Archives

Palliative Care at 30-Something. What Does it Mean?

Palliative Care Integration Model cancerinmythirties.wordpress.com breast cancer thirties 30s 30's death dying hospice

Palliative Care Integration Model
Image Credit: University of Alabama School of Medicine

If you’re like me (until fairly recently, anyway), when you hear the words “Palliative Care,” you think HOSPICE.

Hospice is a scary word in the cancer world.  At least that’s been my experience.  In Cancerland, nothing comes after hospice.  That’s it.  Game over.

So when you are a 30-something-year-old and you hear your oncologist tell you that she wants you to see a Palliative Care specialist, your heart might skip a beat.  I know mine did.

For me, I think it is because I was there as my grandparents went through cancer and treatments and eventually ended up on their deathbeds.  I was there when hospice began for them.  And the fact that the start of hospice coincided with the start of their palliative care was not lost on me.  So it’s only natural for me to associate one with the other, right?

Things were different years ago.  My grandmother suffered with her shiny bald head marked with surgery scars and radiation tattoos and burns from the treatment for her brain cancer.  She suffered with no relief until her poor shiny, wounded head lost its luster.  She suffered until hospice started.

The hospice folks came into her home, set up a hospital bed in the dining room, and they began her palliative care, finally, with some heavy duty drugs.  But she suffered until that point.  And even afterward because the pain control wasn’t great.  It was almost a relief when she slipped into a coma and finally died because it was so painful to watch her suffer and to hear her moan in her sleep when we knew that all hope was lost.

My grandfather’s scenario was different.  I’ve blocked out the length of time he actually suffered with lung cancer.  I was there, so I should know.  But it is too difficult to remember how long the cancer actually took to kill him.

What was different about his experience?  When he was ready for hospice, they didn’t come to us.  We moved him to a hospice.  This was where his palliative care began.

But it only lasted for a day.  We moved him to the lovely hospice home, they started him on morphine and gave me special swabs to keep his cracked lips moist.  The volunteers were warm and comforting and did their best to keep my grandfather pain free.  He died that night.

So it’s likely that my ideas about palliative care and hospice are rooted in my experiences.  I learned that palliative care was end-of-life care. But this is not true.  At least not anymore. So what is it, exactly?

From the Cancer Center’s brochure:  

Palliative Care is medical care focused on relief of the pain, symptoms and stress of serious illness.  The goal is to help people live comfortably and to provide the best possible quality of life for patients.

Patients struggling with the uncertainty of serious illness need comprehensive care and support.  They need to know they aren’t alone.

What Can You Expect from Palliative Care?

  • Relief from distressing symptoms such as pain, shortness of breath, fatigue, loss of appetite, difficulty sleeping
  • Improved ability to carry on with your life
  • Improved ability to tolerate medical treatment
  • Better understanding of your medical condition and medical choices

***

Doesn’t sound so bad.  Sounds good, actually.  So I’m far less apprehensive (and maybe a little excited?) about my appointment at 8:30 this morning.  And I feel pretty lucky to be going to the Cancer Center at the best hospital in our area to meet with a specialist on their team.  Of course I’d feel luckier to not be 30-something and in need of their services, but I’ll take what I can get at this point.

I will let you know how it goes…  Though Percocet (Oxycodone) has been a faithful friend for a long while now, I’m hoping there might be something that works a little/lot better — and that’s less liver toxic — in my future.

We shall see…  Good night…

Weekly Photo Challenge: Color

cancerinmythirties.wordpress.com breast cancer thirties 30's 30s color weekly photo challenge daily post

I love The Daily Post’s Weekly Photo Challenge theme for this week — Color.

Though you’d never surmise it from my clothing (my wardrobe consists primarily of 3 hues (if you can call them that!) — brown, grey and black)), I love color.

I have a difficult time imagining a world without it.  I have often thought that of all the senses to lose, I would likely miss sight the most.  Of course losing the ability to taste during chemo made me question the theory I developed during my dismal ‘what if’ game.  But, in the end, I reverted to my original thought — that it would be more upsetting to live in a world without color.

