Nik

In 2007 when he was 42, Nik’s father fell down some steps and hit his head. He has been apparently completely unconscious ever since and Nik does not believe he would want to live like this. Some years earlier he had suffered a brain haemorrhage and a stroke, following which he had been left with left-side paralysis and memory difficulties, but able to live independently. Nik and her father were extremely close and after that incident he told Nik that if he had another stroke and lost the ability to be independent, he would not want to be kept alive.

After suffering a brain haemorrhage and stroke in 2000, Nik’s father was very grateful that he recovered sufficiently to be able to live independently. But he told his family and friends that if anything similar happened again such that he lost his independence he would want to be allowed to die. Some years later, on New Year’s Eve in 2007, he fell down some steps, suffered a head injury and was left in a coma. Within a few weeks of the accident Nik was told that her father was in pain and that he could be given morphine, although this might shorten his life. The whole family agreed with this course of action, believing her father would have wanted a peaceful death. However, for some reason, she does not think pain relief was provided, and although he was expected to die, he survived. He is now in long-term care, with a chronic disorder of consciousness, and his life is being prolonged with a tracheotomy and the provision of artificial nutrition and hydration.

Nik finds visiting her father very painful. She doesn’t see him responding to anything she does or says. Although she hopes that he can hear her voice and know that she is there, Nik believes he is probably completely unaware of everything. She usually takes her daughter, now 9 years old, with her when she visits, and she plays his favourite music. She does not know anyone else with a relative in a vegetative state, and wants to find out whether what she feels is normal. She doesn’t understand why her father is being kept alive against his previously stated wishes. He has ‘Do Not Resuscitate’ on his notes; Nik and the whole family agree this is the right thing to do. However, she finds the idea of allowing him to die by withdrawing his feeding tube incomprehensible and “crazy” and could not bear the idea of being responsible for such a decision. She has felt guilty for being unable protect her father from being kept alive against his wishes and feels it’s important that families are not burdened by feeling guilt about decisions that, legally, are not their responsibility.

Her daughter has grown used to visiting her grandfather in a vegetative state, and Nik hopes she understands that he is still a person.

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After an earlier injury, Nik’s father had told her not to keep him alive if he lost his independence. But when he was injured again, and unable to make his own decisions, she discovered it was not as simple as letting him go.

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Nik’s father had discussed his views with her, and she said it was relatively easy’ to accept the DNAR notice.

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Nik suggests that policy makers should see for themselves what patients and families are going through.

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Nik feels guilty that her father continues to be kept alive. She wonders is this my fault’ and was interested to learn that it was not her responsibility to make such decisions.

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Nik feels unsure whether her father would want friends to see him in his current state.

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Sometimes friends ask questions of Nik that are unhelpful.

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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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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.

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Nik feels she is not doing enough’ and perhaps she should visit her father every day.

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Nik worries that it might be worse if her father were able to feel, but also hopes he might be able to know when she is with him.

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Seven years on from her father’s injury, Nik asks is it going to get any better?’ and feels she does not have clear answers.

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Nik says visiting her father is like he has died and you have to still go back and forth and see him.

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