Grieving over brother's death, would like your thoughts----

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Hi, I might be "grasping at straws" here, but thought maybe if people who know more about this than I do can give me

some input, it MIGHT help me......

I realize this may belong in the NEURO or ICU forum.......but not sure???

My baby brother and I were sooo close, and I ADORED him more than I can describe! He had severe high blood pressure and was on THREE meds----which we now know, he probably stopped taking. :cry: On Easter Sunday, he had a hemorrhage in the brain stem....the paramedics reported his BP as 249/ ???

(forgot the diastolic, but I will NEVER forget the 249!!!!) :(

About a year ago, his doc said he MIGHT have an adrenal tumor, and I bugged him and bugged him to get it checked

out, but he never did........:crying2:

His Glascow was a "3", pupils were pinpoint, no activity whatsoever except once in a while his leg would jump a bit..........intubated in ICU, etc. etc. etc. The results of the ECG and CT scan were NOT good.

The BLESSINGS are that we had 2 1/2 days with him to laugh, cry, sing, and LAUGH some more.....we have SO many

"In jokes" in our family, we had to rehash ALL of them.....LOL....well, almost! There were times we

were just SURE he was going to bust out laughing with us......:chuckle Not REALLY, but I think you know what I mean.

No, there was no denial there, we KNEW he was "gone"....

My least fave nurse of his intimidated me, and it TICKS ME OFF now when I think about this! I wanted to stay

by his side that first night, knowing he probably wouldn't live much longer. The snotty nurse said "and was this

PRE-ARRANGED?" ...............she HIGHLY encouraged me to go to the hotel. In my experience, MOST ICU nurses

are VERY cool about letting you stay. Now, keep in mind, I'm a nurse too! We noticed she was SUPER stressed

out with a new admit who took SOOO Much of her time! I TOTALLY get that she was stressed, but my baby

brother was DYING!!! Why did she have to be so snotty to me!!??

**Question # 1:Do y'all highly encourage family members to leave, even though you know they REALLLLY want to stay?

I know SLEEP is soo important, but all I did back at the hotel was CRY! Should I have called her and nicely asked

if I could come back??

And not only that, but we were SO nice to her.,....did NOT bother her while she was all involved in this complex

new admit. I LITERALLY hit "SILENCE" on my brother's piggy back for an HOUR and a HALF because NO ONE would stop

by to check it.....(I was NOT going to hit "stop".....didn't feel it was my place as a "visitor"....)

The organ donation people were AMAZING!!!!!!!!!! They explained that after going to OR and being extubated, if he

died within one hour, they could harvest some of the organs, and we could be there when (and IF) he died then. My sister, Dad and I were in the OR with him (my other brother chose not to be). We were prepared that he could've lived for days, a week or two? Who knew? But he died within five minutes of extubation....thank you God and your Mercy!

**Question # 2:

We believe that SOME "part" of him could hear us talking, laughing, praying, singing, touching him.....Do you believe

this, or do you think it's a fallicy (sp?) to make the loved ones feel better? Part of me wants to believe he felt us

there, then part of me thinks "Okay, with a GCS of THREE and a MAJOR brainstem hemorrhage, there's NO WAY

he knew ANYTHING that was going on!!!?

And on a HAPPY note, his liver and pancreas saved the life of a man his age.....both of his corneas went to TWO

different people who couldn't see, and now they can.....and the one that touched me the most-----a young guy

whose foot was crushed got my sweet baby brother's feet bones......!!! :D

Thanks for "listening" to my story. I will appreciate other's thoughts/ opinions/ stories! :nurse:

Specializes in oncology, med/surg (all kinds).

i am very sorry for your loss.

i am very sorry you were treated poorly by the nurse. as nurses, even the most compassionate of us have all responded to a family member in a way that we might not have meant. i am not defending her, but her tone of voice might not have matched her intentions. and her stress might have shown thru more than she meant--or maybe even more than it usually does. i say this only so that in your memories of your brother's last days, you think of that nurse with feelings other than anger. she might be a crappy nurse or a good nurse who clearly didn't handle the needs of your family the way you needed. this is something RNs must do, but we sometimes fall short. i hope if she were reading your post, she would apologize and maybe explain herself.

as far as your other question: when i was a CNA, i had to take care of a patient we all pretty much considered a vegetable. there was *nothing* there. but i did the best i could. he went away, i didn't know why and didn't expect to see him again.

months later....another patient. he knew my name, was very nice and made several references to things in the past. turns out this was our vegetable. he told me i was the nicest nurse (i was a CNA then, but i guess one might miss those details in his state). he said he loved when i talked to him and told him what i was doing ("i have to turn you now to get the sheet, etc). he said i made his time in that hospital bearable.

i don't remember what was wrong with him, why he went away or came back. but i will never forget that he was living proof that people can hear you and even feel your love and good intentions when you think they can't. i am not a religious person, but i have no doubt--NO DOUBT--that your brother died knowing he was loved and felt and heard everything.

and i am so incredibly touched that through his death he was able to save other people with his organ donation. you are all obviously an amazing family. people like your brother and you make the world a better place. wow.

