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I’m sorry you’re witnessing such a sad time. My mother died after a series of strokes. The signs of end of life our family was told to look for were three things 1) stopping communicating 2) stopping all eating and 3) sleeping a much deeper than normal sleep. These proved to be very true. Even after my mother had no calories at all, and slept continuously, she lived a full three weeks. She was comfortable and peaceful in this time. Hospice should be a guide for you, rely on their experience and advice. I wish you peace in this hard time
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Reply to Daughterof1930
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4. Mottling of skin?

So sorry about both moms.
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Reply to cover9339
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I’m so sorry that you and your loved one are in this situation. In advance, my deepest condolences and may she rest in peace soon.
In my experiences, she could have another stroke event and go peacefully in her sleep, or if she is a full code and everyone is in agreement with quantity of life over quality, that could be a few years.
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Reply to gemswinner12
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DEPGNP Jul 15, 2024
That is my fear that she will continue on like this. She refused to take her meds and that is what hat caused the stroke. Now we are in a holding pattern of her barely eating but eating enough to exist with no quality of life just be full care.
She can't even roll over in bed, no ability to feed herself. My hospice team suggested taking her off all meds because she would never survive another stroke. They believe she will eventually have another in soon. They also say due to her lack of eating this will also come into play causing organ failure. It is such a terrible place to be in.
(9)
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Depgnp, there's no way for anyone to know. I know the waiting and wondering is the hardest part of this.

Not wanting your mom to go but at the same time, wanting her at peace, wanting it to be over, and right now time and life on the outside world is just at a stand still.

It's horrible, I'm so sorry, your not alone
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Reply to Anxietynacy
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Anxietynacy Jul 15, 2024
You may want to listen to hospice about the bp meds . Your moms ready to go,

I suspect she has been ready for a while, and that's why she wouldnt take her meds.
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I'm sorry about you mom. Since, she is placed on hospice, the main objective is to keep her comfortable at this point. Find out what their protocol is for eating, medications and such. Talk with a hospice representative at the facility and ask questions.
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Reply to Scampie1
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As long as your mother is eating and drinking, she will continue on for a while.
It's usually when one stops eating and drinking completely that death will come sooner than later, or if she were to have another stroke.
My late husband was completely bedridden and under hospice care in our home for the last 22 months of his life and he didn't eat for 41 days and didn't drink anything for about 25 days before he finally died. It was very difficult to witness for sure.
I would just tell you to enjoy whatever time you may have left with your mother and make sure that you leave nothing left unsaid.
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Reply to funkygrandma59
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OliveBalla Jul 19, 2024
Well said.
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My mom (75) with a pretty rare form of breast cancer IBC(now even rarer,it's mets to skin) has been on hospice 7mths. Though not typical in any way it's truly heartbreaking and very difficult to deal with. Not knowing is my daily inner struggle. Yes I too pray this ends soon and peacefully.
May you find peace and bless you. Cherish every moment.
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Reply to Lwayne
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I
imagine each person is different - your mothers doctor could advise more as they are monitoring her body
it’s a terrible time
my mother died of cancer and we had doctors telling us all sorts of timescales
truly dreadful
try to switch off to how long and take each day as it comes looking after yourself as well
if you spend your days asking this question they will become even longer ( if that’s possible! And it is!)
speak to your mothers doctor
Best wishes to you at this very very difficult time
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Reply to Jenny10
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I have found “Hospice Nurse Julie” on YouTube to be very comforting. I am no longer anxious about my husband’s death as long as Hospice is involved. She also recently published a book called “Nothing to Fear”. My husband doesn’t qualify for Hospice yet, but if were on it, I would trust their suggestions. As long as your Mom is clean and comfortable I would cut back on her medications and let nature take its course. God bless you both in this transition.
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Reply to Kartyjb
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KPWCSC Jul 19, 2024
No one should ever cut back on medications without their doctor's advice. Some need to be titrated very carefully where others can be stopped with no side effects. Some work in conjunction with others and would need to be handled together appropriately. Some may be treating issues that provide comfort and may create new issues if cut back inappropriately.
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My mother suffered TIAs the last year-plus of her life when she had to stop Coumadin. In the last six months, Mom slept 20 hours daily and ate so little by the last month of her life requiring palliative care. She passed away from congestive heart failure at age 95.
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Reply to Patathome01
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Longer than you hope. From an insurance point of view. Hospice is done in 4-6 month increments. Often the care is better on hospice and in rare cases recovery is possible. My wife only lasted 5 weeks
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Reply to Sample
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This is a question for your hospice team. Only they know how her needs are progressing and will recognize that the body is shutting down. When my father was on hospice, we were provided pamphlets that helped us understand the dying process which better prepared us as we observed the changes. The bottom line is no one can give a direct answer but the hospice team has the proper training. If you feel you are not receiving good communication from your agency you have the right to change as many times as necessary to find the best choice for your mom.
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Reply to KPWCSC
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I don't know.
I believe the question is about her quality of life and letting nature take its course. This is hard - declining, dying.
What is her cognitive abilities? Mood?
You do what you can in each moment, be it touch/massage, smiling.
In terms of eating, do / did you try protein drinks with supplements in it - or chocolate - whatever she likes. And would drink.

