r/caregivers • u/These-Afternoon-9068 • 1d ago
Terminal cancer & Intentional opioid abuse.
Tldr> Mother was diagnosed with terminal cancer and abused opiates to a level that was more of a problem than the cancer until her final days.
32m. This is probably going to sound quite callous to those who have not experienced either in family members or loved ones, let alone both at once and this was a very complex situation with roots going back a lot further than the illness.
Just fyi I got really tired and depressed writing this so although it's a large write up it is summarized eg finding her stupefied wasn't just once.
My mother passed away from cancer in Dec 25, and I am left with a pretty complex grief over what happened in her last few months.
I had also lost my father to cancer in Dec 15, and my mother greatly cared for him in his last months.
It was found after her death that with her lifestyle from friends and aquaintances that unfortunately she could be described as a very high functioning addict and had always had some level of misuse of prescription medication, I had always had some level of suspicion even as a kid but was always gaslighted away from the subject.
My mother was a nurse in an injury & neuro rehab ward for decades, when she was first diagnosed with cancer she fought it bravely, however when she was told it was terminal, things did not take a great turn.
As being a nurse she almost knew too much about what was going to happen, at the time she was living independently.
Very soon after her terminal diagnosis while she was still living independently I started running ino strange occurrences around her behaviour and her home - cigarette burns where they shouldn't have been - on the couch, shoes, phone cases, bench tops.
My mother was always a smoker so I just thought huh that's weird and I would ask her and be deflected.
And then there was the strange and lethargic behaviour, she had said to me it's the changes in her medication from the terminal diagnosis.
As I get further into this I need I state that opiates and other painkillers do absolutely go hand in hand with palliative care to make people comfortable, they need to be.
I had already experienced my father's decline and death and at this point had no issue with medication everywhere and that every now and again my mother may be a bit high at times.
However I started to just show up without notice to see how she was doing and that's when it occured to me that I may have a very serious and very awkward situation on my hands.
I would find her completely stupified and unable to even register who I was, like if (hard to actually generalise) the level of intoxication you would see in a patient in hospital or hospice would be a 4, I would register this as an 8
Spending and hour trying to roll a cigarette, spilling food just given to her on the floor.
I was getting called out of work near on daily from family & friends who had found her like that and didn't know what to do.
Whenever a hospice doctor visit was booked in, she would appear just to be in pain and very very lucid but would avoid discussing health concerns or what level of help she needed at home and would gravitate around getting more medication.
I was having to drop out of work nearly every day to have to wrangle her and whoever had come across her that datly.
I felt like a monster for doing so but I had organized a hospice dr visit without her knowledge
I thought she had just been forgetting what meds she had taken and had a few whoopsies. I thought I'd buy her one of the mon-sun pill boxes with the different times and with her Dr we put what needs to be taken and when.
The next day I had found her asleep in her front porch, covered in coffee and with her arms both in the air.
I noticed her pillbox had been pretty much ransacked and once she had sobered up I put her on the spot about it, and she very sheepishly showed me a sandwich bag full of pills that weren't from no dr, at least hers anyway.
She told me to flush them.
After this she went into hospice for a small respite stay and things seemed to get better.
But the stay was unfortunately her last as she passed in hospice 3 weeks later.
After her death I had found that she was being given pills by multiple sources by friends who thought they were helping and only found all too late what they had done.
The main part of my complex grief is that she had all the firsthand knowledge to not do that to herself.
Opioid induced hyperalgesia was a major workplace hazard at the hospital ward she worked and she knew what abuse would do to her pain reception and the effect on her quality of life once the disease progressed.
She knew what level of stress and trauma stupefying herself would do to her loved ones.
She knew what that level of intoxication would do to her home safety, her main goal was to be at home for as long as she could.
She knew what playing up would be like for her loved ones from my father's death.
And she fucking did it anyway.