Topic: Response to Alla's posting
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Alla….. I have learned that the use of TPN in bowel obstructions is controversial. In one way it can prove to be life extending; on the other hand though there comes a time when it provides no benefit to the patient in fact, it may prolong suffering. It was difficult for my husband to understand that refusing to let go of the TPN did not prevent the inevitable.
I strongly believe that our loved one has the right to make choices of how he/she wants to proceed with an illness. My husband wanted to do whatever he could as long as he could stay alive.
I honored his wishes. It was only then when all signs of impending death became apparent that I stepped in and made the choice of my heart. I called in Hospice, TPN was removed and the morphine pump was attached. It is important to know that his nausea and vomiting subsided within minutes. He passed the following day.
My husband was at home - where he wanted to be. However Alla, a nurse was with us daily for the last two weeks; physicians checked in on us regularly (he had many friends) and due to the close contact with his doctors, I was able to control his pain well, but the nausea and vomiting became a major issue to the point that even saliva caused him to vomit.
Alla, what are your husband’s wishes? Does he prefer to stay in the Hospital? Are you able to tend to him at home, with Hospice?
It is difficult to see beyond our fears and wishes, but ultimately the decision has to be made as to what is best for your husband and for you. This is a discussion I would have in the presence of the doctor.
My heart is with you,