A member asked:

My dad in hospice has been on dialysis 4yrs. doctors say dialysis is no longer helpful, what does that mean? he says he wants to continue dialysis.

4 doctors weighed in across 2 answers

Tough decision: Hospice therapy centers upon comfort care. Dialysis is life sustaining. Usually the decision to stop dialysis and start hospice go together. One could argue that the dialysis provides relief from shortness of breath or edema, to say that dialysis is no longer helpful implies that these goals are unattainable. Stopping dialysis will not affect comfort in that case.

Answered 4/24/2016

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Dr. Bates Moses answered

Specializes in Palliative Care

Talk more with docs: If i understand currently he has been on dialysis for 1 year and now just starting hospice (another diagnosis?). "no longer helpful" is very subjective (is it still able to remove fluid without dropping blood pressure; is he still able to function; etc.). It may also prolong suffering from another disease, only he knows how much he can handle, docs will know if the treatments can reach his goals.

Answered 3/3/2013

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