Resident with metastatic cancer. Husband decided (or Dr. told him?) 6 months ago that there would be no further treatment. Resident has done remarkably well and remained fairly stable and is just now starting to show signs of decline. She remains a full code. She has suddenly begun to have problems with urinary retention (being st. cathed, awaiting U/A and other lab results, etc). Other issues going on as well and I just sense we are at the beginning of the end.
Explaining all this to the family and gently trying to being to educate them regarding end of life process, Do not resuscitate orders, etc. Family goes on a tangent about this has to be the beginning of renal failure..."What's the protocol for dialysis"? "How do we go about getting her on a transplant list"?
Now I understand families have a tough time accepting end of life. I don't agree, but understand someone's desire to be a full code...but thinking they can get on a transplant list? First of all - it's probably a UTI. Second of all - Turn off the TV - this doesn't work like it does in the movies.
OK - back to my sweet little understanding self.