It is important to remember - or think about her quality of life vs keeping her alive to keep her alive - this may be hard to hear. No one wants a loved one to pass on however we need to put their feelings and needs in front of our own.

I hope that I am not being too brass or direct although I feel it is important to share how I really feel. "Let go and let God" as a saying goes.

And, then - now - take care of yourself.

It certainly isn't easy. I went through a similar situation and I am sure many here do / have. We do the best we can and that is all we can do.

Gena / Touch Matters
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Suzy23 Aug 3, 2024
I agree with this: “It is important to remember - or think about her quality of life vs keeping her alive to keep her alive - this may be hard to hear. No one wants a loved one to pass on however we need to put their feelings and needs in front of our own.”
My father had dementia, cancer, and other incurable conditions. He told me in January he had a good life and was ready to go. He had lost a lot of weight by then and was diagnosed with adult failure to thrive. We started home hospice. He was barely eating, wanted nothing but one bowl of ice cream per day. He lived another four months and died at 80. I was very grateful for hospice.
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Nobody can answer that. To be on hospice doctors determine a person has less then 6 months to live, but it’s up to god. Have you asked her doctor? The answer would be a guess.
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Reply to Funcountess
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My mom was 18 l…o..n..g long months bedfast on hospice in a NH after taking a bad fall on her way to activities in the NH. Older than your mom too. On some days she was totally lucid and conversational and wanted me to bring her a sandwich from the deli in her old neighborhood; other days she went back in time to when she was in her late teens early 20’s as she thought I was her Aunt who lived with her and her parents when she was like 19-22 years old. I think this was the point in her life she was happiest. Fwiw I do not at all look like the Aunt either. I found playing music of her era was a good idea.

Coping with hospice for me got better over time. Although it sometimes was eerie if it had been weeks since I visited (I live in another State) as she got pretty teeny & she was petite to begin with.

The hospice agency if it’s under Medicare for its payment has to have some type of counseling services, ask about what this group may have easily available for you if you are struggling. The bigger ones (Vitas) if it’s in a large service area / big city has actual staff for this.
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Reply to igloo572
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DEPGNP: The answer that you're looking for will depend on the type and extent of the stroke.
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Reply to Llamalover47
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It was hard to see my 230 lb 6 ft husband go down hill with dementia. He didn't eat as much as he usually did, lost a lot of weight, couldn't do much of anything except sit in his recliner and sleep most of the day. I read articles and books and learned this behavior is starting the end. I made darn sure he didn't go out of the house as he would go for long walks and got lost. At his 6'2" height and 250 lbs there wasn't much I could do to stop him. When he would go for walks I would try to follow him or watch him from my high porch to see he turned around to come home. Eventually, I had to go with him, stop what I was doing, and go to be sure he didn't get lost. As for eating, my 250 lb husband lost a lot of weight to be less than 200 lbs and looking haggard. I talked to doctors and nurses and was satisfied it was natural to do this. With his dementia worsening even with medication, I did not try to feed him more healthy foods but what he wanted. Even doctors/nurses agreed with me. Give him what he would eat, time was getting short, let him be, he wasn't going to get better from the advanced dementia he had. It got to where he wouldn't eat his meal but would eat ice cream. I talked with the nurses and they said, give him what he wants, his time is short, eating what we all know as a healthy diet is not going to make his life longer, as the dementia will take over and he will lose all his memory. That really happened, his days were numbered, and if he just would eat ice cream all day, he got it. Except since he had bowel problems from too much ice cream I immediately put a limit on what he could have in a day. With memory loss, you can't reason with the patient, appetite will wain, doctors said give him what he wants, he is going to "go" anyway, with or without "proper" nutrition. So, I let him have what he would eat, not what I thought he should have. He died a healthy 240 lbs 6'2". He fell and hit his head, so died anyway, not from bad nutrition but from the damage to his head and heart.
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Reply to JosAgingCare
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It's time, when it's time is all I have to offer you. My mother with Afib was hospice and bedridden for about a year but 8 months into it she developed covid19 and lasted 4 more months. It drained the crap out of her! Assuming that a stroke does that and worse is still undecided. It's given that being bedridden doesn't add up to the need for meals,no energy being used. Little bites and snacks here and there are plenty. Try bringing some of her favorite foods,Moms was peanut butter on crackers and ice cream, whatever makes her happy! I pray that your loved one is comfortable and in no pain, hospice is really good for that! I think the tell tale signs are sleeping and not being able to make sentences. With my father, he was seeing people in his bed and garage and in the living room. I recall him saying where's my drink? Used humor and said you finished it already.
I called the priest the day before mom passed away and he made it the next morning, she became very aware and happy that her sins were forgiven. She passed away 12 hours later, she was ready,it was time for her to go. I only wept tears of joy for her.
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Reply to JuliaH
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My dad had ice cream and soup two days
before he “slept” through the night. Chances are he was in a coma by then. He passed the next day.
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