Does anyone have experience with Palliative Care?

Posted by ashby1947 @ashby1947, Dec 11, 2020

Hello Everybody - If you have had experience with Palliative Care, I would truly appreciate hearing about it. What were your medical issues? What did your Care Team do? Did it work for you? I'm a 73 y.o. woman with multiply medical problems, most of which are severe: uncontrolled BP (on many medications which create their own problems); dizziness and lightheadedness; Hx of atrial fibrillation and supraventicular tachyicardia; stomach pain daily 8 or 9 on scale (this is recent and I'm not sure tx for heart burn is correct) and all the accompanying issues of no appetite, weight loss, constant nausea; diplopia which affects balance and self-confidence; lumbar stenosis; dry eye syndrome; and other. Sorry, don't mean to be tedious. The reason I mention all these is that dealing with all of them, every day, is making me exhausted and depleted physically, mentally, emotionally, and spiritually. My husband is great; however, this obviously affects him. I am barely able to accomplish activities of daily living, and recently I have asked him to drive me because I don't feel confident on my own.

I know that hospice care is for those with 6 mos or fewer to live. What I've read about Palliative Care mostly talks about care for people with one significant issue - cancer, heart disease, kidney failure. I wonder if I would even qualify since I have multiply problems. I have very good physicians and medical care here in Jacksonville. But they are each specialists. You know how it goes - no one is dealing with how they all interact and the compound effect on me. I have a long session scheduled with my PCP in a few days. He seems to deal only with the presenting problem.

Any thoughts or experiences you have had would be welcome! Hope this is a good day, Sue

Interested in more discussions like this? Go to the Chronic Pain Support Group.

We use Mayo Rochester outpatient Palliative Care for my spouse who has metastatic renal cell cancer and multiple
comorbidities. The team is wonderful, as is the inpatient team. They consult with oncology and other specialties when needed and order all her controlled substance medications. We can have virtual appointments with physicians and social workers when it is not convenient to come in person. When we have a crisis, they do an excellent job of trialing and suggesting what is best to do.I have never met a team of such caring knowledgeable people. Good luck. Just ask your PCP for a referral.

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@sueinmn

Ah, the urge to "get it done". I had an "aha" moment once with my Mom in the grocery store - to her it was an outing, to me it was an errand.

It was a matter of perspective. I decided to make it an outing for myself too. I watched people. I looked at products on the tops shelves in each aisle - you know, the odd stuff like specialty condiments, artichoke hearts and imported cookies.

Interestingly, I came out of the store relaxed, not impatient like I usually was at the end of one of our grocery trips. By that time in her life, enticing her to eat was not easy. So the next time we went to a local specialty grocery and made it an adventure. Sure, the staple items cost a bit more, but we found a few things she would eat, and we enjoyed the journey.

Caregiving changed my perception of many aspects of life. Did you know a McDonalds' Filet'o'Fish sandwich could be a treat if you weren't able to drive up and get one whenever you wanted it?

Sue

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Thank you Sue! What good advice. I will try to remember your ideas next time we're out. You are right - for me it was an errand, but for my spouse it was an outing, which she hasn't had a lot of lately. As she said, I have never spent an hour in a grocery store in my life! I grew up with a dad who said "First you have to need it, then it has to go on sale, then you can buy it" and I think a lot like he did!

Dee

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@candysmommy

Wish I could find that in my area,but without a cancer diagnosis I have not been able to find anyone to help me with it.

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Last spring I was in end stage liver disease. I was being processed to be on the transplant recipient list. But, knowing how slim it was for me to receive a liver, I was doing what I needed to do to prepare for my care and potential death. My liver doctor referred me to palliative care.

It was during Covid, so my consultations with them were virtual. But I was able to see a doctor for pain management meds and medical cannabis. I also spoke with social workers who provided great financial guidance. And, of course, a counselor who was wonderfully supportive.

You should be able to be referred by your provider to a palliative care practitioner. And, if there is not one in your area, there should be a regional opportunity. I live in southern Vermont and received my care from a medical center in New Hampshire.

The organization that John @johnbishop referenced is the national palliative care organization and they have numerous resources.

My best wishes for you.

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@sueinmn

Ah, the urge to "get it done". I had an "aha" moment once with my Mom in the grocery store - to her it was an outing, to me it was an errand.

It was a matter of perspective. I decided to make it an outing for myself too. I watched people. I looked at products on the tops shelves in each aisle - you know, the odd stuff like specialty condiments, artichoke hearts and imported cookies.

