I helped my elderly father pass from Alzheimer’s in late April and he was very confused and agitated at the end as well. It was wrenching to see him upset and uncomfortable. With the help of hospice, family and friends and strength from God, you will get through it. This is a very emotional and precious time and I certainly can understand why Al feels ready to go. He deserves to find his peace. May you find peace and comfort as well.
Sincerely, WillowOctober 6, 2013 at 9:27 pm #74345
Willow, all that the doctor’s at the hospital said is that all of the symptoms he had when he went to the hospital were all related to his CC. Apparently your blood sugar can be low because of the liver involvement. Something to do with metabolism. His sugar was increased to 70 or 80 by the time he came home. He remained in the hospital for 2 1/2 days. He came home with a different hospice company because we were really unhappy with the first hospice company. The new hospice company seems to be better.
Unfortunately, Al is really confused and having some hallucinations. He also has his days and nights mixed up. They took some blood on Friday to check his ammonia levels again. We should have results tomorrow. He is also extremely emotional. I am really emotional too seeing him like this. They said it could also be the meds. However, they really have not increased anything. He knows he is confused and he is really tired. He wants it to be over. I feel so bad for him.October 6, 2013 at 12:20 am #74344
I can’t answer about the blood sugar but I am wondering how you and your husband are doing. Is he home and with the new hospice? How is his agitation? I hope you both are getting more support.
God bless, WillowSeptember 26, 2013 at 3:54 am #74343
I had to take my husband, Al, to the ER last night. He was very confused and agitated for the past week. I felt he was a possible danger to himself or me. In my opinion, hospice was doing nothing to help. So, we temporarily revoked hospice and he is inpatient getting some much needed fluids, pain meds, care, etc. He will likely be released tomorrow and we are going with a different hospice company.
Anyhow, the reason for my post is to ask if anyone else had a loved one who had very low blood sugar due to disease progression. Last night in the ER his blood sugar was 43. He is not diabetic and not hypoglycemic. His sugar has always been normal. They have given him glucose and it is now in the 70’s. Has anyone else had this issue?August 7, 2013 at 1:26 am #74342marionsModerator
Shelley….your husband has a valid point and good reason for making his decisions the way he does. I wish with all my heart for him to have the most achieveable comfort. In re: to end of life, Shelley, I believe that things just don’t happen that suddenly. Given the circumstances, at present it appears that your husband is doing rather well. The decline will be rather obvious and you will be very much aware.
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