Guest guest Posted February 28, 2011 Report Share Posted February 28, 2011 Thanks to all those who have been supportive and reading my posts about my nada's last days. I wanted to clarify for a few of you about hospice in the event that any of you need their help with your nadas and fadas. First of all hospice IS only for those who are in the end stages of their lives with 6 months or less to live. Medicare will not pay for this and as I understand it a physician's license could be compromised or revoked if they do not follow the stringent guidelines set up by Medicare regarding hospice. The confusion occurs as there are two levels of hospice care and everyone assumes there is one just as I did. The first level is for patients who are 'dying' but have less severe health problems than those who are deemed immediately to be 'very end stage' which to them apparently means imminent as in a few days or a week. My nada was placed in there as 'dying' but not on death's door so to speak, but that can change from minute to minute as you can well understand. My nada in a week went from 'dying' to 'fairly terminal' as the nurse told me yesterday she would not have another birthday which is April 5th and she is in dire need of a blood transfusion as she has internal bleeding. With my mother's heart trouble; normally sky high blood pressure AND uncontrolled diabetes she would never survive an operation of any kind nor any chemo or radiation therapy if she indeed has cancer which seems to be what a lot of the nurses seem to think she has (cancer of the stomach). They are not sure but there is indeed internal bleeding of some major organ I was told and it is not anemia because her blood level is much too low for that to be the case. My nada did NOT want a blood transfusion but in nada fashion she is now all for it where yesterday morning she was calling me everything under the sun and blaming ME for her being in there etc. as most of you who have been following my posts know. I was told that this is just to make her 'comfortable' and is not going to prolong or save her life. No, I am not the one giving her my blood either. It will be from someone with her blood type but from reading about blood tranfusions, in her elderly, emaciated, terminal health condition, there is a 50-50 chance her body will reject the blood anyway which will cause her more problems. I will keep all of you advised as to the newest situation as it arises. Thanks so much for all of your kind words, help and understanding. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2011 Report Share Posted February 28, 2011 Libra, my mom is under Hospice care and as I understand it, Medicare is paying for it. My mom made yet another miraculous recovery, but Hospice is still keeping her on because she has nonhodgkins lymphoma. I was worried that Hospice would terminate their services when she got stable, but so far this hasn't happened and I say Thank Goodness! She's been on Hospice since July. It's home based. A few years prior to this, she was at the Hospice House dying, but recovered and so they dismissed her. But, regardless of my mom, I hope you are taking good care of your own needs. Hugs, Annie > > Thanks to all those who have been supportive and reading my posts about my nada's last days. I wanted to clarify for a few of you about hospice in the event that any of you need their help with your nadas and fadas. > > First of all hospice IS only for those who are in the end stages of their lives with 6 months or less to live. Medicare will not pay for this and as I understand it a physician's license could be compromised or revoked if they do not follow the stringent guidelines set up by Medicare regarding hospice. The confusion occurs as there are two levels of hospice care and everyone assumes there is one just as I did. The first level is for patients who are 'dying' but have less severe health problems than those who are deemed immediately to be 'very end stage' which to them apparently means imminent as in a few days or a week. My nada was placed in there as 'dying' but not on death's door so to speak, but that can change from minute to minute as you can well understand. My nada in a week went from 'dying' to 'fairly terminal' as the nurse told me yesterday she would not have another birthday which is April 5th and she is in dire need of a blood transfusion as she has internal bleeding. With my mother's heart trouble; normally sky high blood pressure AND uncontrolled diabetes she would never survive an operation of any kind nor any chemo or radiation therapy if she indeed has cancer which seems to be what a lot of the nurses seem to think she has (cancer of the stomach). They are not sure but there is indeed internal bleeding of some major organ I was told and it is not anemia because her blood level is much too low for that to be the case. > > My nada did NOT want a blood transfusion but in nada fashion she is now all for it where yesterday morning she was calling me everything under the sun and blaming ME for her being in there etc. as most of you who have been following my posts know. > > I was told that this is just to make her 'comfortable' and is not going to prolong or save her life. > > No, I am not the one giving her my blood either. It will be from someone with her blood type but from reading about blood tranfusions, in her elderly, emaciated, terminal health condition, there is a 50-50 chance her body will reject the blood anyway which will cause her more problems. I will keep all of you advised as to the newest situation as it arises. > > Thanks so much for all of your kind words, help and understanding. