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    <title>topic Re: GBM Carers - how could you handle it? in Coping with a loved one's cancer</title>
    <link>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9430#M1083</link>
    <description>Hi Deni
Lorraine was in a trail using Avastin &amp;amp;/or Carboplastin (another chemo drug) Lorraine was picked for having only Avastin
She was taking Avastin from January till April when her lastest MRI scan indicated that there was an increase in her tumour. Effectively Avastin allowed another 4 months for some quality of her life which is fairly average from my previous research. The side effects she experienced are milder compared to the chemo drugs she has taken todate Experienced tiredness for 5 days some nausia after taking the Avastin.

With your partner repeating things, Lorraine recently developed extreme pains in what appears to be her bowel and in hospital with now morphine to give her some respite (I think it her bowels as she has lost ognitive awareness and includes her ability to talk (even say yes or no to closed questions no matter how many times I ask her) I talk to her I think she is paying attention and when I think she should answer (as in a normal conversation) she will look elsewhere and her attention is lost, difficult to regain. Its highly frustrating but it is a part of her deteriation.  The contrast of then and now is made more pronounanced as Lorraine (was/is?) a highly intellegent and capable woman, now her intellengence is experienced only in very short fleeting moments.
Best wishes for your journey</description>
    <pubDate>Thu, 20 Sep 2012 13:42:50 GMT</pubDate>
    <dc:creator>storm</dc:creator>
    <dc:date>2012-09-20T13:42:50Z</dc:date>
    <item>
      <title>GBM Carers - how could you handle it?</title>
      <link>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9415#M1068</link>
      <description>I thought getting things out of my system by writing about what I experience on this site would help. Not sure it works. I feel that I'm full with anger and sadness but I don't know who to talk to. I'm a private person and I try not to be a cry baby. My best friend is my partner and now he seems to live in his own world, deal with his own problem and try to fight with his exhaustion which seems to be all the time now. I used to tell him how I feel and he expressed concern now he hardly acknowledges it. I know what I'm dealing with can't be compared with what he's going through but he just doesn't try to make my life easier either. When he's sick, he doesn't want to go to the hospital. When he's struggle physically, he asks no help but for time to gain his strength which in a way I admire his spirit and stubbornness.

Going to work is kind of a relief, getting away from the problem at home but worry me to death at the same time. He says he's fine but I just have to clean up after him wherever he goes... toilet, bathroom, kitchen, bedroom...... It's not pleasant and domestic work has never ever been my thing, let alone cleaning up toilet every time I want to use, picking up someone's shit, and smell it all over the house. There is no help I can get even I can afford. No cleaner, no gardener, no plumber, no builder, no palliative care. My partner does not want anyone except me and his family to step into our house. He believes he'll get better and being able to take care of what has to be done himself. He hangs on to stuff that he has accumulated through his life and we live with boxes every where around the house. There are so many incomplete projects lying around every corner and I'm f#@$! sick of it!!

