Cancer Diary: Managing Pain at the End of Life

 



When Carl lay dying in home hospice, we were given three vials of morphine for pain. Oddly, we used very little of it. He did not need or want it. At one point, his liver was grieving him, and we gave him a small amount and called the hospice to find out what we should be giving since the bottle said only "as needed." We were told that we had given a pediatric dose -- for a 300-pound man. He did not seem to need more at that time, though, but the next couple of days, a couple of times, he indicated he was in mild pain, and we tripled the dose as suggested by the nurse. He, however, after that, never indicated he was in pain. Our son asked if he might like to be given at least a small dosage prophylactically, to which he responded, "You wanna turn me into a dope addict?" Carl had a limited tolerance for pain all his life, so if he said he was not in pain, he was indeed not in pain. Had he been in pain, he would have taken anything and everything available! 

The opposite situation is discussed by Barbara Karnes in her latest blog post (for hospice caregivers): "Refusing Morphine for a Dying Loved One." Written particularly for professional caregivers (nurses and aides) working in home hospice environments, it still has much to say directly to relatives who serve as caregivers.

Carl happened to have a very peaceful end of life -- almost no pain, no anxiety, and even a cessation of his long-troubling restless leg syndrome. He just slept more and more until, finally, he did not wake up. Not everyone has that kind of end-of-life experience, however, and where pain is concerned, Barbara Karnes' little book, Pain at the End of Life, like her other books, can be very helpful -- really, truly helpful. 

FEBRUARY IS CANCER PREVENTION MONTH!

Blog editor's note: As a memorial to Carl, and simply because it is truly needed, MSI Press is now hosting a web page, Carl's Cancer Compendium, as a one-stop starting point for all things cancer, to make it easier for those with cancer to find answers to questions that can otherwise take hours to track down on the Internet and/or from professionals. The web page is in its infancy but expected to expand into robustness. To that end, it is expanded and updated weekly. As part of this effort, each week, on Monday, this blog will carry an informative, cancer-related story -- and be open to guest posts: Cancer Diary. 

Sign up for the MSI Press LLC newsletter.


Comments

Post a Comment

Popular posts from this blog

In Memoriam: Carl Don Leaver

Image
  1948-2021 It is with great sadness that MSI Press notes the death of Carl Leaver, CEO of the Press and typesetter and graphic designer par excellence . Many authors have expressed not only condolences but also a sense of legacy from covers he designed that they love.  Here is his obituary: On August 16, 2021, Carl Don Leaver of San Juan Bautista passed into eternal rest. A forester with the US Forest Service in Idaho and Montana, he turned to nature photography while working in the Bitterroot National Forest. His photographs graced national magazine covers and on a weekly basis the local paper of Hamilton, MT, the Ravalli Republican. He later worked on photography projects for the US Army (AFEES) and taught photography at the New York Institute of Technology in Amman, Jordan. His final career change led him to computer graphics and publishing as co-owner of MSI Press LLC; his many typeset books and book covers have helped MSI Press authors win a large number of awards over the years,
Read more

A Publisher's Conversation with Authors: Book Marketing vs Book Promotion

Image
It is Tuesday. Monday's madness is over, and Wednesday will take us over the hump, so Tuesday it is--for some serious discussion with authors. Tuesday talks mean to address authors in waiting and self-published authors who would like to go a more traditional route or who would at least like to take their steps with a publisher by their side.  Today's post looks at the difference between book marketing and book promotion, two terms that are frequently confused. Leading to the confusion is that some of the same activities are needed for both. In fact, good marketing is dependent upon good promotion. Perhaps the essential difference is that marketing focuses on sales, and promotion focuses on awareness --  noting that without awareness, sales generally do not happen. Book Marketing Book marketing includes promotion, sales, and increasing awareness of the availability of the book. It generally starts with a marketing plan that identifies the target audiences and selects marketing t
Read more

Author in the news: Gregg Bagdade participates in podcast, "Chicago FireWives: Married to the Job

Image
  Gregg Bagdade, author of Mental Health Mayday , recently participated in a podcast called "Chicago FireWives: Married to the Job." Listen to it HERE . For more posts about Gregg and his book, click HERE . Award Literary Titan Gold Award Sign up for the MSI Press LLC newsletter Follow MSI Press on  Twitter ,  Face Book , and  Instagram .   Interested in publishing with MSI Press LLC? Check out information on  how to submit a proposal . Interested in receiving a free copy of this or any MSI Press LLC book  in exchange for  reviewing  a current or forthcoming MSI Press LLC book? Contact editor@msipress.com. Want an  author-signed copy  of this book? Purchase the book at 25% discount (use coupon code FF25) and concurrently send a written request to orders@msipress.com. 
Read more