I am so sorry for your loss :( I have walked in your shoes in that I too lost my baby brother.

Was your brother aware of your singing and laughing and joking? His body was not able to perceive these things but guess what....

His spirit was probably in that room and I believe that that part of him was aware of everything that went on.

I truly believe he knows how much you and the rest of your family love him. Notice I did not use the past tense there.

Kudos for your unselfish act of organ donation :) So very cool!!!!!!

Anyway, be patient with yourself as you grieve and as you heal. Cry and laugh and eventually you will come to the place where you are laughing more than your are crying.

*hugs*

btw, I hope you are aware that hospice offers bereavement support even if your brother was not a direct patient of theirs....at least in my area they do...

I encourage you to join a support group, you dont have to go it alone...

I am so sorry for the loss of your brother. I really can't add a lot. I do believe that people hear us even when some would say it's not possible. If I have a patient that is terminal and not responsive, I always tell them what I'm doing, if I'm turning them, ect.. Sometimes I just talk to them when I'm in the room. Not everyone has caring family members. God bless you, and do think about a support group.

While i disagree with giving organs away after death, for various reasons. I also feel your pain of losing a sibling, I lost my sister unexpectedly. I allways wished i had been able to say goodbye. I had a closeness not shared with my other siblings. I feel a nurse knowing the situation can make a exception to a rule, so you can be by someones side. Reguardless of my opinion on organ donors, I think your brother will know he made a difference in many peoples lives, and thats what important in the end.

Specializes in Peds Critical Care, Dialysis, General.

I'm so sorry for the loss of your brother. I'm so sorry that you didn't get sto spend as much time as you needed and wanted to. I work Peds ICU - we let family/friends stay as much or as little as they need or want.

We found out today that in our facility, the adult world is different. Even though we espouse a "family/patient centered care" model, one of our RTs' dad was in our Neuro ICU and they were not allowed to be with him.

I always encourage family members to talk, to touch their loved one. I believe, no, I know, that a dying person can hear and feel. These actions are just as important to you as they are to your loved one.

Take time for yourself, allow yourself to grieve and come to a peaceful place with wonderful memories of your brother.

Hurting with you,

Cindy

I'm so sorry for your loss. I can relate as my own brother died suddenly 3 years ago of a ruptured aortic aneurysm at age 41 (his primary treated him for pleurisy with a c/o of chest pain and a hx of HTN and heavy smoking... I still have a hard time accepting this). I'll always regret not spending more time with my brother, but he lived in Europe and I hadn't been able to see him in 4 years.... maybe I could have convinced him to get a second opinion when there was still time. And maybe it was just meant to be.

This excellent forum helped me a lot:

http://www.adultsiblinggrief.com/message_board/index.php

It will get easier, you'll see.

Best wishes,

DeLana

hi, i might be "grasping at straws" here, but thought maybe if people who know more about this than i do can give me

some input, it might help me......

i realize this may belong in the neuro or icu forum.......but not sure???

my baby brother and i were sooo close, and i adored him more than i can describe! he had severe high blood pressure and was on three meds----which we now know, he probably stopped taking. :cry: on easter sunday, he had a hemorrhage in the brain stem....the paramedics reported his bp as 249/ ???

(forgot the diastolic, but i will never forget the 249!!!!) :(

about a year ago, his doc said he might have an adrenal tumor, and i bugged him and bugged him to get it checked

out, but he never did........:crying2:

his glascow was a "3", pupils were pinpoint, no activity whatsoever except once in a while his leg would jump a bit..........intubated in icu, etc. etc. etc. the results of the ecg and ct scan were not good.

the blessings are that we had 2 1/2 days with him to laugh, cry, sing, and laugh some more.....we have so many

"in jokes" in our family, we had to rehash all of them.....lol....well, almost! there were times we

were just sure he was going to bust out laughing with us......:chuckle not really, but i think you know what i mean.

no, there was no denial there, we knew he was "gone"....

my least fave nurse of his intimidated me, and it ticks me off now when i think about this! i wanted to stay

by his side that first night, knowing he probably wouldn't live much longer. the snotty nurse said "and was this

pre-arranged?" ...............she highly encouraged me to go to the hotel. in my experience, most icu nurses

are very cool about letting you stay. now, keep in mind, i'm a nurse too! we noticed she was super stressed

out with a new admit who took sooo much of her time! i totally get that she was stressed, but my baby

brother was dying!!! why did she have to be so snotty to me!!??

