When I began writing this blog, I imagined and hoped that I would still be writing it when my dad got his much wished for telegram from the Queen.
Sadly, after just a few weeks of being diagnosed with prostate cancer and the beginning of kidney failure, dad's health deteriorated. No longer were we able to go on our daily visits to the coffee shop and sit a while as he passed remarks on anyone who passed by. Even though he was overcome with tiredness, he still managed to make the odd quip or two. A sense of humour never leaves you if you have one. Thank God that's one trait I've gleaned from him. I've a feeling I'm going to have to rely on it in the future.
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The week beginning the 8th April, dad was beginning to be more unable to leave his bed. Just a few days before, I'd managed to shower him for what would be the last time. The effort for him was just too much and I knew that bed bathing was imminent. He complained of dizziness many times and needed my arm to hold onto with one hand while holding his walking stick in the other. He'd never needed to use his stick in the house before. I began to let him sleep for as long as he wanted and encouraged him to eat and drink as often as possible. Every morning he would need clean pyjamas as he began to sweat profusely. As he sat on the edge of his bed holding onto a frame that was fitted to help him get in and out of it weeks ago, I ran a hot soapy cloth down his back.
"Oh that's lovely!" he said.
I rinsed off the soap with warm water and dried him off and continued to freshen him up. He was still able to hold a facecloth in his hand and wash his own face.
Just a few days later he hadn't the energy to sit on the side of the bed and even less to hold onto the facecloth.
"Do you want to give your face a wash dad?" I asked, offering him the cloth.
"Just you do it hen," he said.
So I did.
"Are you worn out dad?" I asked.
"Aye," he replied. "I am."
"Are you worn out dad?" I asked.
"Aye," he replied. "I am."
Lifting his legs back onto the bed, I laid a waterproof sheet underneath him and carried on with the bed bath. He just let me get on with it and snuggled in to the duvet once I'd finished and closed his eyes to sleep. As soon as he woke up I'd be there with a cup of tea which he started to enjoy more than the cold drinks I'd been trying to get him to swallow. I'd sit with him on top of his bed while he drank his tea through a straw from a glass jar with a fitted lid. Writing on the side of the jar read 'Eat, Drink and be Merry'. He'd read this each time I gave him the tea and it made him smile. He'd pick at some crisps that I'd put in a bowl for him. We'd be joined by 'dug' who'd snuggle into dad's legs and roll over so that I could tickle her belly.
"She's enjoying that," dad would say.
I'd look back at dad a few minutes later and his eyes would be closed again.
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Dad's Dementia had begun to accelerate. His repetition of things was more regular. He had also started to get out of his bed to go and do things like lock the front door. This used to be something he did every night in the past but it stopped when I came to live with him. After a few days of me being around he simply stopped checking the front and back door. He just knew I'd already done the locking up.
On Sunday the 14th April, dad slept for the majority of the day. I watched him on the monitor from the living room and would go and see to him when he stirred. I offered him some crisps at one point. He picked one up and put it in his mouth.
"Take them away hen," he said. "I don't like them."
Things were definitely serious when his passion for his Walkers crisps had gone.
During that night he was very restless. I watched him on the little screen as he picked up his watch and checked it over and over. I watched again as he pulled himself up to sit on the edge of the bed. I managed to reach him just as he was starting to bend down to reach his slippers.
"Where are you going dad?" I asked.
"I'm going to sort the door," he replied.
"The door is fine dad," I said. "Let me get you back into bed."
I did try and explain (again) that his legs were too weak to bear his weight and to try not to get up without me being there to help him. I decided that I wasn't going to sleep in the bed chair that night as it was quicker and easier to jump off the recliner and reach the bedroom if required.
I managed to sleep for perhaps an hour when I heard the noise from the monitor again. This time it was feet shuffling across the laminate floor. Dad had managed to get out of bed and put his slippers on without me waking. When I reached the bedroom, there he was at the bottom of the bed holding on to the bed post and reaching for the door handle. I guided him back to the side of the bed without saying too much as I didn't want to startle him and make him feel like I was concerned. Once I got him back to the side of the bed I tried again to explain.
"I don't want you to fall dad," I said. "I'll come through and see to you if you need me."
With that, I left him to settle back to sleep.