He said he's not giving up but he hates Dex and does not make an effort to take it. I've been contacting so many oncologists both in Australia and overseas looking for treatment options but as everyone knows there is no cure and we are nearly at the end of the road. I don't really know how to get this message across to him.</description>
      <pubDate>Thu, 09 Aug 2012 12:32:10 GMT</pubDate>
      <guid>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9415#M1068</guid>
      <dc:creator>peanutz</dc:creator>
      <dc:date>2012-08-09T12:32:10Z</dc:date>
    </item>
    <item>
      <title>Re: GBM Carers - how could you handle it?</title>
      <link>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9416#M1069</link>
      <description>Oh dear Nat, you sound so exhausted, the road is tough. I do understand as your story is similar to mine. The denial of reality is unbeleivable and unfair on us but there is no way to change the path they choose for themselves. All you can do is live one day at a time and look after yourself as well.
But in saying that I beleive it is reasonable to demand support for yourself regardless of his opposition. Get in touch with palliative care, the nurses are amazing and I have found that my partner is far more willing to hear the reality from them than me.
GBM is a relentless march toward the inevitable I think, and living with the reality of it, I for one am sick to death of hearing the hope message, I'm at the point where I just want to face the reality with patience and compassion for him and me.
Hugs Terese.</description>
      <pubDate>Fri, 10 Aug 2012 13:29:19 GMT</pubDate>
      <guid>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9416#M1069</guid>
      <dc:creator>exhausted</dc:creator>
      <dc:date>2012-08-10T13:29:19Z</dc:date>
    </item>
    <item>
      <title>Re: GBM Carers - how could you handle it?</title>
      <link>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9417#M1070</link>
      <description>Thanks Terese. I have decided to get in touch with palliative care tomorrow and will get his brother to be here at the same time. Just in case he gets so crossed. I can deal with him getting angry with me but it would be so bad if he did it with other people who try to help him.</description>
      <pubDate>Sun, 12 Aug 2012 07:11:08 GMT</pubDate>
      <guid>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9417#M1070</guid>
      <dc:creator>peanutz</dc:creator>
      <dc:date>2012-08-12T07:11:08Z</dc:date>
    </item>
    <item>
      <title>Re: GBM Carers - how could you handle it?</title>
      <link>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9418#M1071</link>
      <description>My mum's GBM is driving me crazy!!! I would also like to know how everyone is dealing with this..... I am 28 and my mum is 61, diagnosed with grade 4 GBM. Am I the only carer who is stressed and swearing at the end of the day? I feel so bad for getting angry because she doesnt listen (or should I say the tumour). How do you stay calm repeating the same thing a hundred times, then another hundred times the next day? Is it just my age that makes me not as patient? Or am I the only one who is complaining about this? Or is it because she is my mum and has always been independant and doesnt want to listen to her daughter? I feel so bad for just wanting this to be over.....
Peanutz, I hope your partner allowed for pallative care, I couldnt imagine doing all this alone. Maybe suggest to your partner that you would just like to get them involved now to reassure that you are doing the right thing, and so they can be there if you need any extra equipment in the house for mobility etc. You dont want to wait till you really need it before asking for it.</description>
      <pubDate>Tue, 11 Sep 2012 11:06:11 GMT</pubDate>
      <guid>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9418#M1071</guid>
      <dc:creator>Sunshine84</dc:creator>
      <dc:date>2012-09-11T11:06:11Z</dc:date>
    </item>
    <item>
      <title>Re: GBM Carers - how could you handle it?</title>
      <link>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9419#M1072</link>
      <description>Hi Sunshine, you aren't alone here. Sometimes when things are bad, I confined with my best friend the worst thing I wish for which is for this nightmare to be over soon. I don't know how other carers can get through this journey but it seems they could and so can we. We may think other carers can handle things better than us but I believe they all experience the same problem and frustration like us and probably react the same way as us &lt;span class="lia-unicode-emoji" title=":slightly_smiling_face:"&gt;🙂&lt;/span&gt; I have to repeat saying the same thing over and over sometimes. It is the tumour and the treatments that has caused all these changes to your mum and my partner. I sometimes forgot it and got mad at him and when my partner is quite lucid he would tell me to forgive him for being such a pain as he's not himself any more. For me it's like living with Dr Jekyll and Mr Hyde and for him it's like he can't really control himself to be his normal self. Try to enjoy every good moment that you have with your mum and forget those bad moments. 
BTW, I have palliative care nurse in for initial assessment. It didn't go down well but at least it's in place now. &lt;span class="lia-unicode-emoji" title=":slightly_smiling_face:"&gt;🙂&lt;/span&gt;</description>
      <pubDate>Wed, 12 Sep 2012 03:52:03 GMT</pubDate>
      <guid>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9419#M1072</guid>
      <dc:creator>peanutz</dc:creator>
      <dc:date>2012-09-12T03:52:03Z</dc:date>
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    <item>
      <title>Re: GBM Carers - how could you handle it?</title>
      <link>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9420#M1073</link>
      <description>Hi Nat, Terese and Sunshine
Just big hugs to all

Yeah the talking it’s a never ending story regurgitating feelings only to arrive at where you/I started. One day it will change,…one day. I do it as it takes some of the edge off but for me its also good with just knowing and connecting with others who have similar experiences ie you Nat, Terese and now Sunshine. You are all good women, the people who you care for are a high ask, it frustrating, anger inducing and a horrid experience to encounter with litttle thank from those that are dying on us. Your compassion is remarkable, you have journeyed with them to this stage of their lives and maybe will continue to do so.

nat to reinforce what has been previously said Re pallative care, I am now doing 24 hour caring after her seizures and I couldnt do this alone without the pallitive care, just that they are there with emotional support (and if necessary so that you can get the time away from your partner - respite)

Also get meals on wheels I initially thought that the food would be pretty horrid but its not too bad (well here at Forster and at $7.50 per meal, per person). It also allows time free from cooking/cleaning the main meal its a god send for that free time.

