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Call Hospice and ask them.
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Try non alcoholic beer if the nurses allow that. It shouldn't affect the meds and she won't know the difference.
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MY MIL was used to her afternoon cocktail and asked about it at every visit. She was on palliative hospice care, so she was only taking comfort medications.
After phoning the hospice nurse and discussing it, we visited MIL with the needed supplies. It was ten in the morning.
MIL asked if she could finally have her drink. Although my wife initially disagreed (it was morning), she relented. I fixed MIL her bourbon and water and it made her very happy. It reminded her of better times with her husband.
For a couple of weeks after that I stopped every afternoon for her cocktail hour. When the staff got used to the idea I started leaving airplane bottles with the proper amount. We asked hospice to add it to the care plan so the staff could assist.
I supplied the airplane bottles, and started watering down the bourbon somewhat. I do not think she ever caught on. It was more the idea of keeping her routine.
I did not do this for my father when he was in hospice, but I probably should have. He talked about it and it would have made him happier. Daily would not have worked for him as he was a fall risk, but periodically could have been arranged. I think he would have been happier as drinking had been a big part of his life. With him I did not really understand that palliative care is for comfort, not healing.
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Yes, usually they can have what they want, They are dying.
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The Hospice that I volunteer at/for actually has a liquor license just in case someone asks for a beer or other alcoholic beverage.
Ask the nurse that comes to see her. I doubt there will be a problem. My guess is your Grandmother will not finish an entire beer anyway.
And if she is mobile I would not have her walking around after having the beer. I would give it to her while she is eating in her chair or at the table or even in bed.
And a personal note here when my Husband was on Hospice I did give him a beer, he used to home beer, and he had a few sips and pushed the glass towards my sister.
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Knowing what Hospice is - I would say to give her what she is asking for.
If the beer doesn't taste as good as Granny remembers, she just won't finish it.

At 69 pounds, I would imagine most, if not all, of her medications should be stopped anyway. She has to be suffering many major side-effects as she hasn't the body weight to support them.
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Countrymouse Sep 2018
That point about dose per body weight is a very important one, and I bet not attended to often enough. Maybe it would be a really good idea for the OP to follow it up and ask for a medication review?
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My mom was a heavy wine drinker and when she got dimentia we started buying her alcohol free wine and she did not know the difference. Every now and then I would give her the real stuff. I agree, they should do whatever they want at that stage in the game. Whatever makes them happy! If I could go back and do moms end of life hospice care again I would have bought her chinese take out every night, expensive wine and let her stay up all night watching TV:) I wish I had not sweated the small stuff....
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I cannot think of any reason to refuse your grandmother anything (legal) that pleases her heart. If she fancies a beer, then let her have it. If she fancies a couple, come to that. These are the last days of her life. She is not expected to recover. Whatever contributes to her own sense of wellbeing must be accommodated as far as possible.

I don't suppose the manufacturers of the medications would recommend that they be taken with alcohol, but if there is a serious interaction to worry about - and yes do check because the last thing you want to do is make her feel worse - then I'd query what good the medication is doing and see if you can't change that.

One caution, though. Don't be disappointed if, once you've brought the beer, nicely chilled, opened it with a flourish, and ceremoniously poured it into a slim glass for your grandmother, she doesn't after all drink it, let alone enjoy it. It may just be the idea that she liked and the reality doesn't match her memory of past pleasures. Should that happen, try other little treats - ask around the family about favourite dishes or brands of chocolate they remember.
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I had a friend who brought his FIL a non-alcoholic beer every weekend. His tastebuds probably weren’t as sharp as they used to be as he enjoyed it and looked forward to it. Without any alcohol there was no effect on meds. Just flavor and some calories.
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Maybe try "near-beer" if alcohol might be a problem. Don't let her know it is alcohol free--if possible.
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We were told the patient could have anything she wanted to eat or drink. I agree with the advice to ask a nurse but small beer shouldn't hurt anything.
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k12144 Sep 2018
We were told the same... though she kept getting the same boring gluten-free, sometimes-low-sodium food! I would have gone out and gotten her anything she wanted had she asked, though.
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I would ask the hospice nurse. If she is on morphine for pain it probably isn't a good idea, but you may be able to hold the morphine dose so she can enjoy a beer. If she wants it, she should be able to have it now and then, and if you work with the hospice nurse, I'm sure something can be arranged.
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I agree with Isthisrealyreal, and it sounds as though she is at the point where she won't take more than a few sips anyway.
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I would give her a beer, what is the worst that could happen? It's happening now anyway.

Im sorry that you and your family are having to watch your g'ma waste away.

May God grant you peace on this journey.

Hugs!
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