Dialysis 9 yrs, but terminal illness is COPD???

Sometimes I just want to pull my hair out! Account exec has been working on getting a patient discharged for the last 3 weeks, daily notes from md says "husband considering stopping dialysis", then, tonight when she does get home--"of course we are continuing dialysis". Patient had dialysis this evening. Admitting orders state "esrd", but there is a note from the AE saying "admit under copd" when copd is only mentioned as a comorbidity. She is on a buttload of medications related to dialysis-renagel, sodium bicarb, meds for htn, etc.

IF patient has been on dialysis for 9 years, had a renal transplant 9 yrs ago that failed, how can I in good conscious admit this patient under copd?

thanks for listening.

linda