Hey just got Lorraine off to bed after toileting her etc. I went to toilet whilst peeing happily away (I have a few hours to myself before bed)…….now …..oh what is that a dark shape across my toe - a leaf that the cat has bought into the house and somehow it has attached itself to my toe?  Dark thoughts also crepe/crossed my mind, nah it can’t be, she is just toileted,  into bed and clean a whistle, she had a sh_t yesterday….. it’s all cool.  A closer inspection…oh sh_t ….it is a sh_t, bloody sh_t.
After cleaning said toe, then found evidence on my jeans, but back to her bed thinking as it just some polyp size  probably escaped after flatulence, (I recall that as I had made comment on the rather strongish aroma after the flatulence when just before getting her into bed) no stuff on floor or in other  areas ….oh dear found a touch on the safety rail of the hospital bed,…..easy, it’s cool, so clean that up, check her pants ahh some residual – I am thinking a quick bed bath covering the area…. still not too bad and its confined within pants and not on bed linen.
Now to attend to her pants. Get glove, wipes, position chair and think through process to lessen movements (she has started having pain issues in stomach/bowels- any movements can be pain inducing)
All set. Rip incontinence disposable pants off (note anyone reading this and do not have experience that these pants are actually designed for ripping at the sides for an easier removal while patient inbed) and idol male thoughts of long forgotten passion begin to stir in the background upon said ripping, oh why was this not around when I was 17 (thoughts forgotten now as a by-product of the GBM). Oh sh_t ….it is a large messy sh_t, its everywhere within the pants, oh bloody sh_t.
After the full blown realisation I have a large clean up job, my background male thoughts are once again quickly thrown back to the cold wilderness for their death by undeeded deeds,…… and then a thought sips through….. ahh that will teach me for my inappropriate comments at the time of the rather strongish aroma of her flatulence (flatulence that lead to all this)….. So now I must remember…. smart arsed remarks have the capacity to return to their maker, in so lots of different ways. 
Now to get her out of bed without spillage onto linen, onto shower commode and to bathroom. Night shirt saved , bed linen not so lucky – so strip bed and lucky me some more washing.
Sometime later I finish. Lorraine safely in bed, snores away seemingly oblivious of issues. But its Ok I can talk about the experience, make fun of the stuff that happens (and it is stuff in hindsight, it’s just getting to the point where I can call it hindsight and then recall it as a remarkable experience – she has allowed me to be with her at this important corner of her life, it something that I often forget).
Bless her for she will die and not far in time. I love her and after I will miss even this part of a crappy story that binds us together.
Also a times I wish for the nightmare to be over and I can get on with my life. I get so fed up with how it is, and Lorraine's non answer to the 10 times that I have ask a closed and simple question.... as her attention was not there but in an ever expanding neverland. There is so little in quality of her life now.

Geoff</description>
      <pubDate>Wed, 12 Sep 2012 16:24:44 GMT</pubDate>
      <guid>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9420#M1073</guid>
      <dc:creator>storm</dc:creator>
      <dc:date>2012-09-12T16:24:44Z</dc:date>
    </item>
    <item>
      <title>Re: GBM Carers - how could you handle it?</title>
      <link>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9421#M1074</link>
      <description>Thanks Nat and Geoff,

