After my mum's last hospitalisation I wrote about delirium. My reflections on that hospitalisation and on the recovery led me to question whether I should not have given consent for the procedure she had. It was a tough time for her and I am still not sure if I could have made another choice.
Knowing that these decisions are not going to get easier, I recently asked mum about her wishes for the future. "I don't want any treatment, leave me alone and let what happens, happen"
I can respect this view but I didn't feel that mum's behaviour matched her words so I asked again:
"So, you'd be happy to just stay in bed and be looked after until you die?"
"I didn't say that! Why are you asking me this?"
I explained that I want, in fact need, to understand her wishes because there may come a time when she can't advocate for herself.
Mum told me it was not my decision to make, that she can choose, that her doctors will choose. And on it went.
I interpret her resistance to my genuine enquiries as evidence that my understanding was correct. She doesn't want to decline all treatments, she has an expectation of continuing to live and be treated and make decisions for herself. The unfortunate part is that she doesn't make decisions any more. Ask her if she wants chicken or fish and she will say a sandwich.
All of this has been weighing on me intermittently. Mum is very frail and has several non-healing wounds. There is a very strong likelihood that one day, a wound will be infected or she will develop pneumonia and if I am to have any chance of handling the situation I need to be considering options before the crisis comes.
And I don't know why I have written all of that in present tense because mum's care manager updated me last week to say that we have very few options left for mum. Heart failure is impeding her circulation, which is why her wounds don't heal. She is on all the heart drugs, diuretics and blood thinners she can be on and she is no longer strong enough to survive a surgery.
What all of that means is, if mum has a sudden decline for any reason, there are very few options left for her.
It would seem that my efforts to understand Mum's wishes have become almost redundant and I am glad I don't have to carry that but I am not glad of the reason.
For the moment she is well so I shove all of that to the back of my mind, take her treats and try to mollify the irrational, complaining person she has become.
