Assisted Living and DNR (Do Not Resuscitate)
Hi! My dad moved into an assisted living facility about six months ago. At the time of admission they asked if he had a DNR. He asked to be a full code and worked. He is fully aware of his medical conditions and fully understands his choice between being a full code or a DNR. I respect his decision as it is his life and he is fully capable of making the decision. He does have medical problems, he has had a heart transplant and now has Parkinson's. He moved into the assisted living for safety reasons. He had several falls leading up to the move. One of the nurses on staff called me today about a minor issue, no big deal. They call about everything! I do understand they need to keep the family informed. However after calling me about his hemorrhoids (they call about everything) she told me I should consider changing his advance directives to a DNR. I was a little taken back by this for a couple of reasons. I feel like this might be overstepping on her part? Is she somebody that should be saying this to me? Should this be coming from somebody in administration, social worker, nursing director? The other thing is my dad is of sound mind, involved in his health care and he wants be a full code. So, I go back to why is she asking me to change his directive to a DNR? I should add I don't necessarily disagree, if I was my dad I would be a DNR, but that is not what he wants. Looking for what others might think, am I just being overly sensitive?
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@ess77, What an incredible journey! You are made of strong stuff. Your son is incredible, too. I don't really have the words to express all the feelings you have stirred in me. Please know that you are in my thoughts. May you find some measure of peace. With all good wishes, @joybringer1
@colleenyoung My husband passed away Jan 3rd. FTD APHASIA/ALZHEIMER'S 4 yrs along. Had covid early Dec.. No ventilator. No lung issues. Severely dehydrated malnourished in nursing home. Not eating or drinking. Not able visit since Mar. 2020.as directed by Mich. Governor.Trans to hosp. Dec 18..then Dec 24 to Hospice facility. We did not know how he had digressed with dementia. Window visits were only connection since Mar. 2020.. He was very receptive and seemed to know us. Laughing, etc. But of course not vocal except a few yes, no oh!! Apparently he "was kept comfortable" because of DNR in file. It should have been changed we did not know we could. He was not given IV fluids during his covid since DNR in place at nursing facility. Released from hospital with vitals back to normal. But his aphasia was advanced. So he passed. Might have been better outcome if DNR was Changed. Even tho he got over covid it was listed on death certificate as cause of death. I'm disappointed in myself as POA, etc. Angry at nursing home to say nothing of my shock of his passing..he was eating pureed food and thickened liquids after released from hospital. I am missing him terribly. Bottom line!!! DNR and end of life wishes need to be reviewed on occasion. I wish I knew that. Sorry for my rant. Thankyou.
Do not feel you have to apologize for your rant. All of us need to vent at certain times. Your suggestion to review end of life wishes is helpful. You have my condolences for the loss of your husband. I hope you have some loved ones to help you transition to your new circumstances. Yes, life will never be the same. May you think of happier days together. With all good wishes, @joybringer1
@dianajane First, my sincere condolences on the loss of your husband. And now to say "thank you" for the very real example of how we need to review our decision making paperwork every so often, to confirm it aligns with our desires and wishes.Please do not continue to beat yourself up. What happened, happened. By sharing your experience with us, you have helped countless others.
Ginger
I agree with these remarks and am encouraged to join this discussion board on aging well Thanks to all who share encouraging and in- formative remarks, not just silliness
@ess77, I cannot imagine a more valiant warrior fighting the many alligators you and your son have faced, Elizabeth. It is both heartwrenching that you both have struggled so long without receiving the treatments that would enhance your son's life and heartwarming that you finally have hope from Mayo Clinic!
You have to be exhausted from your efforts, the grief for your son from his loss of career and chronic pain. The physical and emotional toll for you both deeply touches all of us who have served as primary caregivers. I am celebrating that he will begin receiving in-home help that is so needed and will give you some relief as well. "Just being there" for him is sometimes the best gift one can give another. I'd say he was a very lucky fella indeed to have you at his side!
Please keep us posted on how treatments go for both of you. May hope, peace and less stress in each day find you giving yourself more time for restorative healing as well. It will take you time to relax from the hypervigilence required over such a long period of time so be very good to yourself and liberal with self-care now that more assistance is on the way.
Eager to hear how the new bed works for you!
@dianajane, You make such a good point of the need to periodically review end-of-life decisions. My deepest condolences on the recent loss of your beloved husband. What a difficult journey you've been on. Please be kind to yourself as you grieve.
It seems to be human nature that following the death of a loved one, we tend to berate ourselves with a lot of "if onlys, and what ifs". It has taken me months to get beyond the anger I felt about what "should have but didn't" take place following my best friend's long illness and recent death.
Your post didn't strike me as a rant at all and served to impressed the importance of periodically reviewing our end-of-life decisions. My hope is that with more time, your thoughts will dwell more on the lovely times you shared. I don't think the "missing" ever stops but time can bring us to a place of more peace and thanksgiving for that very special person's place in our lives. Thank you for your post. Thinking of you, Diana, and wishing you comfort.
@fiesty76 Thank you for your kind words.
Hello, fiesty76. You are such a joy. Your thoughts and prayers have buoyed me and given me comfort in the knowledge that I'm really not alone. We're really not alone. I cannot explain to you what a remarkable difference you and the others from Connect have made in my life. This last 6 months or so have been troubling, frightening, challenging. I was running out of hope for Rob's future. I am indeed exhausted from these years, it's taken it's toll, but as I've found Mayo and Mayo has brought so much healing within my body and spirit, I've found new strength from within. I have hope. We are seeing the beginning of a breakthrough in his hell.....
He saw the Mayo dystonia specialist, a leader in this field.....and is now officially his patient. He is scheduling Rob with other departments and specialties for diagnoses, treatment plan. He will take over his botox injections, the one treatment that gives him some relief. Now he will get the treatment from the best!
How wonderful is this!
I was watching my son withdraw into himself and fearful I was losing him. I've spent several days with him helping him understand the doctors with whom he'll be working are special, care and tops in the fields. They can be trusted. Today, I began to actually believe this is happening. Hope has arrived.
Thank you for giving your gifts to me. The support I felt from you and the others has given me strength to stay strong and calm. I can almost breath. Almost hope.
Blessings to you, from me.
And, thank you.
elizabeth
Thank you for letting me squeeze in here. This post sounds a little more positive. Maybe help is truly on its way.
May you be content and at ease.
Chris