I guess it is just hard to tell whether it is the tumour talking or is this my mum? Well my mum left the day of diagnosis 25 months ago but I dont like to think that I am living with/ caring for a tumour.
Everyone says to enjoy the good moments ect but we havent really had many. After her debulk days after diagnosis, mum lost alot of her vision so she lost most of her independence from the start. Then after a year being on the dex, her bones became brittle and had 3 fractures in her spine. She was in ALOT of pain and had to use a walker around the house and wheelchair when we went out. When the pain went away she had shrunk like 30cm and had a hunch back and relied on the walker. She never really wanted to leave the house after that and now in the last 6 mths she is sooo paranoid about needing the toilet we pretty much dont go anywhere, she has no interest to sit in the garden, doent have the concentration and vision to read or do puzzles. All she does is watch tv, eat and smoke (Although it is bad, I cant exactly take that off her), oh and sleep. She doesnt want to phone her friends (but they can visit if they call) or go for a walk (i will push the wheelchair). Do you find it difficult to understand someone else's quality of life? Mum now is losing mobility in the left side, she was falling over using the commode in the night, so I put a whistle on her wrist, used a baby moniter and slept with my door open but she still wouldnt call out for help. So I put the side of the hospital bed up and she would just freak out, 3 times a night which makes for a very tired and grumpy me. She eventually figured out how to put the side down. (Go figure- forget to call me, even after a big lecture before sleep and then me losing it in the night telling her she HAS to call me next time but she will remember how to put the side down. A catheter was put in a week ago (and today she has been put on antibiotics for a UTI) so it is a little easier and hopefully we can leave the houde. Anyway as I was saying, we dont have many good times. I have many "WTF" and "How the F did that happen" times. Geoff thanks for the laugh with your story, I cant inagine, we arent at that #2 stage yet, although I can smell it I havent had to clean it.
Just one more question.... Do any of you carers have children? I always thought I would have a baby by the time I am 30, I thought I was mature enough to be a mum. Now I think I will be a horrible mum because I cant handle being a carer, actually I dont like this life at all. I guess because mum cant do anything for herself and sometimes talking to her is like talking to a 2 yer old. Will it be different? I do love kids though and have worked in child care and also been an Aupair, they were never my own though.
Im glad I finally signed up to a support forum. And thankyou for your reassurance. It is also great to read someone else life as a carer and take my mind off whats going on in this house. Take care x</description>
      <pubDate>Thu, 13 Sep 2012 10:38:50 GMT</pubDate>
      <guid>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9421#M1074</guid>
      <dc:creator>Sunshine84</dc:creator>
      <dc:date>2012-09-13T10:38:50Z</dc:date>
    </item>
    <item>
      <title>Re: GBM Carers - how could you handle it?</title>
      <link>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9422#M1075</link>
      <description>Hi Geoff... sorry to see the position you are in. I'm so impressed that you can still joke in this situation. I guess it's how we can get through this sh!t. I had some experience with the same thing. You wouldn't believe that one night out of no where while I was sleeping my partner got up and say sh!t sh!t sh!t. I thought what was happening and started to smell something.... mmmm some strong smell.... he probably wanted to go to the toilet badly. Ok, I got up and turned the light on so he could make his way to the loo with ease and quickly. No don't turn the light on he yelled. Why not? I thought and turned around to see what was going on.... Oh yes... that's what he tried to give me a signal for. Not a pretty sight, something I had never ever imagined I would see a grown man doing. He had no clue how he did it. Our bedroom is at the front of the house and the bathroom is at the back, no ensuite. Imagine Mr Independent tried to go to the bathroom to clean himself up with bits that he wanted to get rid of all over his lower body while me yelling stop stop stop hoping that I could control the damage. Nop, too late. Unfortunately another incident happened within minutes after he showered himself and I cleaned up the bathroom and toilet. It's like Déjà vu that I couldn't imagine how it could happen just like that. Oh boy... I couldn't go back to sleep after cleaning it all up and swore that I wouldn't give him any healthy food again hoping that next time those bits would be solid and easier to clean up. Luckily, we haven't had another episode like this again yet but every time he passes wind I feel slightly squirmish.

On a serious note, should I discuss with palliative care team to start planning for the worst? How should I prepare the house/bathroom/bed etc.? Do I have to hire a respite care worker? Basically, I don't want to do thing to make him feel that I expect him to get worse although I think it's very rare that people with GBM can get away with this situation. I'm so tiny comparing to my partner. There is no way I could carry him to shower. Our shower is over a spa bath so it's quite an effort for him to have a shower these days. I can't imagine how he could shower when he's in a poorer condition. At the moment, he showers 2-3 times a week. It's nice that he doesn't have bad BO hehehe When he showers, no help from me is required. Although I'm asked to stand and have a perve, then hand over towels when he's done cleaning himself.

