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The doctor confirmed my earlier suspicion that after surgery, she would be discharged from the hospital to a nursing home for rehabilitation. It would be eight to twelve weeks before she could come home. In my mind and heart, I knew Clara would not do well in a nursing home setting, even though I was already mentally planning on visiting her daily. Then there was the matter of what was wrong with Clara to cause this weakness in the first place. What was the unknown mass in her lung? I imagined Clara in a nursing home dying a slow, painful death. I prayed if she was going to die, if it was reasonable to ask, to help her die quickly. I felt all of my hard work in Clara’s behalf went down the drain, as if it was all for nothing. I wondered if her daughters were mad at me for Clara falling when I was caring for her. I wondered how Andy felt about it. It was a long hard night, but I kept all of these feelings to myself and would plant a smile on my face for everyone else. The next morning, after Andy left for work, I decided to work on a funeral program for Clara. My thinking was, if she dies it would be hard to write a nice obituary for her. I wanted an obituary that when read, people would learn something about Clara they did not know before. I knew even if it was not immediately needed, it would be needed in the months ahead. I thought if I waited, I would be so drained emotionally I would not be able to do it justice. I actually called a long time friend of Clara’s, that I am a friend with now, to ask her if my recollection of what Clara had previous related to me was accurate. Other than that phone call, I did not dare tell anyone what I had been working on. I’m a planner, so for me it made sense but I knew for her family it would be offensive. When I arrived at the hospital, I was happy to see that the pain medication really knocked Clara out, as long as she was sleeping, she wasn’t suffering. By Tuesday, two days later Clara was still not stable enough for surgery. Even though she was off the Coumadin, her blood continued to thin without explanation. Also, Clara had internal bleeding from the break. Her condition was worsening. I had been to the hospital for a visit and once I got home the doctor called wanting my approval for a particular treatment that she felt was necessary for Clara. It was not a treatment I was comfortable with and I asked some questions. The house doctor got a bit nasty with me and insinuated that I was jeopardizing Clara’s life. I told her that I could not give permission to a treatment I did not feel was in Clara’s best interest. I asked if there were any alternative treatment options. This doctor demanded my approval and would not discuss any treatment options. I refused approval until I knew all of Clara’s treatment options. The doctor asked if there was another family member she could talk with. I told her Clara’s daughter would be there in two hours and she could discuss it with her if she preferred and see if she would grant permission if she deemed it necessary. With that the phone call ended. This doctor apparently went to Clara’s room and convinced her this treatment was of life or death urgency and Clara gave her verbal approval. Since she was on the pain medication, they needed another family member to agree to it. Now a nurse called to speak with me, said she was at the bedside with Clara and the doctor when Clara agreed to the treatment. At that point, I felt like I had the right to fight for Clara, but I was not going to fight Clara. If I was right or wrong in my opinion was not the issue now, it was supporting what Clara wanted. She had the right to make her own choice. I called Andy at work and told him what his mother wanted. He was surprised at how stressed I was by giving permission for this treatment in his mother’s behalf since it was really her decision and not mine. Clara actually had a durable health care power of attorney and Andy was listed as her health care agent. He decided after our phone call, that he was going to invoke his authority as her health care agent and start making his mother’s medical decisions; I was out of the equation. Finally, it was such a relief!
My entire account is available at http://www.createspace.com/3469034 or at Amazon.com, just type in the title of my book, LIFE WITH CLARA – ONE CAREGIVER’S JOURNEY. I appreciate all of your comments and wish all caregivers the strength they need to cope each day!
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