At 5 a.m. I heard dad puffing and blowing through the monitor. I sat bolt upright and rubbed my eyes. My feet were barely off the chair to reach him when I heard a guttural wail followed by an almighty crash. I ran to the bedroom and switched on the light. Dad was laying on the floor with his legs under the bed and his head and back up against mirrored sliding doors. I don't know how the mirror didn't shatter. I'm just grateful that it didn't. Dad was groaning in pain. I managed to sit him forward enough to secure a pillow at his back and head and called 999.
Choking back tears and trying not to show any fear in my voice, I asked him, "Where were you going dad?"
"I was coming to look for you," he said. "I couldn't find you."
I've never been far away dad. I was always watching you. I just wish you knew.
Dad was taken to the Royal Infirmary in Edinburgh. He had broken his hip in the fall. The paramedics tried to lift him onto a chair initially which caused dad to faint. This was frightening to watch as his eyes rolled back and all the colour drained from his face. I'm still not sure as to why he was lifted onto his feet with a suspected hip break but under these circumstances you simply step back and let the medics do their job. He was laid on the bed until he came around and was given an injection to relieve his pain before being stretchered out to the ambulance. The hospital is an hour away from home and I was told to stay behind and catch my breath before heading in to be with dad who'd be going through some observations, blood tests and x-rays before being taken to a ward. With so little sleep during the night I lay down on the settee to close my eyes. I managed just over an hour before I got myself up and ready to go to the hospital.
I found dad in A&E where it was confirmed that his hip was broken. The doctor came to speak to me and explained in detail that I can no longer recall as to why an operation would be necessary. I didn't want him to have one. I told the doctor that my dad was virtually bedridden before he'd arrived in hospital and that it had been determined previously that in the event of his deterioration or dehydration that he should be left untreated except for any pain relief that might be necessary and be kept comfortable and allowed to drift off in peace. Without an operation, the pain from such a break would have been much too much for dad so I had no choice but to agree with the doctor and allowed them to go ahead. The operation would take place the next morning and dad would be back on the ward to rest.
"I want him to come home," I told the doctor. "I know the end is inevitable but I really don't want it to be in hospital."
I told him about my mother and my situation. I stressed how upset I'd be if he couldn't be allowed home to have his final days. The doctor agreed with me and said they'd do everything they could to ensure that my wishes were granted.
The operation was successful and dad was taken to the ward. A meal planner was put in front of him to choose his meals.
"My dad is on palliative care and won't eat anything much, if at all," I said to one of the nurses. "He won't be able to tell you what he wants if he wants anything."
"Who told you he was palliative care?" she asked.
"I'm telling YOU!" I said in disgust.
I explained that my dad wasn't in for a hip replacement but an operation to mend it from a fall. I explained that he'd been failing leading up to his admission. I explained that I cared for his every need and know my dad better than anyone. While I realise the nurses have to be seen to be feeding their patients as anything other than that would be considered neglect, putting a bowl of soup in front of someone who is helpless and who can't communicate with any lucidity is just as neglectful...in my opinion.
Every different face I saw, I told them how much assistance he needed. I would call in the morning to ask what kind of night he'd had and I'd be told he was 'fine' and that he'd had breakfast. Sometimes he was even chatty. When I visited the hospital, the men in the beds opposite who had gotten to know me in just a couple of visits would tell me different. After being told that my dad had a settled night and was 'fine', I learned that he had been calling out for me...well, Anne that is. But I knew in his head that it was my face he saw. He was distressed and calling out and thought there was something under his bed and he wanted me there to fix it.
They didn't tell me you were frightened dad. I didn't know. I was always a phone call away. Nobody listened dad. Nobody ever bloody listens.
The day after his operation, I had another discussion with another nurse. I wanted to know when he'd be coming home. She told me that someone from Occupational Health wanted to speak to me to ensure that I had everything I needed at home to be able to look after dad in his bedridden state. I told her that my dad was already bedridden before his arrival to hospital and that I had everything in place. There was a concern that he needed more than one carer...same old, same old chestnut.
I just wanted you home dad. I told them. I just wanted you home.
That evening I got a telephone call from Occupational Health. She was lovely and listened to everything I had to say. I answered all of her questions as she asked me what my own understanding was of my dad's current health and situation. I offloaded everything and ended by saying that I just wanted him to be left in peace and to get him home as quickly as possible so that he could sleep away in familiar surroundings. I explained how my mother had died without me being there and having to leave my dad alone in the house in bed while I rushed to say my final goodbyes and tell her the things I needed to before she left this world. Although I couldn't stay with her until the end, I got a little comfort in the hope that she heard me and knew that I would take care of my dad. I told her not to worry.
