Please help me if you can. PT is a 79 yr old female, diabetic, high bp, and dialysis pt for 20 months. Five strokes since last spring. Horrific upper GI bleed in Dec. She has stopped dialysis by her own choice, thought death would come swiftly -- dr told her 3-5 days. She has been 'dying' for five weeks, missed 15 dialysis treatments, wasting away, but conscience . . . eating some, fluids as desired, and tired. Some 'bronzing,' but not a lot. Would it be at all possible that she never needed dialysis? I know this must sound crazy, but with what the dr told the family, (3-5 days have turned into 34 days!) it does cause one to wonder. Family has issues with dialysis and now are their concerns real? Was dialysis as URGENT as nephrologist determined? I know you don't have her records, etc., but . . is their Mom really dying or is she going to live?
If you have experience with end-stage renal disease, and the experience with pts., would you mind advising? Thanks, in advance, for your thoughts and help!
Feb 5, '06
by NRSKarenRN, BSN, RN
wasting away, but conscience . . . eating some, fluids as desired, and tired. some 'bronzing,' but not a lot
aren't these all signs that yes renal failure has occured and dying process started?
agree with suebird 3, everyone dies on their own timetable
family has issues with dialysis
patients with families that are not quite accepting of treatment/death appear to linger longer, often an attempt to reconcile something in their lives. encouraging closure by giving loved one permission to die is hardest thing to do but allows loved one to go more peacefully without drawn out dying process from my hospice and personal experiences.
a very good death: measuring quality of dying in end-stage renal disease
Last edit by NRSKarenRN on Feb 5, '06