Category Archives: #PallANZ

Guest Post – Naomi’s Notes – Doing Your Best

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Photo by Thomas Lipke on Unsplash

It was three weeks before Christmas and she asked me to visit her in Wellington, preferably before Christmas. I was leaving for India the following week and no cheap flights meant it was not possible. I phoned her and told her I would visit when I returned from India.  

Whilst in India, my Teacher got an email saying she had been admitted into hospice.   I was unsure that I would get back in time. However, my Teacher was confident that it would be okay. At least I was in one of the holiest places and attending a prayer festival.  I sponsored some group prayers for her as well as doing my personal prayers for her.

I met the Tibetan family that my friend sponsored. They were very grateful for her kindness and generosity and very sad that my friend was terminally ill.   They requested me to take a beautiful woollen shawl back to New Zealand for her. 

Within a few days of arriving home, I flew to Wellington to see her.  She was out of hospice and back in her own home, being well cared for by one of her sons and her sister.  Upon arrival, I was greeted by a much thinner version of my friend who was still quite mobile due to the loving care of her son and sister.  I stayed two days with her.

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Palace of Care – Welcome to Hospice – Part 1

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Photo by Belinda Fewings on Unsplash

When the hospice nurse had suggested an admission into hospice she really had to think about it. Did this mean that she was about to die? Was that why she had suggested I go in, because they thought that I was about to die? They denied it, and said that they wanted me to go in to help control my breathing and distress. I asked my family and they were scared as well, but knew that I needed help. We decided to give them a go, but man we were still nervous about it.

Turns out we didn’t have to worry, the people were friendly and nothing seemed too difficult. The doctors and nurses started working on my breathlessness, and by the next morning I started to feel better. I met a number of the team members before I headed home a few days later. We had been worried that when you’re admitted into hospice that there is only one way out, being wheeled out by the undertaker. When it was time for me to go home, I walked out the front door.

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Guest Post – Naomi’s Notes – Change

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Photo by Markus Spiske on Unsplash

She was 80 years old, terminally ill and had loved gardening all her life. She filled her yard with beautiful flowers and an abundance of vegetables.  She enjoyed the peace and satisfaction it gave her.  Only using what was needed, she usually gave away the vegetables to family members or visitors.  

When I told her I had a job as a part-time Backyard Garden Coordinator, she suggested that it might be nice to have a vegetable garden.   When I reminded her of the promise I made to myself when I was 10, about never being a gardener when I grew up, she said to me,  “darling things change, that was then and this is now.” 

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Bedside Lessons – 20 – Crossing the Line – Part 1

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Photo by Max Böhme on Unsplash

I was working on the liaison psychiatry team in my final year of medical school. I went to meet a patient that had self-referred, which was unusual. Psych liaison provides psychiatric input for patients who also have medical issues that have brought them into hospital. I went with the nurse specialist to see the patient, an Englishman in his mid-thirties.

Work had brought him and his Latin American wife across the world. He was a nature documentary maker and had been based in the lower South Island filming the local wildlife. Just before Christmas he became unwell with a severe nosebleed, which required hospital intervention. Simple blood tests revealed grossly abnormal results. Acute Myelocytic Leukaemia (AM bloody helL) was the shocking diagnosis which destroyed their plans for Christmas and life in general. An urgent admission was arranged to our hospital’s Haematology department, which served the entire region. Harsh chemotherapy needed to be started otherwise our patient would’ve only had days left to live.

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Guest Post – Naomi’s Notes – Saying Goodbye

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Photo by Philippe Leone on Unsplash

She was a solicitor used to dealing with other people’s problems and separating the emotion from the facts.  But today she looked tired, worn out, and close to tears.

“Noticed your not your usual self what’s the matter”? I asked.

“I’m caring for my dying mother at home and have been doing it for the last two months. I need to get home as quick as I can”.  

“Do you have anyone helping you”? I inquired

“Sometimes my sister helps but she has three kids. Mostly it’s just me and mum, I had to move in with her temporarily to take care of her because she couldn’t manage on her own. I’m not sure if I can manage.   I sleep in the armchair next to the bed”.  

“Would it help if I sat with her while you do your work at home”?

A smile fleetingly replaced the stress on her face.  ‘Here’s the address she said and my number if you get lost”.

“Ask your mum if I can come and see her, phone me if she says yes, no problem if she says no”.

