I have been caring for a head and neck cancer pt in his home for the past 6 months. He has a trach and a G tube and has had extensive surgery, radiation, chemo etc. The last clinical trial has failed and his tumors are progressing. As well as internally they are now presenting externally on his neck and in his ear canal and he has increased facial swelling d/t lymphedema. He is in his 50's and his wife is his primary crg. She is amazing and dedicated and I am trying to prepare her for the worst case scenario with this type of cancer - a massive hemorrhagic event. I have a suction machine, dark colored sheets on the bed and have instructed her to keep plenty of towels on hand. However, this is my first experience with this type of potential death. I'm hoping that I can be there to spare his wife this trauma but, in reality by the time I get there, no doubt it will all be over. No one in my hospice has had hands on experience of this. Is there anyone who has? If so please let me know your experience and any advice you may have. He is a wonderful, proud and brave man and I want to do everything I can for him to have a "good death".