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2011 Report Share Posted February 28, 2011 Thank you for the information on Hospice. As a nursing student, I think it's really good info to know! You are still in my thoughts, Libra. Hope you are taking care of you. Mia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2011 Report Share Posted February 28, 2011 Revolting Update....is this a coincidence? I just found out this morning that Hospice is thinking of dropping my nada. OH NO! Not sure what's going to happen. The home/health aide that Hospice sends over to bath my nada got a real ear whipping from my mom. The H/H aide then told the care-provider that she didnt' know how the care-provider could stand to work for my nada and that she must really be hard up for money! Unreal. Annie > > > > Thanks to all those who have been supportive and reading my posts about my nada's last days. I wanted to clarify for a few of you about hospice in the event that any of you need their help with your nadas and fadas. > > > > First of all hospice IS only for those who are in the end stages of their lives with 6 months or less to live. Medicare will not pay for this and as I understand it a physician's license could be compromised or revoked if they do not follow the stringent guidelines set up by Medicare regarding hospice. The confusion occurs as there are two levels of hospice care and everyone assumes there is one just as I did. The first level is for patients who are 'dying' but have less severe health problems than those who are deemed immediately to be 'very end stage' which to them apparently means imminent as in a few days or a week. My nada was placed in there as 'dying' but not on death's door so to speak, but that can change from minute to minute as you can well understand. My nada in a week went from 'dying' to 'fairly terminal' as the nurse told me yesterday she would not have another birthday which is April 5th and she is in dire need of a blood transfusion as she has internal bleeding. With my mother's heart trouble; normally sky high blood pressure AND uncontrolled diabetes she would never survive an operation of any kind nor any chemo or radiation therapy if she indeed has cancer which seems to be what a lot of the nurses seem to think she has (cancer of the stomach). They are not sure but there is indeed internal bleeding of some major organ I was told and it is not anemia because her blood level is much too low for that to be the case. > > > > My nada did NOT want a blood transfusion but in nada fashion she is now all for it where yesterday morning she was calling me everything under the sun and blaming ME for her being in there etc. as most of you who have been following my posts know. > > > > I was told that this is just to make her 'comfortable' and is not going to prolong or save her life. > > > > No, I am not the one giving her my blood either. It will be from someone with her blood type but from reading about blood tranfusions, in her elderly, emaciated, terminal health condition, there is a 50-50 chance her body will reject the blood anyway which will cause her more problems. I will keep all of you advised as to the newest situation as it arises. > > > > Thanks so much for all of your kind words, help and understanding. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2011 Report Share Posted February 28, 2011 I'm sorry to hear that. My Sister and I are already mentally prepared that if/when our nada requires home health care assistance with bathing & pooping, preparing/eating food, etc., that nada will probably burn her way through a new helper every few days/weeks. When I nursed nada for a couple of months while she was recovering from major surgery, it was like a visit to the 7th circle of hell. I could do nothing right; nothing was perfect enough for nada. I believe I became severely clinically depressed during that time. So, yeesh, the idea of even the possibility of having to do that again makes my skin crawl. I hope you can work something out with Hospice or with an elder-care service provider so that you aren't going to be nursing her yourself. -Annie > > Revolting Update....is this a coincidence? I just found out this morning that Hospice is thinking of dropping my nada. OH NO! Not sure what's going to happen. The home/health aide that Hospice sends over to bath my nada got a real ear whipping from my mom. The H/H aide then told the care-provider that she didnt' know how the care-provider could stand to work for my nada and that she must really be hard up for money! Unreal. > Annie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2011 Report Share Posted February 28, 2011 Thank you Annie, for your kind words and support. I won't be able to take care of her. It's just too much of a downer. Like you experienced, everything I do is not good enough or just downright bad. Can't take it. I would get severely depressed in no time at all. With my nada, the glass isn't even half empty. There is a big hole in the bottom of it, so there is nothing in it. Annie 2 > > > > Revolting Update....is this a coincidence? I just found out this morning that Hospice is thinking of dropping my nada. OH NO! Not sure what's going to happen. The home/health aide that Hospice sends over to bath my nada got a real ear whipping from my mom. The H/H aide then told the care-provider that she didnt' know how the care-provider could stand to work for my nada and that she must really be hard up for money! Unreal. > > Annie > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2011 Report Share Posted March 1, 2011 Annie, thanks for my laugh for the day: " When I nursed nada for a couple of months while she was recovering from major surgery, it was like a visit to the 7th circle of hell. " it's funny and yet, it's something my brother and I don't talk about b/c it's too much to bear right now, what we would do in the event of... Fiona Quote Link to comment Share on other sites More sharing options...
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