My Father (73) has a plethora of health issues, and has been experiencing cognitive decline. Three days ago he tried to take his own life. I called 911 right away, and he is currently stable though still not awake.
Did I do the right thing calling 911 on a 73-year-old man that has many health issues? What if my actions lead to him suffering even more if he ever wakes up? Given the COVID protocol at the hospital, I am not allowed to visit or stay next to him. If he does wake up and is in worse condition, will he hate me? Will he live the rest of his life blaming me for his suffering?
I have been a lurker on the forums, never posted. Many stories and tips from others have helped in the care of my father and reduce burnout. I care for my father with the help of two private aides.
I choose to call 911 on my husband earlier this week. Not suicide, but a 90 year old man forgetting how old he was and working out in the backyard in the heat witihout drinking water until his blood pressure was under 75/51. He was recovering when the medics got here and that was what they got. He refused an ambulance to the hospital. That is on him. I called and if he didn't like it, tough.
I will say though and this is a VERY personal opinion.
I have told my sister that if I am ever diagnosed with dementia that I plan on taking my life at a time that I chose to do so. So if I call her up one evening and ask her to let the dogs out in the morning she will be aware of my plans. (problem comes when after the diagnosis and I either "forget" my plan or forget to call her 🤷♂️🤦♂️)
If your dad wishes to no longer take medications that are "prolonging" his life that is his decision.
If your dad is getting treatments for any of his conditions and he wishes to discontinue treatments that is his decision.
BUT if this episode came with no discussion previously then the intervention you did was the right thing to do.
It sounds like a long talk with your dad is due. Find out exactly what his wishes are.
You didn't call 911 because you're indifferent to your father's future possible suffering and couldn't bear to lose him. You called 911 because you were a responsible citizen responding appropriately to an emergency.
Has your father always been this cruel and manipulative? If he wants to kill himself, he can sign and have witnessed an advance directive refusing all medical intervention. This would relieve you of any responsibility to make impossible choices for him in the future. See he gets it done (or call his bluff, whichever applies).
I expect you think I'm being very harsh. Probably. I suppose I'm overcompensating. Because your emotional wellbeing matters too, you know, and it doesn't look as if it's been given a moment's thought.
I would be angry as all heck for him doing this in such a way that he knew you would find him.
I am happy he still said I love you and asked for a hug. Think he is more upset with the situation and not me. I am trying to reach out to his brother since he lives in a state with death with dignity laws. Wish he would have told me how he felt, It would have been painful but I would have understood.
If your father has no certain diagnosis of an illness that will take him within 6 months then he is unlikely to be able to avail himself of Death With Dignity laws, sadly. However, many seniors choose to stop eating. It is a long process, even without even minimal sips of fluid, over a week in most cases, but some MDs will allow for sedative drugs for the more difficult days when confusion sets in. It is difficult to go through this for both patient and family.
You also can made a "deal" with your father about days you will not call of visit. Say on Tuesday, Wednesday and Thursday unless he calls you. This gives him a three day period weekly of time to himself; what he does with it would be up to him.
I am sorry. I hope he will try with help of MD, with help of some anti depressants, and etc. But he may choose not to, and that is something that is not in your control.
Thanks again for updating us.
I don't see you had any alternative. What would we think of anyone who witnessed an attempted suicide and didn't call it in? How would you have lived with that decision?
My mom had end-stage Alzheimer's and had this disease for 15 years. She also suffered insulin-dependent diabetes (pills did not work for her) for decades, chronic kidney disease, heart disease, even liver cancer, but she was comfortable and very peaceful to the end--she lived to be 90 years, 3 months. She was very hard work on my part, and on hospice for 2 years but we never had to open that "emergency pack". She was surrounded with love and care, so she was good.
Take comfort in knowing you did the right thing.
How are you?
