David and Olivia

In 2008 at the age of 53, David’s mother had a brain haemorrhage and lost consciousness, which she never regained. She was eventually diagnosed as being in a permanent vegetative state. In 2013 the Court of Protection declared that it was lawful and in her best interests to have artificial nutrition and hydration withdrawn. She died later that year.

In 2008, at the age of 53, David’s mother had a brain haemorrhage and never regained consciousness. She was kept in this state for four and a half years, with a tracheotomy in place and dependent on artificial nutrition and hydration. David’s mother was a very active, independent and dignified woman a matriarch’ at the centre of the family. David and Olivia believe that, despite receiving excellent physical care she would never have wanted to be sustained in this state. Her body became very contorted with twisted limbs and wasted muscles, and would go into spasm, and the years of seeing her in this condition were very tough on the whole family.

David and Olivia were the main family carers after his mother’s brain haemorrhage. For them this meant five years of constant worry and sleepless nights. In the first year, David hoped that his mother would recover: We tried every trick in the book to make her have eye contact, to make her communicate, but there was nothing. When they realised the extent of the damage, they questioned why doctors had undertaken life-saving brain surgery in the first place: Later on, we thought, you know, Why, why when you opened her head, why did you bring her back? ‚. You know, how dare they leave us like this, in limbo with someone that’s vegetated, rotting away on a bed and we had to watch that. They describe how, in the early months on a general ward, she often choked on her own phlegm, ground her teeth, sweated extensively, and was left unwashed: we were not only grieving her, but then fighting for her dignity as a woman to be kept clean, as just a basic thing. It was disgusting. The couple struggled to ensure that she had the best possible care, and was as comfortable as possible despite MSRA, bed sores, pneumonia and other repeated infections and surgery to deal with her spasticity and contractures. Once David’s mother was moved to the long-term care home the quality of care improved massively and she seemed much calmer: they were just so good with her, and respectful of us, and of her, and treated her like a lady again – not like a piece of meat. However, they don’t believe they received appropriate information from medical professionals about his mother’s diagnosis or treatment withdrawal options: the doctors never sat us down and gave us a definitive answer our questions.

In 2013 the family supported an application from the NHS Trust to the Court of Protection for a declaration that it would be lawful and in his mother’s best interests to have artificial nutrition and hydration withdrawn. They say: We all felt we were just preserving her for us, so that we could go and see mum. ‚. We knew she wouldn’t want to be like that‚. And we were proud of us in a way that we had the guts to get up and speak for her. The Court authorised withdrawal, and the care home assisted us with everything we needed to keep her dignity and keep her comfortable. A good palliative care package was agreed and although the family was initially very anxious about withdrawal (Olivia talks of nightmares that her mother-in-law might suffer and die in agony of starvation), in fact they believe that she was calm the whole time and died with dignity. After her death, they felt huge relief that she was finally at peace.

David and Olivia are planning to write Advance Decisions to ensure that they are never kept alive in such a condition themselves.

David and Olivia emphasise the importance of getting specialist advice.

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David’s mother was given a great send off’ at her funeral.

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David and Olivia did their grieving over the five years before the final death.

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David and Olivia found the idea of death from starvation’ disturbing, but found in practice it seemed peaceful’ and dignified’ after the court approved removal of the feeding tube from David’s mother.

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Other family and friends have said they would want artificial nutrition and hydration withdrawn themselves in these circumstances. David and Olivia feel they did the right thing by David’s mother and that going through the court process was the braver th

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It was nice to see David’s mother without the tubes and she just looked calm. They are pleased that she is finally ‘at peace; they have no regrets.

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David and Olivia describe the preparations put in place for withdrawing the feeding tube – they were reassured that there would be good palliative care.

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David and Olivia say the best interests’ of David’s mother was not discussed. Meetings simply focused on delivering care, rather than reflecting on the purpose of interventions and what the patient herself would have wanted.

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David and his wife feel their love for one another has increased because of what they have been through and they are proud of how the family stuck together – as his mother would have wanted.

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They felt elated’ after their conversation with the expert rehabilitation consultant who assessed David’s mother – for once in a blue moon, we knew what was going on’

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David and Olivia say it was hard to get a definitive answer about diagnosis, even years after the injury, and even though proper assessments eventually showed that David’s mother was in a permanent vegetative state.

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It was a huge relief for David and Olivia to finally get David’s mother out of hospital and into an excellent care home.

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They ended up feeling they had to nurse David’s mother themselves and become confrontational to defend her.

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David and Olivia describe how they experienced being with David’s mother when she was in a permanent vegetative state.

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It is very challenging trying to get information when the patient themselves cannot give it to you, David and Olivia describe their experiences.

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David and Olivia wonder why the doctors brought her back.

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David and Olivia never imagined that David’s mother might be erased as a person.

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David’s mother collapsed with a stroke, which was to leave her in a vegetative state until her death several years later. The last time he was able to interact with his mother was just before she was put into an induced coma.

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