**question # 1:do y'all highly encourage family members to leave, even though you know they realllly want to stay?

i know sleep is soo important, but all i did back at the hotel was cry! should i have called her and nicely asked

if i could come back??

and not only that, but we were so nice to her.,....did not bother her while she was all involved in this complex

new admit. i literally hit "silence" on my brother's piggy back for an hour and a half because no one would stop

by to check it.....(i was not going to hit "stop".....didn't feel it was my place as a "visitor"....)

the organ donation people were amazing!!!!!!!!!! they explained that after going to or and being extubated, if he

died within one hour, they could harvest some of the organs, and we could be there when (and if) he died then. my sister, dad and i were in the or with him (my other brother chose not to be). we were prepared that he could've lived for days, a week or two? who knew? but he died within five minutes of extubation....thank you god and your mercy!

**question # 2:

we believe that some "part" of him could hear us talking, laughing, praying, singing, touching him.....do you believe

this, or do you think it's a fallicy (sp?) to make the loved ones feel better? part of me wants to believe he felt us

there, then part of me thinks "okay, with a gcs of three and a major brainstem hemorrhage, there's no way

he knew anything that was going on!!!?

and on a happy note, his liver and pancreas saved the life of a man his age.....both of his corneas went to two

different people who couldn't see, and now they can.....and the one that touched me the most-----a young guy

whose foot was crushed got my sweet baby brother's feet bones......!!! :D

thanks for "listening" to my story. i will appreciate other's thoughts/ opinions/ stories! :nurse:

i hate to sound like a broken record, but all i can say is "i'm so sorry for your loss". i am so happy to hear that you and your family spent his last days laughing and thinking about the positive, happy times in his life. i think that's the best thing anyone can do.

i am even more sorry to hear that the nurse was such a witch. i am appalled that she would act like that to a family of a dying patient. shame on her. :nono:

when i am finally able to find someone that will hire me (i'm a new grad) i truly hope i will always remember your story and allow the family to say their goodbyes and take the time that they need. people need closure at their own pace.

again, i am so sorry and i know that this only make you that much better of a nurse (you already sound like a great one from your posts). good luck to you, dear. :icon_hug:

Specializes in NICU, Peds, Med-Surg.

Thank you sooooo much for all your replies, it was VERY comforting!!!! (((HUGS))) I also want to extend HUGS to all of you who've lost loved ones, too! :crying2:

DeLana...thank you for that link---I read a GREAT book about sibling death specifically, and it made me realize things I hadn't thought about before like not being able to share my grief with my brother when our Dad dies ....(ugh, that's a whole OTHER subject, isn't it?) :bluecry1:

I have been "meaning" to go to a grieving support group, and sometimes I think about

individual counseling, too.

After reading some of your replies, I realize perhaps that nurse really WAS trying to look out for me----he really wasn't in imminent danger of dying THAT that night, but then again---you never know! Honestly, I know I looked horribly tired and puffy-eyed, etc.....My other concern was that he NOT be coded --(what would be the point?) and go through all that trauma, and I know my family would've agreed, AND I wanted to be there *IF* he coded ......but I was sooo exhausted that evening,

and didn't even want to think about asking the doc to make him a DNR, etc.

She DID say that people in his condition usually didn't have DRASTIC changes and she DID say she would call us at the first sign, so I don't mean to make her sound horrible----but, she WAS a bit "cold" and she did NOT say hello to any of us when she first walked in...NOT a great impression. It kills me, too, because I try to be SOOO nice to patients and families and still get treated like I'm lower than pond scum sometimes....but that's just nursing, isn't it? :nurse:

Oh, and another detail I just remembered....his temp had gotten to 103.? earlier, they had him on a cooling blanket, etc.....it stabilized, but then that evening, was

climbing back to 103 and slowwly creeping higher---we CALMLY mentioned that to her, and you could tell she wanted to roll her eyes, AND she said something like it wasn't a big deal.......ohhh, realllllyyy?? Interrrrrrrrresting! sooo, a 103 isn't a problem?? Okayy......

I should also share that the NEXT night, a nurse from the Transplant org went out of her way to get me a chair, a pillow,

blanket, etc. (She had to be there all night along w/ the regular nurse in order to draw TONS and TONS of labs every few hours). The next two days, he had a *LOVELY* ICU nurse and I helped her turn him, etc, and I would've helped with whatever if it had been needed. She was SO sweet

and appreciated my help----my brother was chunky AND tall, and she was very tiny......so she welcomed my help! :p (by the way, I never told any of them I was a nurse --I just like to let 'em think I know NOTHING!)