Later that evening she phoned confirming it was okay.

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Palace of Care – Like father, like son.

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Photo by laze.life on Unsplash

The little old Chinese man, looked so pale, he didn’t know what to do with himself. His short-term memory had been impaired for some years but had worsened in recent months as he deteriorated.

We both used our second language to communicate with each other, Mandarin. Both speaking with thick accents, but able to understand each other. His supportive daughter had come over from China to look after her parents. They had lived in New Zealand for over twenty years.

He had always been terrible at reporting his discomfort. His daughter talked about when he had appendicitis and had not told anyone until he almost died of an intra-abdominal infection after his appendix had burst. His stock answer would be to say, “I am fine,” but his body language was a give away for his wife and daughter. He didn’t let anyone know that he had painful shingles until he was found writhing in bed, crying because of pain, telling his family that the pain was so bad that he wanted to die.

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Palace of Care – What’s in a name?

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Photo by Tim Mossholder on Unsplash

She was transferred from hospital into hospice at the end of her life and only had days left to live. End-stage cancer had taken complete control of her body. We were handed over that it was important that we respect her wishes especially when it came to calling her by her proper name. It was a name that she had to fight for, that she had won for herself, but at great cost.

Not everyone understood her wishes. When her relatives came to see her they brought old family photos, and called her by a different name. She looked different in the photos, much younger, and dressed in different clothes. We were all young once. She was becoming less responsive as each day passed and her family talked about someone who sounded different to the patient that we had only a short time to get to know.

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Guest Post – Naomi’s Notes – Time

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Photo by R.D. Smith on Unsplash

He was 84. He had been sick for a long time with his liver and recently had his gallbladder removed.  He was tired and grumpy as he struggled to make sense of the illness.   He was tired of taking medicine and being unwell. It was a far cry from the strong funny man that used to make his family laugh.

As a father when he made up his mind to do something he would always follow through.  Like the time he decided to take a night class in pruning fruit trees.   He would come home from class and prune all the fruit trees which were quite substantial.  The trees all had a slight lean to them and his family was not convinced he passed that class but the trees bore great fruit.  

He decided he wanted to become a welder so he enrolled in a night class and completed the course.  His family thought it was an extension of his pruning class because he did some welding maintenance around the fruit trees.  When he wasn’t watching, his children used his welding hat to play Darth Vader in Star Wars but he used to laugh when he thought they couldn’t see him. 

It was early morning when the phone rang and she knew immediately something was wrong.

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Palace of Care – Saying No – Part 3

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Photo by Christina Deravedisian on Unsplash

He was admitted because of uncontrolled nausea and vomiting. We thought it might be a malignant bowel obstruction but his bowel sounds were normal. He would vomit at least three times a day. Strangely the vomiting didn’t seem to bother him, in fact at times he and his wife seemed happy after he vomited. We weren’t sure of what was causing his nausea and vomiting, his blood tests showed evidence of dehydration, but there was nothing obviously reversible going on to explain his symptoms. He looked unwell and after a few days on our ward he appeared more gaunt. Our attempts at controlling his symptoms were not working, we hadn’t solved the mystery yet, until we noticed the half-filled blue glass bottle on his table. “Keep out of direct sunlight.”

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Guest Post – Naomi’s Notes – Mamma Mia

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Photo by Dominik Lange on Unsplash

It was getting harder to manage working full time during the day and caring for my mother.  The routine was I would wash her in the morning and give her breakfast and her medication then leave her a drink in a thermos cup with something for morning tea.  

My sister would call in to see her before she went to work at 10 am. My other brothers and sisters were supposed to phone her during the day when I was at work.   I would come home for lunch, give her lunch I prepared the night before, give her medication and a drink and leave something for afternoon tea before heading back to work.  I finished at 5pm but sometimes couldn’t get away till 5.30pm as I worked at the District Court and sometimes the Court sat late.

The routine worked for a while but as she started to decline I noticed little things.   I would come home for lunch and her morning tea hadn’t been touched.  When I asked her why she hadn’t eaten the orange I left her, she was embarrassed and replied, “I tried and tried but I couldn’t peel it” and she couldn’t unscrew the lid of the drink.  I felt terrible that she wasn’t able to access it.  It coincided with her telling me she was lonely when I went to work, it was a long day for her.   I looked at her beautiful face and I knew she was not one to complain but this was important to her.    Something had to change. 

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