Dying
My brother brother was born 71 years ago with the umbilical cord wrapped tightly around his neck. Thus resulted in catastrophic brain damage, mild LD and CP. Despite predictions to the contrary, Edward learned to walk and talk, read and write.
When mum and dad died Edward had to go into supported living where he was consistently abused and or neglected. Despite our best attempts we could not get him anywhere to live closer to us which resulted in 20 years of me and my husband constantly battling social services and having to resort to damage limitation situations. For the last four years Edward has been subjected to the worst neglect and dereliction of care which has resulted in him being hospitalised for the past two months. He is now being “nursed in bed” at the local Community Hospital and his muscles are deteriorating to the extent that he can no longer feed himself, his breathing is becoming laboured whilst eating and drinking and he is unable to get to the toilet. His current care is outstanding and delivered with compassion.
I would be very grateful if anyone can share with me their experiences of someone with LD and CP in their final months. I have no idea what to look out for or how to help him and whilst the nurses are wonderful they are not specialists in CP.
Comments
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Hi @Jbhc23412, I'm sorry to hear Edward's health has been deteriorating after neglectful care, that all sounds awful. But I'm glad that his current nurses are treating him with more respect even if they don't specialise in CP.
I'm afraid I don't have experience of this myself, but I will tag some of our CP team who may have some ideas or resources to share.
I hope Edward is as comfortable as possible at the moment. Best wishes to you all.
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Hello @Jbhc23412 , I'm so very sorry and saddened for what your brother went through for four years, just heartbreaking for you all. I do not have experience of LD and CP although I was a nurse with a lot of experience in End of Life and Palliative care and previous experience with people with a LD.
My immediate thoughts were (almost irrespective of the staff' experience with both), individualised and holistic care must be the key to ensure not just comfort, but that all of your brother's needs are met, this in itself then assures truly dignified care. It sounds as if your brother is in good, and 'safe, caring hands' now.
I did a lot of my additional training with the End of Life Partnership - EOLP - in Crewe, Cheshire. It might be worthwhile to look at their website too, or give them a call too. They may direct you to the various 'Pathways' for appropriate care in his situation.
If they do not direct you to 'Pathways' please feel free to come back to me and I'll try my best to locate them.
Sending you and your brother my very warmest wishes.
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Hi @Jbhc23412
Firstly, I send my love and support to you and your brother. Here is a resource that I hope will be helpful for you and the nurses caring for your brother.
Palliative and end of life care — Learning Disability Nurse
I'm happy that your brother is now receiving the excellent care he deserves.
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Sending loads of empathy and compassion your way
My heart goes out to you
Thinking of you
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Good afternoon @Jbhc23412
I'm so sorry to read the appalling way Edward has recently been treated. Thank you for sharing the story and I hope you are also feeling supported at this difficult time.
I would agree whole heartedly with @Santosha12 Edward's care needs should be met with a holistic approach, with staff providing clear communication appropriate for him and personalised care being a priority. It'd sounds like this is happening where he is currently being looked after.
Best wishes to you all.
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thank you everyone for your kind words
Richard, the link you sent is most helpful2 -
No problem. We're here if you need to talk.
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Im so glad Edward is receiving better care what a strong lady you are and your love for edward shines through in your writing gosh so painful having to watch your love one go through what edward and your family have extremely touching
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Just a correction if I may; I mistakenly called the End of Life Partnership's 'Pathways', as a source. I apologise it is actually 'E-Paige'. A video you may be interested in which is 14:55 minutes duration, and is presented by Dr Mike Blaber - is 'Finding the Person Behind the Patient'.
You'd need to go to:
EOLP [End of Life Partnership website]
Scroll down to EPaige, double click on that.
Click on You're a Hospital Professional
[Scroll down to] Spiritual Care [Scroll down to] 'Finding the Person Behind the Patient'.
This is possibly one of the best I've seen at conveying how all care needs may be met, holistically, (physical, psychological and social) in the palliative setting.
It sounds as though your brother's needs may already be met holistically, and certainly with compassion, but just in case this helps and didn't want you on a 'goose chase' looking for the Pathways.
All the very best to you.
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thank you so much for taking the trouble to help
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It is no trouble at all, take care.
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A direct link to the video Santosha12 mentions:
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