I'd also like to mention another POSITIVE thing----my Dad is 78 years old (and pretty healthy, thank God! :) ) and had to take an HOUR long cab ride to get to the ICU.....(the rest of us live about 1,500 miles away, so we all flew in the next morning!).....there was my Dad on Easter Sunday night---after midnight--- seeing his youngest son intubated in ICU (oh, it KILLS me to imagine that!) and one of the nurses NOT assigned to my brother brought him water, a comfy chair, blanket, etc. I KNOW my Dad is intimidated by medical stuff, so he was probaby sooo overwhelmed, wondering why he had "that tube" coming out of his mouth, all the IVs, the SCD's, etc...I could not WAIT to get there!!!!!!!!!! This SWEET nurse said it killed her to see my Dad there alone, and crying......my Dad REALLY appreciated her kindess!!! I wrote individual thank you

notes to all the great nurses........(and the transplant team, and the neurologist!)

ANYWAY.......HUGS to all of you! THANK YOU!! I really feel better after reading this!!!

Specializes in SICU.

I am glad that the little that we could do for you, has helped in some way. She certainly did not give great family care. I will say temps of 103 and higher are very common with brain injuries. Cooling blankets or other methods of cooling pt's such as Artic Suns are used to try and bring the temp down. Even with full use, pt's temps may still go up. It is not a sign of infection and would not be a concern as long as it was not climbing quickly and the cooling blanket was still on and working. If it kept going up with the cooling blanket then they might have added more cooling by changing to an Artic Sun or adding another blanket.

I always take these moments as a teaching opportunity for the family, so they can understand some of the aspects that the brain controls, such as the body's temperature.

Again, sorry that she wasn't very good at looking after the family members of an ICU pt. I hope at least she was a good ICU nurse and looked after your brother competently.

Specializes in NICU, Peds, Med-Surg.

Thank you, UK student! :wink2: I realized his hypothalamus was probably causing the high temps, .....and

y'know, I TOTALLY forgot that she could have at LEAST explained to us that this would be common with

a severe brain hemorrhage instead of coming VERRRY close to rolling her eyes----

. Part of our job is TEACHING, after all! Anyway, at that point, we weren't thinking about

organ donation yet, but I'm SURE they already were, so keeping his temp down was important for many reasons....

Anyway, as I said before, I ALWAYS treat the patient and family nicely, no matter HOW stressed I am:nurse:. I KNOW

she was having a hard shift, but she still could've at LEAST given us a fake smile and a HELLO when she FINALLY

walked in after 9 pm....(she'd come on at 7p...).......I was also venting to my sister that I would think that LEGALLY,

she would've at least PEAKED in at him within the first 2 hours of her shift....or, here's an idea---if she was THAT

busy---how about asking her supervisor or co-worker to do a quick assessment, say hi to his FAMILY, something!?!

Sorry, I realize I am now venting more and more about that nurse than my original subject----but since this is

a NURSE'S board where we can vent, and that's what I'm doing.

Aside from my rambling, I'd like to say one more time that I really appreciate everyones' responses to my

questions about my precious baby brother knowing we were there.......I am convinced! :p

Now, if I could

just get over that dream I had yesterday where it turned out he was ALIVE and it was just a big practical

joke.....oh, how I wish!:bluecry1:

Thanks everyone...........(((HUGS!))) :heartbeat

Specializes in SICU.

After getting more information, please think about writting to the manager of that unit about your expereince. It was great that you wrote letter's of support for the ones that helped you during this difficult time. However, please write the more difficult letter about this particular nurse.

Management needs to know when the staff does great and also when a member of their staff is not providing even the most basic of nursing CARE.

Specializes in LTC, assisted living, home-care.

Now, if I could

just get over that dream I had yesterday where it turned out he was ALIVE and it was just a big practical

joke.....oh, how I wish!:bluecry1:

Thanks everyone...........(((HUGS!))) :heartbeat

Turn your dream around. If you see your brother in your dreams, be thankful for the chance to remember him and be able to "see" him one more time.

I take dreams in which I see my friends and relatives whom have passed on to mean I get to see them once again. Even in my dreams. I have come to terms that this is my way of "remembering" them. I lost a GREAT friend, quickly, and now when I dream of him, he is older and usually inactive and unable to take care of himself. For real, he was an active guy and because he didn't suffer in the end, this is a way of being grateful he went very quickly.

I dream of my parents, and I get to hug and tell them I love them, once again.

Embrace each memory.. Even the dreams. :redbeathe

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