Sunshine.... quality of life is something you have to discuss with your mum. My partner is at the stage that he's so sick of the treatment. Chronic fatigue syndrome that he has together with the chemo pretty much knock him out. He asked me what's the point of all these when all he does are sleeping, waking up, eating, sleeping, getting up, eating, sleeping, getting up, eating, shower, sleeping, sleeping, eating, and sleeping and I go to work. He feels lonely when he's home alone. I feel kind of lonely when I'm home with him as he sleeps most of the time. All I do is cooking, cleaning, holding him in bed, surfing the net/watching movie in bed next to him while he sleeps.

As for kids, I don't particularly like kids and don't have one so I can't help you with this matter &lt;span class="lia-unicode-emoji" title=":slightly_smiling_face:"&gt;🙂&lt;/span&gt;</description>
      <pubDate>Thu, 13 Sep 2012 11:36:44 GMT</pubDate>
      <guid>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9422#M1075</guid>
      <dc:creator>peanutz</dc:creator>
      <dc:date>2012-09-13T11:36:44Z</dc:date>
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    <item>
      <title>Re: GBM Carers - how could you handle it?</title>
      <link>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9423#M1076</link>
      <description>Sunshine 84, I am a carer to my husband with an astrocytoma BT, with a 6 month old &amp;amp; 3 year old.
Trust me, your patience is completely different with children than it is being a carer.
It is a highly emotional trip being a carer, and is devasting to see someone regress when you know how switched on they were prior.

Having children, although tiring &amp;amp; yes sometimes frustrating, they grow, and they learn &amp;amp; become little people. And it is an absolute pleasure to be involved in such an important time of their lives.

Although, being a mother first has prepared me for the caring issues, poo, vomit, repeating instructions over and over and over now comes naturally to me :)

Be kind to yourself.</description>
      <pubDate>Fri, 14 Sep 2012 14:20:30 GMT</pubDate>
      <guid>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9423#M1076</guid>
      <dc:creator>Melanie</dc:creator>
      <dc:date>2012-09-14T14:20:30Z</dc:date>
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    <item>
      <title>Re: GBM Carers - how could you handle it?</title>
      <link>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9424#M1077</link>
      <description>Sunshine 
I’ve lectured Lorraine getting out of the chair or bed without me as she ended falling each time (this was occurring a few weeks ago when she could still take a few steps) Then I remember that lectures general add resentment and do not work Lorraine is doing the best she can with what she has got 
Memories get placed in different areas of the brain and/ or the recollection of that memory might have particular pathway/s through the brain, some are disrupted by the tumour, others are not. That may help explain why she is able to put the side down and not recall your lecture one is a tactile memory the other is a verbal memory. The reason does not help you though and getting your sleep is important to be able to face the next day. A question - can you get some respite give yourself a break away 
Ps I to have had the many "WTF" and "How the F did that happen" times, in the morning in bed with breakfast she had a juice and spilt on the bed. That with the morning urine I had stripped the bed and washed /aired all linen, it’s a never ending story. I am glad that my story was a laugh for you
Ps “arent at that #2 stage yet, although I can smell it I havent had to clean it.”  Old Chinese saying
Never speak of the well from which you will not drink.

Children 
After what you have been with your mum, being a mother would be a similar but very different experience. One has death at the immediate end, the other is with new mischievous and daunting little buggers (also adding to the over population of the world but I guess that I am a touch byous -I have no kids but I am a defacto step dad? I think that is right)
I am also told there is a very ugly gene found in the depths of womanhood that raises its rampaging ugly head at some stage during said pregnancy This gene often evokes some type of love and defies all that may get in the way of her and her kids. It changes all 
To elect to care for your mum and get to this stage (and you are dealing with it the best way you can) and being open to questioning whether to or not having kids infers to me that you are emotionally healthy and would be an excellent mum (but maybe give yourself sometime after her death to have some quality time of your own (kids are for life)) By the time they are adults history would have repeated …and the kids live with you for ever and ever (but I guess you can always love them to death… that often scares them gets them out of home)