Interestingly, I came out of the store relaxed, not impatient like I usually was at the end of one of our grocery trips. By that time in her life, enticing her to eat was not easy. So the next time we went to a local specialty grocery and made it an adventure. Sure, the staple items cost a bit more, but we found a few things she would eat, and we enjoyed the journey.

Caregiving changed my perception of many aspects of life. Did you know a McDonalds' Filet'o'Fish sandwich could be a treat if you weren't able to drive up and get one whenever you wanted it?

Sue

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@sueinmn My former mother-in-law, a very sweet lady, had a difficult time finding someone to allow her to "go along" with when she wanted to go shopping. She never learned to drive. It was an adventure for her. Carefully get dressed, walking shoes on, pocketbook stuffed with who-knows-what. And off to the store.

We went up and down each aisle, her marveling at "new confounded things", looking at everything, and of course interacting with fellow shoppers. Some looked pittance at me, others smiled and nodded, understanding completely. I learned to enjoy seeing her excitement, picking up weird items sure to confuse others at home. Then off to lunch at a restaurant of her choosing. It was a wondrous time that I cherished.

So much in this world is "a matter of perspective", isn't it?
Ginger

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@deek15redpeppers

Ginger, Yes, you are correct. Palliative Care has helped me too. They have so many resources to offer both of us. I think my spouse and I are drawing closer, but there are still difficult days, that's for sure. This week has been good though, with a drive to see a friend, another friend visiting and just a trip to the grocery store, slow motion with her on an electric cart. I bit my tongue several times to stop myself from saying "can't we go a little faster"?

Jump to this post

Ah, the urge to "get it done". I had an "aha" moment once with my Mom in the grocery store - to her it was an outing, to me it was an errand.

It was a matter of perspective. I decided to make it an outing for myself too. I watched people. I looked at products on the tops shelves in each aisle - you know, the odd stuff like specialty condiments, artichoke hearts and imported cookies.

Interestingly, I came out of the store relaxed, not impatient like I usually was at the end of one of our grocery trips. By that time in her life, enticing her to eat was not easy. So the next time we went to a local specialty grocery and made it an adventure. Sure, the staple items cost a bit more, but we found a few things she would eat, and we enjoyed the journey.

Caregiving changed my perception of many aspects of life. Did you know a McDonalds' Filet'o'Fish sandwich could be a treat if you weren't able to drive up and get one whenever you wanted it?

Sue

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@gingerw

@deek15redpeppers From your response, it sounds like utilizing palliative care also has the added benefit of helping the caregiver, too! I imagine it has eased your mind, and brought a healthier closeness with your spouse, something that you both work towards. Am I correct?
Ginger

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Ginger, Yes, you are correct. Palliative Care has helped me too. They have so many resources to offer both of us. I think my spouse and I are drawing closer, but there are still difficult days, that's for sure. This week has been good though, with a drive to see a friend, another friend visiting and just a trip to the grocery store, slow motion with her on an electric cart. I bit my tongue several times to stop myself from saying "can't we go a little faster"?

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@deek15redpeppers

That is so sad because many other issues besides cancer may benefit from palliative care. I hope the next comment will help you. Good luck.

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Hi Deek15redpeppers. Have you tried checking the Internet for Palliative care organizations? If you find any on line, don’t forget to check reviews. Also, I can’t believe your Dr. and staff haven’t helped you out with info. My sister had Palliative care several years after her Lewey Body Dementia
was diagnosed. Towards the end, several years later, she had Hospice care. You don’t have to be terminal to have Hospice. They were the best. Good luck and let us know how your search goes.

bjanderson

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@candysmommy

Wish I could find that in my area,but without a cancer diagnosis I have not been able to find anyone to help me with it.

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That is so sad because many other issues besides cancer may benefit from palliative care. I hope the next comment will help you. Good luck.

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@candysmommy

Wish I could find that in my area,but without a cancer diagnosis I have not been able to find anyone to help me with it.

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@candysmommy, I wonder if this might help you find someone in your area - https://getpalliativecare.org/provider-directory/

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@deek15redpeppers

My disabled spouse with renal cell carcinoma, mets to the lung, was referred to Palliative Care after being diagnosed with a pathological fracture to the sternum. They are WONDERFUL! They manage all of her pain meds, determined to help her improve her quality of life. We have met with the social worker and the doctor, who is more than willing to work with the oncologist to see that our needs are met. They are such a valuable team, offering complimentary options like music therapy, pet therapy, relaxation techniques, etc.

Don't hesitate to get a referral! Palliative care is not for the dying, but for those who want to live life to the fullest possible within the confines of illness and pain. Good luck.

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Wish I could find that in my area,but without a cancer diagnosis I have not been able to find anyone to help me with it.

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