I told her I'd never let you be alone dad.
The O.H. lady ended our conversation by saying that it wasn't often that she was met with such an understanding family member who grasped the situation without expecting the impossible. She told me that she would get my dad ready for release on Thursday the 18th. She recommended that I should seek extra assistance at home in the final days but she was more than satisfied that my care for dad was appropriate and didn't stand in the way of getting him back to me as soon as possible. I told her I had phone numbers to call should anything happen that I couldn't deal with and that I'd be assisted quickly if necessary. I wouldn't use anyone else unless I really couldn't cope...but I knew I could, I knew I had...and I knew I would.
I was so relieved that night dad. I couldn't wait to tell you that you were coming home. I changed your bed and got your Columbo DVD's ready. I went shopping the following morning and bought pink candles so that you could have soft lights instead of the hospital glare. I ordered a white wicker basket chair to sit in the corner of the room so that I could spend the next few days and nights with you and watch you while you slept. I put new curtains on the windows so that the light wouldn't bother your eyes. I kept wiping your eyes for you dad. They wouldn't weep so much in a softer light. I had it all sorted...just waiting for you.
The following day (Wednesday) I arrived at the ward and as I walked towards my dad, the first thing I noticed was the size of his hand by his side. His fingers were like sausages! The urine in his catheter bag was dark brown. He was no longer attached to drips or oxygen. When I got closer to him I saw the back of his hand was ripped and very bruised. His colour was yellowy and his breathing wasn't right. I took pictures of my dad's hands and of him and sent them to my daughter, telling her my concerns. She told me the questions to ask the nurses and that I should ask to see the doctor too.
"What's happened to his hands?" I asked the man in the bed across from dad. "Has he been okay?"
"He started pulling at the cannula," he said. "The bruise is probably where they were taking bloods."
"Today??" I asked. "They were taking bloods today?"
The nurse arrived as she heard me having this conversation.
"My dad's hands are enormous," I told her, "and why were bloods being taken from him today? If he isn't going to be treated what the hell are you looking for?"
She fetched the doctor who took me into a side room. I told her that I'd had a long conversation with occupational health and I'd left that conversation feeling relieved that we were all on the same page. I asked about the bloods and the reason for sticking needles into a man who is dying.
"My dad is dying!" I stated.
"It is common practice to check the bloods after such an operation," came the reply. "Even with palliative care, the patient can remain in this state for days, weeks or even months. Your dad's observations are all showing perfectly well so there's nothing to suggest that he's failing right now. The bloods showed that there was no massive bleed....thank goodness so he doesn't need a transfusion."
A fucking transfusion? Are you kidding me??
"My understanding," I began, "was that my dad had the operation to ease his discomfort and anything else that transpired from that should be left alone. He's coming home tomorrow and I do not want him to have any more needles in him. I want him to be left alone. I can't stress enough. I'm no nurse but my observation is of someone who has days to live. His swollen hands are a sign of heart and kidney failure at this point and also his urine is darker than the wooden chair you're sitting on. I KNOW my dad's heart and blood pressure readings are good but look at his chest and how he is breathing. Surely that's an observation to be considered too."
I couldn't stop banging on dad. She bloody told me that I could put off having you home for a few days if I wanted because they weren't so concerned. I said NO dad. I....said....NO! I wanted you home. I wanted you warm and comfortable and safe...with me.
I went back to dad's side and his eyes were open but glazed.
"You're coming home tomorrow dad," I said. "I've got your room all ready. Your bed's all clean and I've got nice candles in your room."
"That's good," he said.
A few moments later he began to ramble. He looked up at the ceiling and told me there was a man looking at him from a mirror. Then he kept repeating the 24th. Over and over, with a scowl on his face. The 24th.
"I need to sort that money," he said. "The 24th.....24th."
"Don't worry about that dad," I said. "I'll sort it all out on the 24th."
I have absolutely no clue what he meant or if he meant anything at all. But I'm keeping the 24th in my mind...and buying a lottery ticket!
He drifted off to sleep and I fixed his pillow before deciding to leave him in peace. I told all of the nurses at the desk to give me a call at the first sign of any change in him because I was worried. They assured me that I'd be called and not to worry.
But I did worry. So that night I called at half past 10 to ask how he was.
"He's fine," said the cheery nurse. "He's settled and doing fine."
I had a horrible feeling in my stomach. I considered getting into the car and going back to the hospital. But he was coming home the next morning so I decided to have a sleep and prepare for his arrival.
