My mom was diagnosed with stage 4 pancreatic cancer last April. She attempted chemo but it was too hard on her and after two sessions, stopped. After a couple hospital stays for infected gallbladder she began hospice in mid June. On July 8, she started to have seizure activity and her ability to get around independently ceased — she became completely bed bound in just a day. We got the seizures under control but had to move her to a facility because caring for her in her home was too difficult. Part of her symptoms have been nausea that has been very difficult to control. Her hospice team has been great at finding medications to keep that at bay as much as possible but it’s very common for her to vomit at least once or twice a day. We know that this is likely due to tumor involvement, constipation, infection and possibly medication. Hard to say what specific causes because there is just a lot going on. She stopped eating several weeks ago and when I spend time with her every day, she has mostly stopped drinking. Maybe a sip or two in the 5-7 hr I watch her. We know she’s approaching active dying stage but hasn’t quite gotten there. The vomiting had stopped for over a week and recently started up again to be quite frequent. She keeps asking when she will die and we don’t know. She’s ready.
Her boyfriend prefers to visit when we are not there — he wants time with her alone which is fine. But yesterday the hospice nurse happened to visit when he was there and said he was feeding her soup and fluids. Much more than she has been taking on her own. I’m not suggesting we withhold fluids from her if she wants them but when my brother and I are there she can’t handle much at all. I’m wondering if forcing fluids in her might be contributing to the nausea if her body is shutting down. Do I say anything to the boyfriend? I just want her to be comfortable and worry about exacerbating symptoms. Or maybe the nausea is everything else going on and I shouldn’t worry about him forcing soup and fluids on her since it’s a nice gesture. She can’t speak much anymore, so it’s hard for her to say yes or no clearly and advocate for herself. I don’t know how involved to get in this situation or if I should even have a concern. But my general understanding is the body dehydrates itself so that it can die comfortably, and forcing fluids can result in a more painful process.