Page 1 of 1

Witholding antibiotics

PostPosted: Sat Dec 02, 2017 9:10 pm
by Henriettab
Dad aged 91 has been stage 4 CKD for several years, has had an incident of acute kidney failure and a spell of hospitalisation for infections, sepsis, numerous UTIs and now has advanced dementia. He has an Allow a Natural Death Form from consultants.

Have spoken to Care Home and said it would not be in Dad's best interests or family's wishes to extend life as no quality of life and the care home were happy with this but said it would ultimately be the Dr's decision.
He now has another UTI- will they treat him with more oral antibiotics dispite these wishes? The hospital discharged him as "medically fit for discharge" a week ago.
Am I correct in thinking , if they didn't a UTI might hasten the kidney failure?

Re: Witholding antibiotics

PostPosted: Sun Dec 03, 2017 4:26 pm
by wagolynn
A natural death form, I would say, is a roundabout way of saying, 'do not resuscitate' , rather than expressing a wish for a painful death.

On this basis the UTI should be treated, with kidney failure his immune system will depressed, and the volume of fluid drunk will have reduced, this will tend to make him more vulnerable to UTI infections.

Taking more vitamin C may help by making urine more acid, the bacteria involved tend not to like acid conditions.

Re: Witholding antibiotics

PostPosted: Sun Dec 03, 2017 5:28 pm
by Henriettab
Thanks Wagonlynn
I guess it's a case of wait and see. So many other things in the mix besides failing kidneys.

Re: Witholding antibiotics

PostPosted: Mon Dec 04, 2017 1:30 pm
by wagolynn
Hi Henriettab,

I am afraid that looks like the best option, though it is hard to stand on the side lines unable to do anything.

Best wishes to Dad and You.