6.30 a.m. on Thursday 18th.
"Lorraine, it's bad news I'm afraid. You're dad has just passed away."
I SCREAMED down the phone.
"I KNEW IT!! I TOLD YOU YESTERDAY! YOU TOLD ME HE WAS FUCKING FINE!! WHY WASN'T I CALLED SOONER?? I TOLD HIM HE WAS COMING HOME. YOU BLOODY SAT ME IN A ROOM AND CONVINCED ME I WAS WRONG!! I'M SO ANGRY!"
She tried to console me. But sorry couldn't cut it. She told me that there was a nurse with him and that she'd just gone to give him some pain relief and he turned his head and simply stopped breathing. Just like that.
She told me that the nurse was very upset.
"I...don't....CARE!" I wailed. "I wasn't there. I wasn't with him and I'll never get over that. Ever."
I'm sorry dad. You were and always will be my world. I should have been with you in the end. Instead I let you fall. I wish I'd stayed beside you when you got up from your bed for the second time that night. I know you would have left me still but at least I would have been there to hold your hand and set you free in peace. I will never forgive myself. I didn't kiss you goodbye. I thought I'd see you the next day. You didn't hear me say I love you. I know you knew I did though dad. I will always know you knew. But I should have kissed you goodbye. My life will never be the same without you dad. Part of me has gone with you. I miss you. I will always miss you...but you'll never be forgotten. Ever.
Every different face I saw, I told them how much assistance he needed. I would call in the morning to ask what kind of night he'd had and I'd be told he was 'fine' and that he'd had breakfast. Sometimes he was even chatty. When I visited the hospital, the men in the beds opposite who had gotten to know me in just a couple of visits would tell me different. After being told that my dad had a settled night and was 'fine', I learned that he had been calling out for me...well, Anne that is. But I knew in his head that it was my face he saw. He was distressed and calling out and thought there was something under his bed and he wanted me there to fix it.
They didn't tell me you were frightened dad. I didn't know. I was always a phone call away. Nobody listened dad. Nobody ever bloody listens.
The day after his operation, I had another discussion with another nurse. I wanted to know when he'd be coming home. She told me that someone from Occupational Health wanted to speak to me to ensure that I had everything I needed at home to be able to look after dad in his bedridden state. I told her that my dad was already bedridden before his arrival to hospital and that I had everything in place. There was a concern that he needed more than one carer...same old, same old chestnut.
I just wanted you home dad. I told them. I just wanted you home.
That evening I got a telephone call from Occupational Health. She was lovely and listened to everything I had to say. I answered all of her questions as she asked me what my own understanding was of my dad's current health and situation. I offloaded everything and ended by saying that I just wanted him to be left in peace and to get him home as quickly as possible so that he could sleep away in familiar surroundings. I explained how my mother had died without me being there and having to leave my dad alone in the house in bed while I rushed to say my final goodbyes and tell her the things I needed to before she left this world. Although I couldn't stay with her until the end, I got a little comfort in the hope that she heard me and knew that I would take care of my dad. I told her not to worry.
I told her I'd never let you be alone dad.
The O.H. lady ended our conversation by saying that it wasn't often that she was met with such an understanding family member who grasped the situation without expecting the impossible. She told me that she would get my dad ready for release on Thursday the 18th. She recommended that I should seek extra assistance at home in the final days but she was more than satisfied that my care for dad was appropriate and didn't stand in the way of getting him back to me as soon as possible. I told her I had phone numbers to call should anything happen that I couldn't deal with and that I'd be assisted quickly if necessary. I wouldn't use anyone else unless I really couldn't cope...but I knew I could, I knew I had...and I knew I would.
I was so relieved that night dad. I couldn't wait to tell you that you were coming home. I changed your bed and got your Columbo DVD's ready. I went shopping the following morning and bought pink candles so that you could have soft lights instead of the hospital glare. I ordered a white wicker basket chair to sit in the corner of the room so that I could spend the next few days and nights with you and watch you while you slept. I put new curtains on the windows so that the light wouldn't bother your eyes. I kept wiping your eyes for you dad. They wouldn't weep so much in a softer light. I had it all sorted...just waiting for you.
The following day (Wednesday) I arrived at the ward and as I walked towards my dad, the first thing I noticed was the size of his hand by his side. His fingers were like sausages! The urine in his catheter bag was dark brown. He was no longer attached to drips or oxygen. When I got closer to him I saw the back of his hand was ripped and very bruised. His colour was yellowy and his breathing wasn't right. I took pictures of my dad's hands and of him and sent them to my daughter, telling her my concerns. She told me the questions to ask the nurses and that I should ask to see the doctor too.
