Doctor insights on:
Treating End Stage Renal Failure Hospice
Dad 92, just went on hospice with CHF and third stage renal failure, ejection fraction of 35-40what is prognosis?
Hard to say: It sounds like your father is dealing with a lot of serious illnesses, and as people get older, everything can get more complicated. To qualify for hospice, typically death is expected within 6 months, and most families find hospice a very rewarding and dignified way to care for family members at the end of life. ...Read moreSee 1 more doctor answer
All hospices deliver a similar set of services. They include nursing, assistance with caregivers on a limited basis, chaplaincy, bereavement counseling, social worker and physician care (medical director in many cases). You are covered for many services and this includes medications related to your terminal diagnosis. The hospice team is there to help you transition in the ...Read more
My 80yo dad has opted for hospice..Stopping dialysis. Will the kidney failure be paunful? Can it be controlled? Dr.'s gave him 5days.
When someone has end stage renal failure, how long can they typically be expected to live if they do not get dialysis or transplant? 92 y/o with chf.
Hard to do: CHF and impaired renal function are difficult to deal with, because improving one makes the other worse. It is a fine line between reducing fluid to help the heart failure, but keeping enough to keep the kidney function from getting worse. Dialysis may be the best answer. See his nephrologist for an answer. ...Read moreSee 1 more doctor answer
ESRD options: Patients with esrd have 4 options. One is hemodialysis (h), either at a dialysis center, doing regular or nocturnal h, or doing h at home. The second is, peritoneal dialysis. Esrd patients can receive a transplant for either a living related or a cadaveric donor. The 4th option is one that very few patients consider, and that is not starting dialysis at all leading to a fatal outcome. ...Read more
If one's kidney fxn is 14 percent, is that considered end stage renal failure? Any way to reverse its course? Any fluctuation possible?
GFR <15 is end stage: Kidney doctors will follow the lab results, start dialysis, and refer to the transplant team if one is eligible. Criteria for transplant can vary among medical centers and may include: end-stage renal disease, creatinine clearance at 20 or less, no active or ongoing cancers, no active infections, have reasonable heart and lung function, bmi <35, no smoking/drug-abuse/alcohol-abuse, etc... ...Read more
Other factors too!: A lot of other things help explain this. If the person has multiple other medical problems life expectancy could be very short. From my experience most people with end-stage kidney disease have a matter of years on average. Anyone with end-stage disease of any kind should be actively preparing for the end-of-life, creating advanced directives and completing their bucket lists! ...Read moreSee 1 more doctor answer
Depends upon health: Very variable. Current medical literature quotes 22% annual mortality rate which suggests 5 year survival rate. However, younger and otherwise healthy subjects can live 10 -20 years on dialysis. Kidney transplantation has a much better prognosis if and when there is choice. Some subjects only need tdialysis on temporary basis on temporary and recover kidney function. Others are 2 sick for transpl. ...Read moreSee 2 more doctor answers
If someone has end stage renal failure. Wouldn't they have severe swelling all over from fluid accumulation?
Possibly: It depends if there is still urine output or not. Some people maintain good urine volume even if they are on dialysis and in that case there is an outlet for fluid excess to leave the body. In the absence of urine output only dialysis can remove the extra fluid so a restriction of intake is mandatory. ...Read moreSee 2 more doctor answers
Renal failure: Acute renal failure: seen in a healthy person who develops an illness (e.g. hemolytic uremic syndrome [in children] or septic shock and multiple organ dysfunction) that leads to renal failure. Often it resolves. End-stage renal disease implies that the problem has been there for weeks/months, is not going to resolve and the person may need kidney transplant ...Read more
The kidneys do several tasks. Dialysis is necessary when one or more of the following occur, that can't be remedied or palliated with medications: 1. Insufficient clearance of daily toxins in food and metabolic waste 2. Insufficient clearance of excess water 3. Dangerous electrolyte imbalance, ...Read more
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