Your stories matter!
Palliative care helps people live and feel better.
Many people living with a serious illness ask, “What is palliative care, and why do I need it?”
This is best explained by stories – your stories.
Tell us in which unique way palliative care helped you and your loved ones.
You can tell us in any language, with or without names, with or without pictures. You can even send a voice note to your palliative care team to pass onto PALPRAC for us to publish here.
We want everyone to understand it and ask for it.
I don't regret getting palliative care help
At 67, dealing with metastatic breast cancer was like navigating a maze in the dark. Chemotherapy sessions felt like a necessary evil, and the opioids were the only things keeping my pain in check. Being a widowed parent with two grown-up kids nearby, the future looked foggy, and the idea of involving a palliative care team didn’t exactly ease my nerves.
But, against my initial reservations, I decided to go for it. The palliative care team wasn’t a group of overly sentimental angels, and that suited me just fine. They were practical, straight shooters who helped me make sense of the medical jargon and understand what the heck was going on with my treatment.
Pain management wasn’t just about popping pills. The opioids became a tool to get some control back in a situation that often felt out of control. The team wasn’t there to coddle me but to help me express what I needed and wanted.
Talking about the future wasn’t a tearful affair with the palliative care team. We discussed advanced directives and end-of-life stuff without turning it into a soap opera. They made those tough conversations less daunting, letting me face the inevitable with a bit more grit.
With my adult kids in the mix, we tackled the tough stuff together, guided by the no-nonsense palliative care team. Their support wasn’t flowery or sentimental, but it was solid and practical, like a roadmap through the storm. Standing here now, I’m not shielded from the harsh realities, but I’ve got a practical kind of strength thanks to the palliative care team that’s helping me face whatever comes next.
Die een en die ander
My ma is in Augustus 2016 op die ouderdom van 79 oorlede. Haar gestel was swak, hoofsaaklik as gevolg van chemobehandeling wat sy sowat 3 jaar voor haar dood ontvang het. Alhoewel sy die kanker oorkom het het die behandeling sy tol geëis.
Die chemo het haar verswak en veroorsaak dat ‘n gewone verkoue haar maklik in die hospitaal laat beland het. Haar hart was verswak en haar niere se werking ‘n fraksie van wat dit behoort te wees. Sy was ook gedurig op antibiotika vir blaasinfeksie, wat bygedra het tot haar swak gestel. Sy is in Augustus 2016 in die hospitaal opgeneem en aan ‘n nier-dialise masjien gekoppel, en sy het nooit weer huistoe gegaan nie.
Die 6 maande wat haar dood voorafgegaan het was sy in en uit die hospitaal, en as sy by die huis was het sy meesal gelê, maar met ons gesels en min gekla. Ons het geen begrip vir die erns van haar toestand gehad nie, want daar was geen kommunikasie nie. Ons is aangesê om altyd eers die huisdokter te bel as sy swak lyk of sommer die ambulans. Terugdenkend besef ons vyf kinders dat sy dalk nog kon geleef het indien ons beter inligting gehad het. Nie eers tydens die 10 dae in die hospitaal het ons ooit die internis te siene gekry nie, alle kommunikasie was via die susters. Daar was slegs nou en dan ‘n doktor wat ons te woord gestaan het. Die susters het ook gereeld vir ons gesê dat sy al beter lyk en teen 31 Augustus vir haar 80ste verjaarsdag tuis sal wees. Op 19 Augustus het hulle in die nag gebel om te sê sy is oorlede. Ek het die vorige aand met die dokter oor die telefoon gepraat, en hy het kortaf gesê dat sy oud en siek is en ons moet nie te veel hoop nie.
