Witholding antibiotics

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Witholding antibiotics

Postby Henriettab » Sat Dec 02, 2017 9:10 pm

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?
Henriettab
 
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Re: Witholding antibiotics

Postby wagolynn » Sun Dec 03, 2017 4:26 pm

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.
wagolynn
 
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Re: Witholding antibiotics

Postby Henriettab » Sun Dec 03, 2017 5:28 pm

Thanks Wagonlynn
I guess it's a case of wait and see. So many other things in the mix besides failing kidneys.
Henriettab
 
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Re: Witholding antibiotics

Postby wagolynn » Mon Dec 04, 2017 1:30 pm

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.
wagolynn
 
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Re: Witholding antibiotics

Postby Henriettab » Sat Feb 24, 2018 8:53 pm

I thought I would pop back on here and update you that sadly my father away peacefully at Christmas. It didn't prove to be his kidneys in the end , but cause of death given as frailty, old age, and history of stroke/dementia.
I'm not looking for sympathy or condolences but I know when I was his carer , thatI was always searching on line for similar stories and comparisons to try and predict what lay ahead so perhaps this will help someone in the future to hear the end of my story. Dad got to the splendid age of 91 , and was probably on stage 4 CKD for at least the last 3 years.
Thank you for all the support I have had from this site especially to Wagolynn.
Henriettab
 
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Joined: Sun Jan 11, 2015 7:15 pm

Re: Witholding antibiotics

Postby AmandaClare » Sun Feb 25, 2018 10:53 am

I'm glad your father passed away peacefully. A good innings.

All the best
Amanda
Alports Syndrome
Dialysis 1986, aged 14
Transplant 1988, still going strong!
Baby boy 2010
AmandaClare
 
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Location: London

Re: Witholding antibiotics

Postby wagolynn » Sun Feb 25, 2018 4:27 pm

Hi Henriettab,

Sorry to see the news about dad but it sounds as though he had a peaceful end.

Pleased I helped you a little.

Best wishes.
wagolynn
 
Posts: 1162
Joined: Thu May 23, 2013 2:49 pm


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