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#193632 12-24-2016 01:13 AM
Joined: Nov 2016
Posts: 18
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Posts: 18
So...I completely screwed up the changing of the Fentenyl patch. I missed it by 33 hours - overdue. Ugh! My husband's resting pain level climbed back to an 8.

Sucks! Along with a lot of other explitives.

Ugh!

Just getting this out of my head. I'm fine, but I hate that I messed this up.


Caregiver to my husband, Mike
He is:
56 years old
Non smoker/social drinker
Hpv -
SCC BOT N2C Stage 4
Dx 10/14/16
Rx of 35 days Rad & 3 rounds of cisplatin
Treatment started 11/7/16
PEG installed 11/2/16
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Joined: Jun 2007
Posts: 10,507
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It takes up to 24 hours for the fentayl patch to kick in. Ive noticed that when I had forgotten to make the switch, it only took about 12 hours for the new patch to kick in. Hopefully this is the same for your husband and he will see some relief very soon.

Make charts for meds, water, calories, etc. Keep it some place where its visible and you have to physically check things off thru out the day. This will help you to remember when to change the patch. You could put reminders on your cell phone to alert you when its time to change the patch.

Best wishes with everything!


Christine
SCC 6/15/07 L chk & by L molar both Stag I, age44
2x cispltn-35 IMRT end 9/27/07
-65 lbs in 2 mo, no caregvr
Clear PET 1/08
4/4/08 recur L chk Stag I
surg 4/16/08 clr marg
215 HBO dives
3/09 teeth out, trismus
7/2/09 recur, Stg IV
8/24/09 trach, ND, mandiblctmy
3wks medicly inducd coma
2 mo xtended hospital stay, ICU & burn unit
PICC line IV antibx 8 mo
10/4/10, 2/14/11 reconst surg
OC 3x in 3 years
very happy to be alive smile
Joined: Nov 2016
Posts: 18
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Thanks. We are diligent in tracking everything - down to creme getting applied to his neck area. Somehow one of us marked it had been handled and it wasn't. This is chemo week and chemo brain is in full effect.

Fingers crossed we get to the other side of this quickly.


Caregiver to my husband, Mike
He is:
56 years old
Non smoker/social drinker
Hpv -
SCC BOT N2C Stage 4
Dx 10/14/16
Rx of 35 days Rad & 3 rounds of cisplatin
Treatment started 11/7/16
PEG installed 11/2/16
Joined: Oct 2008
Posts: 246
Likes: 1
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Posts: 246
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Julie, It's almost impossible to get through this without some type of slip-up. We had instructions to force fluids during a certain period of time - easy with PEG, right? Too easy, my husband ended up vomiting. I blamed myself for not adding in amount of water required to flush tube each time and I am an RN.
I made a color coded system for meds, fluids, etc.

I often thought that for medical personnel to understand how difficult this is they need to take a patient home with them and be responsible for their care 24/7 outside of a medical facility. Remember all the things you do right!


CG to husband, dx @ age 65, nonsmoker/social drinker. Dx 5/08 SCC Stage IV, BOT T1N2aM0. 33 IMRT - completed 9/12/08. Induction Chemo (Cisplatin, Taxotere & 5FU), plus concurrent Cisplatin.
1/09 PEG removed; 5/09 neg PET/CT; 5/10 PET/CT NED
Dental extraction & HBOT 2013; ORN 2014; Debridement/Tissue Transfer & HBOT 2016
Joined: Nov 2016
Posts: 18
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Posts: 18
Thank you very much for your kind words and understanding ... there is so much to be managed!


Caregiver to my husband, Mike
He is:
56 years old
Non smoker/social drinker
Hpv -
SCC BOT N2C Stage 4
Dx 10/14/16
Rx of 35 days Rad & 3 rounds of cisplatin
Treatment started 11/7/16
PEG installed 11/2/16
Joined: Dec 2016
Posts: 1
Member
Offline
Member

Joined: Dec 2016
Posts: 1
Please don't beat yourself up or be hard on yourself. Consider this a learning experience, rather than a mistake. There's soooo much to learn, manage and adapt to...not to mention how hard all of this is on the caregiver.

I am, or was...a personal, in-home caregiver, until my DX and surgery. To now watch my significant other/caregiver, as he tries relentlessly to do everything 'right'...I remind him daily...there really is no right or wrong. We're in this journey together, a first for BOTH of us. I do very much worry about how this effects him. The struggle is real!

Take deep breaths and five yourself a gentle, loving pat on the back, hun. You're doing an AMAZING thing...a gift of purest LOVE! (((HUGS)))

Joined: Nov 2016
Posts: 59
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Supporting Member (50+ posts)

Joined: Nov 2016
Posts: 59
finger crossed getting to the other side for you is quick. We are at the beginning stage of this side and it scares me for what is yet to come...... ugh.

sending you good wishes and healing thoughts.... to your husband.


MrsW
Wife, RN and CG to husband 55 yo diagnosed with tonsillar /lymph nodes SCC HPV+ 11/9/16- PEG and Power Port 12/9/16. Treatment started 12/27 Cisplatin x7 and RAD x35 on 12/28/16. Trismus had gotten worse!
Joined: Nov 2017
Posts: 20
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Posts: 20
Julie, have you asked your doctor about Fentanyl suckers? My husband is on patches and sometimes, even if you change them right on time, it's not enough. The suckers are great for break through pain so if you and your husband forget a patch change in the future, he could have his sucker and not be in so much pain while his patch was changed out.


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