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I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
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Mostly Independent
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Ask either the nephrologist or PCP for a Hospice referral. I was a dialysis nurse for many years and have some experience with this. Once dialysis is withheld and hospice is on board in my experience, one passed away in 1-2 weeks, but of course could be longer if the person can still urinate thus excrete toxins and fluid that collects during the dialysis treatments. The longest time I have seen is a month, but this is an exception. From what my patients families have told me, their loved ones passed quietly and were pain free with hospice as support. Please, please realize the need for hospice to provide all of you and especially the person end of life care. It’s often more difficult for the family once the patient comes to the point that they are tired of the dialysis process, which can be and often is an arduous procedure three times a week. I am sorry you and your loved one are at this juncture. But I know the decision to stop dialysis is never made lightly by the patient as they are unfortunately tired of being ill all the time.
I would second the information that Shane has written. two weeks from stopping dialysis is a good estimate for the length of life expected. Many patients become so weak and tired that they just can't go on for weeks on end and just decide to do no more. i would never argue with a loved one who made this decision.
I know this is hard. My grandmother was 92 years old when she had a heart attack. She was also advised she needed dialysis. This happened towards the end of August by the middle of October she had passed away.
My aunts and uncles thought it would be too much for my grandmother. Also she didn't want any treatment. It is really hard. Hopefully a social worker or family therapist can help ensure this is what the patient truly wants.
Contact Hospice. They will help your Father, you and the rest of the family through this process. They will make sure he is comfortable and you all understand what will happen.
YES! I researched this before my father went onto dialysis.
What happens is the person basically drowns in his/her own fluids. No, it is not painful. They go into a deep sleep and never wake up. That said, I also stopped all Pop's medicines other than pain and memory and it allowed him to pass in 5 days. The usual time frame is about 2 weeks. In 48 hours, Pop remained in his bed and refused foods. He passed very peacefully - I was with him in his final moments.
My father past from kidney failure August 6, 2017. He never wanted dialysis, he went into hospice when his kidney function went below 20%. If he didn’t have gout his last days would have been easier. He stayed for a month or two once in hospice it went fast for me still trying to get my head around how quickly and peaceful he left. Hope this helps you on your journey.
I think people with end-stage renal disease are lucky, if they have lived a good and productive life. They can decide to go at a time of their choice--after Christmas or a special birthday. My mother went into renal failure as a consequence of metastatic liver disease and passed away peacefully at age 80 after ten days. I am now the same age and hope I can be as fortunate.
My dad didn't have any hallucinations. He was actually thankful to be allowed the dignity of being able to choose when to stop the dialysis. He was on Hospice for 5 days and they gave him all the painkiller he needed for his shoulder pain. He said it was the first time he could remember having no pain.
As I said, I was with him in his final hour and he was overjoyed to see my mother come for him. And then he passed over.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
I was a dialysis nurse for many years and have some experience with this. Once dialysis is withheld and hospice is on board in my experience, one passed away in 1-2 weeks, but of course could be longer if the person can still urinate thus excrete toxins and fluid that collects during the dialysis treatments. The longest time I have seen is a month, but this is an exception.
From what my patients families have told me, their loved ones passed quietly and were pain free with hospice as support. Please, please realize the need for hospice to provide all of you and especially the person end of life care.
It’s often more difficult for the family once the patient comes to the point that they are tired of the dialysis process, which can be and often is an arduous procedure three times a week.
I am sorry you and your loved one are at this juncture. But I know the decision to stop dialysis is never made lightly by the patient as they are unfortunately tired of being ill all the time.
Many patients become so weak and tired that they just can't go on for weeks on end and just decide to do no more. i would never argue with a loved one who made this decision.
I know this is hard. My grandmother was 92 years old when she had a heart attack. She was also advised she needed dialysis. This happened towards the end of August by the middle of October she had passed away.
My aunts and uncles thought it would be too much for my grandmother. Also she didn't want any treatment. It is really hard. Hopefully a social worker or family therapist can help ensure this is what the patient truly wants.
They will help your Father, you and the rest of the family through this process. They will make sure he is comfortable and you all understand what will happen.
What happens is the person basically drowns in his/her own fluids. No, it is not painful. They go into a deep sleep and never wake up. That said, I also stopped all Pop's medicines other than pain and memory and it allowed him to pass in 5 days. The usual time frame is about 2 weeks. In 48 hours, Pop remained in his bed and refused foods. He passed very peacefully - I was with him in his final moments.
From their home page, go to the Patients tab, then choose A to Z Health Guide from the drop down menu, and you'll see a range of Dialysis topics.
As I said, I was with him in his final hour and he was overjoyed to see my mother come for him. And then he passed over.
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