Its presence lift our spirits.  Its absence brings us down.  It is powerful and beautiful.

cancerinmythirties.wordpress.com breast cancer thirties 30's 30s color weekly photo challenge daily post
As always, thank you for visiting.

If you would like to participate in this week’s photo challenge, please click on one of the links below:

Weekly Photo Challenge: Color

The Daily Post’s Weekly Photo Challenges

Weekly Photo Challenge: Lost in the Details

The Daily Post’s weekly photo challenge topic for this week is: Lost in the Details.

cancerinmythirties.wordpress.com breast cancer thirties 30's 30s hydrangea flowers blue

cancerinmythirties.wordpress.com breast cancer thirties 30's 30s hydrangea flowers blue

cancerinmythirties.wordpress.com breast cancer thirties 30's 30s corning museum of glass lost in the details young

cancerinmythirties.wordpress.com breast cancer thirties 30's 30s corning museum of glass lost in the details young

To participate in this week’s photo challenge, please visit:

http://dailypost.wordpress.com/2013/03/01/weekly-photo-challenge-lost-in-the-details/

or

http://dailypost.wordpress.com/category/photo-challenges/

Thanks for visiting!

Weekly Photo Challenge: Forward — Boys at the Beach

cancerinmythirties.wordpress.com breast cancer thirties 30s 30's beach kids forward

cancerinmythirties.wordpress.com breast cancer thirties 30s 30's beach kids forward young

cancerinmythirties.wordpress.com breast cancer thirties 30s 30's beach kids forward young

If you would like to participate in The Daily Post’s Weekly Photo Challenge:

http://dailypost.wordpress.com/2013/02/22/forward/

http://dailypost.wordpress.com/category/photo-challenges/

Thanks for visiting!

Weekly Photo Challenge: Love

Well, I have returned from my first adventure…but things have been far too hectic and I have been far too exhausted (and ill with cellulitis) to write about the experience yet.  But it is a post I am looking forward to sharing!  In the meantime, I thought I would return with a photo challenge post.  Thank you so much for all of the likes and comments on my last post — and for being there to cheer me on…

These may not be the greatest photos, but to me, they are wonderful representations of this week’s photo challenge topic, “love.”

There were many contenders, but I am far too tired to add them all (and I don’t want to bore you!), so here are just a few.  I may come back to add more at a later date…

Thank you for reading!

————————————————————————————————-

It was Christmas and my littlest sister decided that after all of my chemo and surgeries, the best gift she could give me would be a little companion to help me weather the remainder of my cancer treatments.  So she chose this sweet little mini dachshund and presented her to me with a red ribbon around her furry little body.  Ginger has spent many hours snuggling with me and giving me comfort in the two years we have been together.  And she is a wonderful reminder of the special kind of love sisters sometimes share.

Image

———-

Another Christmas photo…  I was sick and so tired.  And my sweet miniature schnauzer, Mattie, snuggled up next to me.  I had so much to do to get ready for a busy day of making our Christmas rounds that day, but I couldn’t resist the opportunity to lay there with my special girl.  And I am so glad that I did because she died suddenly of cancer a couple of months later.   She loved me unconditionally and I miss her as much today as I did when she first died.

cancerinmythirties.wordpress.com breast cancer thirties 30s young dog dogs illness

———-

And my boys…

cancerinmythirties.wordpress.com breast cancer thirties 30s sick dog dogs illness

Weekly Photo Challenge: Love

If you would like to participate in The Daily Post’s Weekly Photo Challenge:

http://dailypost.wordpress.com/category/photo-challenges/

http://dailypost.wordpress.com/2013/01/25/weekly-photo-challenge-love/

 

Weekly Photo Challenge: Illumination

Weekly Photo Challenge: Illumination

If you would like to participate in The Daily Post’s Weekly Photo Challenge:

The Daily Post’s Weekly Photo Challenge

Weekly Photo Challenge: Illumination

cancerinmythirites.wordpress.com breast cancer young 30s illumination daily photo challenge kids

cancerinmythirites.wordpress.com breast cancer young 30s illumination daily photo challenge kids

cancerinmythirites.wordpress.com breast cancer young 30s illumination daily photo challenge kids

cancerinmythirites.wordpress.com breast cancer young 30s illumination daily photo challenge kids