Struggling with the adjustment as a carer

Hello all

I’ll try keep this short as can be. I’ve joined this forum in the hope of making sense of my emotions and how to manage them.

We very recently found out my Mum’s (58) cancer has come back in multiple places, with a plan for palliative chemo to start soon. She’s been declining for a few months, more so the last few weeks as she went off work with increasing back pain. I live away but have been popping back every week to support picking up prescriptions, shopping, cleaning etc. After the GP prescribing new pain relief each week, with no effect, she got to a point where she wasn’t eating/drinking and sleeping all day and I got an urgent face-to-face appointment which resulted in a trip to A&E and a hospital stay, where she still is. It was a relief for her to go into hospital as seeing her like that was horrendous.

We are both from a healthcare background so it has been difficult knowing a lot about what’s going on as well as what may be to come. She has a few different things going on that they’re treating her for currently. The decline in the space of a week is significant - she’s walking with a zimmerframe, incontinent, sleeping in bed and not getting up, not replying to the mountain of texts from friends or catching up on her soaps (not like her at all). This has shocked me, and has brought up a variety of complex emotions. I feel I could not cope if she came home, and I expressed this concern today to her and the doctor. Mum was very snappy with me, and has accused me of making things harder for her by voicing other concerns about her oral intake, mobility, mild confusion to list a few. I am doing this from a place of care and concern, which I have told her.

I was also able to tell my autistic brother (26) more about what’s going on today, as I had avoided it until we had a plan about the treatment options. He seems to have taken this better than I thought, but this past year hasn’t been great for his mental health and in the last few months he has turned a corner with counselling, which I fear is going to go backwards. I am currently staying with him at Mum’s (about an hour and a half away from my home) due to him needing some general practical and emotional support - my Mum has done pretty much everything for him that leaving him alone would not end well. I (27) am also a final year student nurse and have a life with a boyfriend and friends where I live, currently putting all this on hold until the foreseeable. We have reconnected with my Dad who lives abroad and he has provided a great deal of support to us both - Mum and him have been separated for some time and I feel she has a lot of emotions about this contributing to her cancer. This has been a common theme she has brought up every time I’ve seen her, adding to the strain on our relationship.

In summary, I am dealing with a lot of feelings of anger, sadness, anxiety and frustration about the near and distant future. I am worried about Mum coming home and adjusting to having a more hands on role in caring. I was very emotional today even doing it (I would like to think that because I have a passion for caring and have done so for so many people so far, that for my own family it would be easy, but I feel like I can’t cope). I recognise that this is such an emotional time for her, and she has said she is fed up. I feel it is really hard to have any meaningful conversation about emotions with her right now.

I feel like I am suffering but this makes me feel selfish and guilty. I just wanted to know if this is normal and how I could make the situation better? I have enquired about some counselling so far.

All the best, Lydia

Hi @sunflowerseed2

Welcome to the forum.

It sounds like you, your Mum and family are having the toughest of times.

There are others in here with experience of caring for someone with cancer, I’m sure they’ll be along.
@Victoria_1806 ; @Chris_22081 )

Are you all being supported by a hospice?

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Speak to your employer or your college and ask them if they can provide access to a psychologist. I am a 62 yr old bloke who never thought that I would need such help, but after my wife was diagnosed with young-onset Alzheimer’s, the NHS offered me free sessions with a psychologist and they were a massive help. Other than that, stay close to friends and family, they will get you through this.

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@Melly1 Thank you for your reply. No we aren’t. I know hospices can do a lot but it hasn’t been mentioned so far, I think the medical team are wanting to try the palliative chemo and then assess what the response is from there. I fear that my mum has lost the strength to do this battle again and although this time it’s not to cure but to treat and I know we can’t expect years left, I still want her to try make the most of what time we have.

Having any discussions with her about extra support seem futile at the moment.

@North_Somerset thank you. I actually have a meeting with my tutor later today and she seems keen to see what extra support she can give. I have enquired about some counselling through the NHS, which I accessed from the uni website, so just waiting on a call back.

It’s been a lot to juggle in such a short space of time. I’ve been fortunate to have a very supportive partner and close friends, as well as mums family and friends. I think the main difficulty I’m having to be the point of contact right now for everyone.

I hope you and your wife are doing ok.

Find out more about NHS Fast Track NHS Continuing Healthcare. You need help and support.

@sunflowerseed2 Lydia
Hello hon
BIG BIG hugs
Deep breath, go check your heart rate and BP, have you had something to eat yet, have you had some water…ok - please go do that first. You’re dealing with SO MUCH and we understand, and we’re with you…but first remember you need air, food and hydration.

I am SO sad and hurting for you. Your Mum’s so young to have this B***tch of cancer to deal with. You know that she has a lot to deal with given the treatment that’s recommended, So I’m not going to dwell on that.

Personally I think you’re being super-pragmatic, realistic and ALL the best things given everything that’s going on…AND especially for your brother to translate everything to be meaningful without over scary. I can’t imagine the burden all this places on you at the young age of 27 AND trying to do your final year!! I’m sitting with you (altho I have a glass of wine in hand - sorry it’s late, and I needed one! ) and giving you big side hugs

Maggies (https://www.maggies.org/) are THE best - I love Macmillans too and they have all the booklets etc etc and are attached to a hospital BUT Maggies have counsellors and support and understand the local services and support…Give them a call, ask for support for yourself, AND the situation. I’m sure the counsellors can chat with you.

ALL these emotions are normal and human and okay, you’re not alone and you need support. Maggies and Macmillans can help you.
Try to remember your Mum sleeps to redirect energy to combat cancer, her moods may swing because like you said, she’s got her own emotional turmoil…but unfortunately, you’re probably the one who is seeing the BIG picture and realistic connections…I’m SO sorry hon, you’re taking up all the to-list…

I think, personally you’re right that she’s in the best place in hospital. We can support you with advice to avoid early discharge and help you with checklists for a potential hosptial discharge
BUT first make the connections for support, for scenarios of care…

Her case sounds difficult, you’re doing brilliantly and amazingly - but you NEED support. WE understand and can see it. Your Mum may not because she’s battling the cancer, and TBH your Dad, abroad, can’t do the doing.

Let’s be clear here you ARE NOT selfish or bad…of course you’re suffering you love your Mum, your Dad and your brother - but its not nice being between all the rocks, the hard place AND translating everything to everyone espcially if they think you have the medical knowledge!!

Please be kind to yourself. take a walk in fresh air to get your mind clearer or turn everything off for 30 mins to allow yourself some mindful moments to recentre yourself. THIS is important to stay some sort of sane…espcially if you’re not sleeping well - which I can guess is the case (again very normal!)

BIG BIG HUGS - long message, but I hope this helps…ooops and I didn’t even say, I resigned from a ‘big job’ to help Mum care for Dad - he had a litany of issues incl CHF, RA and bladder cancer 2-3 months before he died mum was diagnosed with 2 different separate cancer primaries. So 16 days after dad’s funeral we started Mum’s preassessment for surgery #1

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