Hugs 
Geoff</description>
      <pubDate>Fri, 14 Sep 2012 16:24:25 GMT</pubDate>
      <guid>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9424#M1077</guid>
      <dc:creator>storm</dc:creator>
      <dc:date>2012-09-14T16:24:25Z</dc:date>
    </item>
    <item>
      <title>Re: GBM Carers - how could you handle it?</title>
      <link>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9425#M1078</link>
      <description>Nat 
“I'm so impressed that you can still joke in this situation. I guess it's how we can get through this sh!t. Thanks but underneath the joking is my grief/anger as well. I use this as a way I can talk some of the surface stuff and get on with day to day stuff while Lorraine’s eventual death draws near. It helps me.
Re palliative care team - start planning for the worst so that you have a system in place as his health progressively deteriorates. After Lorraine came out of hospital (from seizures) the palliative care nurses as well as occupational therapist from hospital did a home inspection gave some advice. Note that I do have the advantage of being male and taller than Lorraine so I can do some limited carrying of her, but even so, she has deteriorated to now a dead weight so she is now difficult to manoeuvre,  I change my way of getting her around the bedroom as she deteriorates - presently I try to use a commode shower chair to transfer her from bed to a sitting chair in the bedroom. At worst there is a lifter that I can also use but the lifter in the bedroom as well makes for more work to manoeuvre furniture around . At one stage I thought of putting in a handgrip in the toilet for Lorraine’s use but now she not getting to the toilet at all. We are now reliant on the incontinence pants and also an extra insert in the incontinence pants to further soak up the urine for when she is in bed during the night, I still can find urine on the bed base sheet but my major concern is to protect the quilt as that is hard to clean (there is a Kylie sheet and plastic sheet provided by palliative care under the bed sheet for protection of the hospital bed mattress which has its own waterproof covering)
You will need to find your system that will work for you, Denis and  within your house and in that order – you must look after yourself otherwise if you mentally/physically deteriorate its respite or if not able hospital or a nursing home for Denis.
Ps suggestion- the incontinence pants should help contain some of the defecation/shit occurring especially if it is watery

Re shower we do not have much room to manoeuvre in the small on suite bathroom so use the main bathroom (but it is a shower /bath set up) where I use the toilet with the commode chair over the toilet and place a few bath mats around - approximately a 1 metre or more away to limit the spread of water. I got a shower hose extension from Bunnings hardware shop that attaches to the tap in the bath (if you try to get one have a close look at the end of the tap to ensure that you get one that will fit (the tap end))
Hopefully you will be able to get from palliative care (they supplied us a commode shower chair, a walker, a toilet seat with handles that sits over the toilet approximately 150 mm higher than the toilet - so that it I not such a big distance to sit down and then stand up from the toilet) From the hospital and after paying $50 hire fee I got a lifter and a hospital bed (bed that has ability to lift either end of the bed mattress) the hospital delivered the items to our house. See what is available for you, enquire if you can get the same from your local hospital or elsewhere.
It’s OK to allow him to realise that you expect him to get worse, it may free up some stuff for him as well so that he will know that you will be alright with the enviable outcome and can talk with him about it. It’s scary and I have moved through it somehow each time although I have a woman who is highly self-aware and she has a belief foundation that sustains her (well, so I believe that she is using belief and is still being sustained - I can’t tell she can’t communicate for some time and her cognitive mind is mainly gone )
(Although today I thought that she has been angry with me for doing something (not answering yes/no questions and her generally not looking at me) but with her non ability to talk, and her mind wandering off it’s been frustrating. I am backing off to allow some time and space to occur from whatever it maybe is ??????) She finally said no, that she was not angry with me when she had a brief period of cognition &amp;amp; she indicated that she was frustrated not being able to talk......all said with 2 words - no and yes, with some facial expressions)
Re your comment that “It's nice that he doesn't have bad BO hehehe” I image with you being  “I'm so tiny comparing to my partner.” that your nose would be somewhere at least his arm pit level then a very lucky you for being at his ‘arm pit level’ with no BO.
The “ stand and perve” I assume is remembering of your lustful days gone by………grief and loss is a horrible thing and encompasses so many aspects of our lives (the standing bit I don’t understand, but that may be personal/intimacy experience). Now just on reflection, I am having a different subtle insight into what you may be referring to…… hahaha  if so - life can be warm and fun 
Ps  There may come a stage when pills cannot be easily swallowed. Some pills can be broken into small bits and/or crushed I have been told that custard is a gone medium to mix the crushed pills into its slippery. Check with chemist which pills can be crushed though. 