"What's happened to his hands?" I asked the man in the bed across from dad. "Has he been okay?"
"He started pulling at the cannula," he said. "The bruise is probably where they were taking bloods."
"Today??" I asked. "They were taking bloods today?"
The nurse arrived as she heard me having this conversation.
"My dad's hands are enormous," I told her, "and why were bloods being taken from him today? If he isn't going to be treated what the hell are you looking for?"
She fetched the doctor who took me into a side room. I told her that I'd had a long conversation with occupational health and I'd left that conversation feeling relieved that we were all on the same page. I asked about the bloods and the reason for sticking needles into a man who is dying.
"My dad is dying!" I stated.
"It is common practice to check the bloods after such an operation," came the reply. "Even with palliative care, the patient can remain in this state for days, weeks or even months. Your dad's observations are all showing perfectly well so there's nothing to suggest that he's failing right now. The bloods showed that there was no massive bleed....thank goodness so he doesn't need a transfusion."
A fucking transfusion? Are you kidding me??
"My understanding," I began, "was that my dad had the operation to ease his discomfort and anything else that transpired from that should be left alone. He's coming home tomorrow and I do not want him to have any more needles in him. I want him to be left alone. I can't stress enough. I'm no nurse but my observation is of someone who has days to live. His swollen hands are a sign of heart and kidney failure at this point and also his urine is darker than the wooden chair you're sitting on. I KNOW my dad's heart and blood pressure readings are good but look at his chest and how he is breathing. Surely that's an observation to be considered too."
I couldn't stop banging on dad. She bloody told me that I could put off having you home for a few days if I wanted because they weren't so concerned. I said NO dad. I....said....NO! I wanted you home. I wanted you warm and comfortable and safe...with me.
I went back to dad's side and his eyes were open but glazed.
"You're coming home tomorrow dad," I said. "I've got your room all ready. Your bed's all clean and I've got nice candles in your room."
"That's good," he said.
A few moments later he began to ramble. He looked up at the ceiling and told me there was a man looking at him from a mirror. Then he kept repeating the 24th. Over and over, with a scowl on his face. The 24th.
"I need to sort that money," he said. "The 24th.....24th."
"Don't worry about that dad," I said. "I'll sort it all out on the 24th."
I have absolutely no clue what he meant or if he meant anything at all. But I'm keeping the 24th in my mind...and buying a lottery ticket!
He drifted off to sleep and I fixed his pillow before deciding to leave him in peace. I told all of the nurses at the desk to give me a call at the first sign of any change in him because I was worried. They assured me that I'd be called and not to worry.
But I did worry. So that night I called at half past 10 to ask how he was.
"He's fine," said the cheery nurse. "He's settled and doing fine."
I had a horrible feeling in my stomach. I considered getting into the car and going back to the hospital. But he was coming home the next morning so I decided to have a sleep and prepare for his arrival.
6.30 a.m. on Thursday 18th.
"Lorraine, it's bad news I'm afraid. You're dad has just passed away."
I SCREAMED down the phone.
"I KNEW IT!! I TOLD YOU YESTERDAY! YOU TOLD ME HE WAS FUCKING FINE!! WHY WASN'T I CALLED SOONER?? I TOLD HIM HE WAS COMING HOME. YOU BLOODY SAT ME IN A ROOM AND CONVINCED ME I WAS WRONG!! I'M SO ANGRY!"
She tried to console me. But sorry couldn't cut it. She told me that there was a nurse with him and that she'd just gone to give him some pain relief and he turned his head and simply stopped breathing. Just like that.
She told me that the nurse was very upset.
"I...don't....CARE!" I wailed. "I wasn't there. I wasn't with him and I'll never get over that. Ever."
I'm sorry dad. You were and always will be my world. I should have been with you in the end. Instead I let you fall. I wish I'd stayed beside you when you got up from your bed for the second time that night. I know you would have left me still but at least I would have been there to hold your hand and set you free in peace. I will never forgive myself. I didn't kiss you goodbye. I thought I'd see you the next day. You didn't hear me say I love you. I know you knew I did though dad. I will always know you knew. But I should have kissed you goodbye. My life will never be the same without you dad. Part of me has gone with you. I miss you. I will always miss you...but you'll never be forgotten. Ever.