I feel you have reasons to request an exception to the rule and be allowed to be with him to advocate for him. Are you concerned he may not survive? Are you concerned he may be totally confused due to his cognitive decline? Some patients with dementia become even more confused whenever admitted to a facility. Can he speak for himself? You may be the only person who can fill in the blanks when he does wake up.
my heart goes out to you; you did the right thing, how would you feel now if you hadn’t.
please don’t feel guilty, like many others here I think Alva’s post is on target
xx
He may not regain consciousness. Or he may. If he is relatively stable, then a nursing home for custodial care comes next.
Talk to his SW or RN care manager or discharge planner or whatever the job title. Maybe ask for a phone appt, for 15 minutes or so. PreCOVID you would have a care conference with providers and family together, so a phone meeting is reasonable. Ask your questions, and note down the answers.
He was in a lot of pain (psychological, emotional, spiritual, existential - why am I here? why am I suffering? etc.). A palliative care/hospice evaluation could help give ideas of how to support him and you, even if he is not verbally responsive.
Additionally, if a patient is on a hospice program the COVID visit restrictions can sometimes be waived...being vaccinated and masked helps.
No matter how this goes, please don't feel guilty. AlvaDeer's response is right on target.
Please do not feel guilty over this. You acted as any normal person would...you called for help. You'll just have to wait and see how he is when/if he wakes up. It could swing either way...he could thank you because he had a week moment and regrets it, or he could be angry. Just talk to him and tell him you couldn't bare to let him go.
There are people for whom life is too tough. I understand that, and as a nurse I have seen more than my share of those who have taken their own lives whether because of depression or illness. We can't know if your Dad's depression can be helped, or if he will seek help. We cannot know if he will make more attempts until he is successful, or whether he will be angry or not.
That doesn't change the fact that you had to make a decision and you made the only one you felt you could live with. Second guessing it will leave you in that place that pretends there is a lot of choice and there was "an answer" or "the answer" and had you but known it everything would be all right. It lets us allow the pure grief, because pure grief means we are without an answer. It mean we must sit in absolute helplessness and mourn the pain those we love endure, the pain we cannot change, cannot wipe out, cannot endure.
You did what you thought was right.
If Dad awakens, then tell him that you did the only thing you could at the time, the only thing you could live with. Tell him you are so sorry for his pain. Tell him you care so much about him.
If Dad doesn't awaken then know his mission was one he accomplished. Let yourself mourn your loss. Know he is at peace.
I am so sorry. Not everything has a "fix" and there is so little we are really in charge of. Sometimes there is no answer but tears.
I wish you the best of luck with everything you’re going through❤️
So, if dad survives this, you need to have an honest talk. If he wants to end his life, do you live in a state where assisted suicide is legal? If so, get on board with his wishes. If not, is he going to try to take his life again? And if so, you'd need to promise not to intervene next time, I guess. It's his right to end his life if that is what he wants to do. Just have that talk so both of you are on the same page and agree that you won't call 911 next time.
Try not to play the 'would've/should've/could've' game with yourself now b/c it's a gruesome thing to do to yourself. You called 911 out of love for your father & a desire to save his life; not b/c you were trying to harm in any way. If he comes out of this and is angry with you, explain your stance; let him know how much you love him and how it was an instinctual thing you did. Don't put a big burden of blame on yourself for trying to save your father's life; what daughter wouldn't?
Wishing you the best of luck with a difficult situation. Sending you a hug and a prayer for the best possible outcome here.
If he makes it out of this and ends up with even more issues I am terrified by how he will look at me. If he does wake up, I will have to place him which is something he has been against for years and I do not blame him. Seeing my grandmother in a NH as a child was rough, my father would cry each and every time. When she passed he was sad but happy cause she is no longer suffering.
My father has always been big on that concept, of living verse existing. As it stands he is just existing, he is not living. I knew how he felt, but I just reacted. I know he is going to call me selfish, that is one of his favorite lines. Families prolong the life of their loved ones because they are afraid of how losing them will make them feel, yet rarely consider how their loved ones feel about being alive.
I do not think this was an attempt, as the doctor told me if I was any later in getting help he would not be here. He is still stable, I will be able to see him for the first time since the event over the weekend.