Hugs 

Geoff</description>
      <pubDate>Fri, 14 Sep 2012 16:32:03 GMT</pubDate>
      <guid>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9425#M1078</guid>
      <dc:creator>storm</dc:creator>
      <dc:date>2012-09-14T16:32:03Z</dc:date>
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    <item>
      <title>Re: GBM Carers - how could you handle it?</title>
      <link>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9426#M1079</link>
      <description>Since Lolly's multiple seizures and resultant week long stay in hospital, she continues to deteriorate from her brain tumour. This last week her energy has been very low and her cognitive powers even less than before, so she rests/sleeps a lot. Today she has been partnered in bed all day with major pain and associated spasms located somewhere in her stomach/bowel area. A catheter has been inserted but still the pain continuous. This will not be a good night till stronger medication is got.
So a new stage takes hold. ..................... another stage closer. 
I now have called for those who would care to come and those that care

Hugs to all

Geoff</description>
      <pubDate>Sun, 16 Sep 2012 14:26:01 GMT</pubDate>
      <guid>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9426#M1079</guid>
      <dc:creator>storm</dc:creator>
      <dc:date>2012-09-16T14:26:01Z</dc:date>
    </item>
    <item>
      <title>Re: GBM Carers - how could you handle it?</title>
      <link>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9427#M1080</link>
      <description>How sad to hear that Lorraine's condition can deteriorate very quickly but it must feel like a life time for you.</description>
      <pubDate>Wed, 19 Sep 2012 03:52:25 GMT</pubDate>
      <guid>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9427#M1080</guid>
      <dc:creator>peanutz</dc:creator>
      <dc:date>2012-09-19T03:52:25Z</dc:date>
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    <item>
      <title>Re: GBM Carers - how could you handle it?</title>
      <link>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9428#M1081</link>
      <description>This morning Lorraine had serve pain in her bowels (bowel are best guess - she cant talk and has little in ways of communication) from 3am to 5.15am then ambulance to Forster hospital where is now being monitored for next few days. 10pm she got a small dose of morphine and was resting/sleeping so left knowing that pain is finally be OK for tonight.</description>
      <pubDate>Wed, 19 Sep 2012 14:17:15 GMT</pubDate>
      <guid>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9428#M1081</guid>
      <dc:creator>storm</dc:creator>
      <dc:date>2012-09-19T14:17:15Z</dc:date>
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    <item>
      <title>Re: GBM Carers - how could you handle it?</title>
      <link>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9429#M1082</link>
      <description>Hi Everyone, 
Yep, I was getting bad tempered and impatient with my darling as I was constantly repeating things over and over in quick succession. This seems to have stopped. His concentration and walking abilities have much improved over the last couple of weeks. Maybe due to increasing the dex from 2mg to 4mg daily, pending further surgery on the second tumor left temporal.
It's a juggle between the 2 tumors. The original which was rather large (left parietal lobe) appears to have suspended growing. At least that was the case on 3Sep, but the new one took off as it didn't respond to carboplatin (chemo). So now off to surgery next Fr 28Sep. He was booked in for this Fr but refused as he wants a break?????I think he forgot he hasn't had any treatment from 3Sep. Oh well there is no arguing with him. Everything has to be a negotiation. He is taking it fairly well though and I admire him. Obviously, things are deteriorating. I am scared that when they do the pre op MRI next Th evening (27Sep) they will find that the original has grown again or another new one. I am about to start a new contract 2 Oct as a Massage Therapist 2 mornings per week which I am stoked about. A dream come true. I hope the timing isn't wrong.
Has anyone had any experience with Avastin and what did you think of it as it has been mentioned as a possibility?</description>
      <pubDate>Wed, 19 Sep 2012 15:10:51 GMT</pubDate>
      <guid>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9429#M1082</guid>
      <dc:creator>Deni_55</dc:creator>
      <dc:date>2012-09-19T15:10:51Z</dc:date>
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    <item>
      <title>Re: GBM Carers - how could you handle it?</title>
      <link>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9430#M1083</link>
      <description>Hi Deni
Lorraine was in a trail using Avastin &amp;amp;/or Carboplastin (another chemo drug) Lorraine was picked for having only Avastin
She was taking Avastin from January till April when her lastest MRI scan indicated that there was an increase in her tumour. Effectively Avastin allowed another 4 months for some quality of her life which is fairly average from my previous research. The side effects she experienced are milder compared to the chemo drugs she has taken todate Experienced tiredness for 5 days some nausia after taking the Avastin.