In strak kontras met die ervaring het ons pa ‘n jaar later breinkanker opgedoen. Hy is in September 2017 gediagnoseer en het in Februarie 2018 gesterf. Ek besef dat dit ‘n terminale siekte is en dat dit makliker is om te voorspel wat kommunikasie en versorging eenvoudiger maak. Vandat ons die nuus ontvang het dat hy, op 84, terminale breinkanker het is ons ten volle op hoogte van sy toestand, simptome, die kanker se vordering, en sy lewensverwagting gehou. Hy is nooit gehospitaliseer nie en sy palliatiewe dokter het hom aanvanklik elke maand besoek (iets waarna hy vreeslik uitgesien het), daarna elke tweede week en gedurende die laaste maand weekliks en selfs daagliks. Die pakket van versorging, wat die palliatiewe dokter, sowel as personeel van die Hospice en versorgers ingesluit het, was nie alleeen van ‘n ongelooflike hoë kwaliteit nie, dit was ook persoonlik, “caring”, gerusstellend. Ons kon hulle dag en nag met vrae bel, en die reaksie was altyd vinnig en akkuraat, ook gedurende sy laaste 3 dae. Ons vyf kinders dink terug aan die maande voor sy dood met hartseer en vreugde, al sy wense is nagekom, hy het presies verstaan dat hy gaan sterf, en ons was gewapen met al die inligting wat ons nodig gehad het om te beplan, afskeid te neem en met die lewe aan te gaan. Darenteen praat nie een van ons vyf graag oor ons ma se dood nie. Dit was onverwags, onverdiend en vir ons, as kinders, wat inligting beter as emosies hanteer, was dit pynlik.
Caring for my mom
Mom was in and out of hospital thirteen times in five months and the need for transfusions was becoming ever more frequent. She would become confused and anxious during the hospital stays. Her quality of life was severely affected and we finally decided on no further treatment.
Mom insisted we visit various care homes where she could be taken care of – she realised it was going to be quite a task for me to carry on working and also take care of her – but we convinced her that home was best although she was never comfortable with the carers sharing her space!
Mom had been so fit all her life that she struggled, at times, to understand what was happening to her and why she didn’t have the energy to do things anymore. The most difficult part for me was when she had episodes of delusion. On reflection, what upset me most was that friends as well as neighbours in our block of flats became aware that all was not well. The stigma around mental health problems! I was very grateful to have a palliative care doctor who came to assess what might be causing the anxiety and to investigate the extent of the delusion.
In my experience palliative care at home is challenging but I am so glad that we managed to keep her at home in familiar surroundings right to the end. Mom had signed a living will and she had refused chemotherapy some years back. She had also lived a full 90 plus years, so we were secure in the knowledge that palliative care matched her wishes for her final months even though she was not able to articulate that wish towards the end.
Pain, pain go away.
I was diagnosed with cancer about 3 years ago, and I am receiving treatment for it on and off.
In the last few months, I have been struggling with pain, mostly in my chest area. I had tried lots of different medications – it looked like a pharmacy in my bathroom cupboard. Nothing has really worked, and I have a few uncomfortable side-effects.
Sometimes the pain was so bad that I couldn’t go out and spent a lot of time in bed. I was grumpy, and I think it was hard for my family to see me suffer.
Someone suggested that I go and see a pain specialist. She ended up being a palliative care doctor. We spoke about where my pain was when it got worse and what I had tried to use before. She examined me and spoke to my oncologist to hear exactly where the cancer was.
Finally, we found a recipe that works. Because of my type of pain, I have to take two different medications, but only in the morning and evening. And then I have some backup pain pills for the bad days. She has also helped me sort out my stomach because that was almost worse than the pain.
She has a team that works with her, and there are some other things we have also been able to sort out with my family.
It has been very reassuring to have them as part of my medical team. They are always only a phone call away.
Talking the tough talks
I’ve got a tired heart, making walks around the block tough. Around home, I manage, but I worry for my unwell wife. Hospital stays feel long, and not much help lately. Scared to burden kids or lose independence. Someone said, “Palliative care might ease your worries.” Reluctantly, I shared my fears with the team. Talking “What-iffs” wasn’t easy, but they really listened and it helped. It helped me plan ahead without stress. Now, I feel a bit lighter, heart still tired, but mind at ease. No more hospital stress, just cherishing moments at home with my wife or playing chess with my friend. Grateful for palliative care, making tough talks simpler.
My grandfather
My grandfather was terminally ill with Pancreatic Cancer. He was getting Palliative care and I tell you, we would not have coped if it was not for the team. They where there every step of the way, making sure not only that he was as comfortable as possible, but that we were informed every step of the way what to expect and how to cope. His final days the team was there with tremendous support and care. Thanks guys you where amazing.