Impact of visiting

Seeing your mother, partner, brother, daughter, or close friend unconscious, surrounded by machines in intensive care is profoundly shocking. Visiting them over months and years in a severely brain injured state can be even more challenging.

A few people who spoke to us described positive things about visiting – at least at first. Some valued having time to ‘say goodbye’.

Emma’s relationship with her mother before her injury had been difficult. Although, seeing her mother in a vegetative state was distressing, Emma valued being able to visit her mother and talk to her.

Gender Female

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Her mother always appeared calm and did not develop physical complications. Emma felt her mother looked serene and liked visiting, although she was always left feeling unfulfilled.

Gender Female

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Most people we interviewed spoke at length about how upsetting they found visits – especially as time went on. They made comments such as: ‘Seeing him like this breaks my heart’, ‘It seems so cruel and undignified – I dread every visit’, ‘I put on a brave face and smile and smile, but it is killing me slowly inside’.

Angela feels redundant visiting her husband because she gets no response. She describes how she, and other visitors try to act cheerful when they go into the care home.

Age at interview 50

Gender Female

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Helen does not know how to speak to her brother-in-law, and Mark feels the same.

Gender Male

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Nik has very happy memories of her father, and can’t imagine him not being able to recognise her now. She dreads going to visit him now, but feels glad once she has been to see him.

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People described how devastating it was to see someone wither away and lose everything they had once enjoyed and valued. The comparison between who someone had been, and what they had become since their catastrophic brain injury could make visiting very disturbing, and people worried that their relative, if they had any awareness at all, might have insight into what had been lost. It was also upsetting if their relative seems to be in pain or distress, and it was difficult to know how to mark special family occasions or traditional times of celebration.

Nik works with severely brain injured young people and enjoys her work – but it is much harder to see her own father in this condition.

Gender Female

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Gunars and Margaret find the contrast between who Gunar’s sister had been, and what she became, very painful to observe.

Gender Male

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Angela’s husband although usually unresponsive – wept on his birthday and on their anniversary. It was heart-breaking to see him weep, but at least it was a reaction.

Age at interview 50

Gender Female

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When the patient is in a minimally conscious state, their reactions on any particular day can be very variable. This unpredictability can be confusing. It can take friends and family on a roller coaster ride of hope and despair. If the person has become fully conscious that, too, comes with its own challenges

Theo regained full consciousness. His family are very proud of the progress he has made. But seeing him unable to talk or do anything for himself is upsetting.

Gender Male

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Olga describes how her own emotions mirror those of her much loved brother-in-law and Peter talks about how hard it is to see his little brother so frustrated.

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Family members are often advised to try to ‘get on with your life’. But this can be almost impossible to do if the patient has some consciousness, especially if they are being cared for at home, like Theo. It can also be hard to do even if people think that the patient is unaware, or barely aware, of their presence.

When Fern visits her partner she now feels: hes not there. A body is there. That is it. But she still finds it hard to detach.

Gender Female

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Imogen spoke to us after her husband had died. Looking back she feels her life was in limbo’ until she could bury him.

Gender Female

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Angela thinks that she ought to take some time for herself and try to recover from the exhaustion and stress that have defined the last few years.

Age at interview 50

Gender Female

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Some people said they eventually became ‘numb’ – so used to seeing their relative in a vegetative or minimally conscious state that, over time, it became ‘almost normal’. They did not notice how it was affecting them – nor did they think about how the situation might be changed. Seeing their relative after being away could be particularly distressing and sometimes prompted a change of perspective. Sometimes people chose to stop visiting, deciding that visiting is ‘pointless’ if the person has no awareness, or just too painful. Not visiting, however, can be a source of guilt and conflict.

It was only after shed been away for a while that Cathy realised how difficult the situation at home was with her brother, Matty. Later she found it hard to visit at all not wanting to look into his unseeing eyes.

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For discussion of the significance of different responses from the patient from the clinical perspective see section on ‘Definitions‘.

See also ‘Messages for friends‘.

Last reviewed December 2017.

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