With your partner repeating things, Lorraine recently developed extreme pains in what appears to be her bowel and in hospital with now morphine to give her some respite (I think it her bowels as she has lost ognitive awareness and includes her ability to talk (even say yes or no to closed questions no matter how many times I ask her) I talk to her I think she is paying attention and when I think she should answer (as in a normal conversation) she will look elsewhere and her attention is lost, difficult to regain. Its highly frustrating but it is a part of her deteriation.  The contrast of then and now is made more pronounanced as Lorraine (was/is?) a highly intellegent and capable woman, now her intellengence is experienced only in very short fleeting moments.
Best wishes for your journey</description>
      <pubDate>Thu, 20 Sep 2012 13:42:50 GMT</pubDate>
      <guid>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9430#M1083</guid>
      <dc:creator>storm</dc:creator>
      <dc:date>2012-09-20T13:42:50Z</dc:date>
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    <item>
      <title>Re: GBM Carers - how could you handle it?</title>
      <link>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9431#M1084</link>
      <description>My partner had 2 rounds of Avastin and it shows improvement on his first tumour. However, the second one has continued to grow. The NO tried Avastin + Carboplatin for 2 rounds. The first tumour site looks good; unfortunately, the 2nd one has grown even bigger and looks as if it starts spreading further and deeper to other area. During the treatment, my partner has never suffered nausea from any chemo at all. He only has extreme fatigue and can't do much activity.

It's interesting how I heard so many people told me that their partner has tumour in front left temporal lobe and having surgery to remove it. We've been told by a couple of NOs as well as a surgeon that it's not worth the risk or damage that could do to him.</description>
      <pubDate>Thu, 20 Sep 2012 20:43:34 GMT</pubDate>
      <guid>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9431#M1084</guid>
      <dc:creator>peanutz</dc:creator>
      <dc:date>2012-09-20T20:43:34Z</dc:date>
    </item>
    <item>
      <title>Re: GBM Carers - how could you handle it?</title>
      <link>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9432#M1085</link>
      <description>Oh sh_t Nat your partner too


many many hugs

Geoff</description>
      <pubDate>Thu, 20 Sep 2012 22:13:19 GMT</pubDate>
      <guid>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9432#M1085</guid>
      <dc:creator>storm</dc:creator>
      <dc:date>2012-09-20T22:13:19Z</dc:date>
    </item>
    <item>
      <title>Re: GBM Carers - how could you handle it?</title>
      <link>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9433#M1086</link>
      <description>Oh sh_t Nat, your partner too


many many hugs

Geoff</description>
      <pubDate>Thu, 20 Sep 2012 22:15:23 GMT</pubDate>
      <guid>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9433#M1086</guid>
      <dc:creator>storm</dc:creator>
      <dc:date>2012-09-20T22:15:23Z</dc:date>
    </item>
    <item>
      <title>Re: GBM Carers - how could you handle it?</title>
      <link>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9434#M1087</link>
      <description>Thanks Storm and Peanutz,
Appreciate your comments and experiences.
Just wanted some ideas about Avastin. Any extra quality time is appreciatied. He has calmed down a bit and ok about the forthcoming surgery. A thousand thoughts must run through their heads. I find I cannot cross over the bridge to fully empathise as I feel I would lose myself and be of no use. I refuse to allow myself to jump into his shoes although I understand the fear and confusion he must be feeling.
I feel that whilst we still have options and more to come that we are nearing the end of them. Maybe I am wrong. I hope so. I just want to make everything ok and make him happy. He has had a difficult life, not known a lot of happiness, and I can't make that better and it frustrates me.I know we all make choices from the options we are give. I had hoped we would have been able to have experienced more things together over the last few months, but not to be. I can only look through rosy coloured glasses and remember the great times we have had. 
Whenever I say things to try and encourage him, his reply is "but it's not you going through it." Which it isn't, I'm watching it, which he acknowledges and expresses his appreciation for what I am doing.
Again thanks....Hope you can have a restful night.....D</description>
      <pubDate>Sat, 22 Sep 2012 12:04:07 GMT</pubDate>
      <guid>https://onlinecommunity.cancercouncil.com.au/t5/Coping-with-a-loved-one-s-cancer/GBM-Carers-how-could-you-handle-it/m-p/9434#M1087</guid>
      <dc:creator>Deni_55</dc:creator>
      <dc:date>2012-09-22T12:04:07Z</dc:date>
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