Jan1 4 months ago

Hi Imogen, 

 I'm sorry to hear about your Nan and what you're going through as a family. 

Thank you for your question about your Nan, and potential pain assessment issues

Firstly you may find it helpful to ask for a clinical review with the GP, to rule out any under lying causes, that may be contributing to any discomfort that your Nan is experiencing, as there may be reversible causes, such as a urine infection/constipation. In addition it may be helpful to reach out to the District Nurse who can also support with unspoken communication with your Nan, and support the staff in the care home accordingly.

admin 4 months ago

Edited by admin 4 months ago

Thank you so much Jan, what brilliant suggestions. 

You're right Imogen, it can be tricky to know how to bring this up. 

It may be helpful to plan what you're going to say, you could write this down so that you don't forget when you're at the care home. 

Try to find the right place and time if you can, perhaps asking someone to speak in private. 

Also, try to speak honestly. With most difficult conversations, honesty is usually best. Try not to be worried about showing your emotions, as it's normal to find these conversations difficult. Do not worry about using the 'right' words or phrasing – say whatever feels most natural and true to your situation.

If you feel it would be helpful you could also discuss this over the phone with Jan, our Information and Support Line nurse.

admin 4 months ago

Edited by admin 4 months ago

Jan, w e often get calls to our Support Line from people wanting to know more about what to expect at the end of someone’s life. Is there anything you can share about this that may be helpful for our Online Community members? 

Jan1 4 months ago

At Marie Curie, we always look at whether something other than nearing the end of life might be causing someone's health to get worse. We usually suggest having a face-to-face appointment with a GP. They can help to rule out infection or another cause that might need treating. By this doing, we may avoid someone needing to go to hospital and help maintain their wellbeing. 

admin 4 months ago

Thank you Jan, that is really good to know. Are there any signs carers and family members can look out for in the final days of someone's life?