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re: My 94 year old grandfather is in the ICU—should I brace for the worst?

Posted on 3/9/19 at 5:14 pm to
Posted by Notro
Alison Brie's Boobs
Member since Sep 2011
7941 posts
Posted on 3/9/19 at 5:14 pm to
quote:

He’s a WW2 Vet

Posted by DavidTheGnome
Monroe
Member since Apr 2015
31587 posts
Posted on 3/9/19 at 5:15 pm to
I would think about hospice and don’t try to do painful treatments etc. make whatever is left of his life comfortable for him. He’s 94 and led a long life, do what you can to make the rest of it comfortable for him. Prayer sent and it’s a rough thing to go through for the family.
Posted by Tester1216
South Louisiana
Member since Jul 2018
22149 posts
Posted on 3/9/19 at 5:17 pm to
Maybe prepare for the worst and hope for the best.
It’s so hard to bounce back at 94 but you never know. Prayers to you and your family.
Posted by Hangover Haven
Metry
Member since Oct 2013
34713 posts
Posted on 3/9/19 at 5:19 pm to
If he’s intubated and on a vent, your parents should consider palliative care, if he doesn’t come off in the next 2-3 days. It’s sucks but I deal with pt’s on vents everyday at work.

I’m a respiratory therapist, if he doesn’t come off they’ll wind up traching him and putting him in some type of long term acute care facility. Believe me, you don’t want that...

One thing I tell pt’s families, when we put them on vents, sometimes we prolong the death, not so much the life... Remember that.

Anyway, good luck...
This post was edited on 3/9/19 at 5:36 pm
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 3/9/19 at 5:22 pm to
I had a lot more typed out and backspaced it all because it was mean.


Please investigate dnr/dni and ask yourself if you would want a tube down your throat and your ribs cracked at 94 years old before you die, then make the right decision.
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 3/9/19 at 5:25 pm to
I think the kindest thing we can do for our families as we age is to have a living will set up.


This way family don't have to make such difficult choices.


ETA: Just because the medical technology and medicine is available to keep your heart beating and your lungs breathing...doesn't automatically mean it should always be used.

Family start thinking with emotion and want the doctors to do all they can to keep their loved ones alive...without fully considering what that means.
This post was edited on 3/9/19 at 5:28 pm
Posted by tigernnola
NOLA
Member since Sep 2016
3589 posts
Posted on 3/9/19 at 5:28 pm to
Celebrate his life ! Do the best you can to make sure he is not in pain & hope for a peaceful passing. Give thanks that you have had him this long. Thoughts & prayers for both of you.
Posted by LSUJML
Central
Member since May 2008
56846 posts
Posted on 3/9/19 at 5:39 pm to
Mine turns 93 in 2 weeks
I fear the day he goes into the hospital
At this point you know what’s eventually coming, no one but the Lord knows when
The best that you can do is spend as much time with him while you can, remember all the good things & talk to him
I will say a prayer for your grandfather & the rest of your family
Posted by deltaland
Member since Mar 2011
103784 posts
Posted on 3/9/19 at 5:43 pm to
Sadly I would prepare for the worst.

He could live another year or maybe more but once in this shape it will mostly be spent in the hospital
Posted by Hangover Haven
Metry
Member since Oct 2013
34713 posts
Posted on 3/9/19 at 5:50 pm to
quote:

He could live another year or maybe more but once in this shape it will mostly be spent in the hospital


Tell your parents it’s about “quality of life”.. Believe me, your grandfather doesn’t want to spend the last year of his life in a medical facility...

Anyway, whatever decision your family makes will be right, but also remember who’s laying in that bed...

Good luck again.
This post was edited on 3/9/19 at 5:51 pm
Posted by duggieblue
GA
Member since Feb 2010
4366 posts
Posted on 3/9/19 at 5:50 pm to
ICU nurses are a quality upgrade over the rest..... so visit often and shows pops mad love and respect.
Posted by kywildcatfanone
Wildcat Country!
Member since Oct 2012
141052 posts
Posted on 3/9/19 at 5:58 pm to
Probably. 94 is a long time.
Posted by Spankum
The Sip
Member since Jan 2007
63269 posts
Posted on 3/9/19 at 5:58 pm to
AS everyone else says, any time that you have at 94 years old is hit and miss...we can be doing fine and the something upsets the system and recovery is difficult.

I think you mean intubated and not incubated...basically just means that a tube is down his throat, which you already know.

Intensive care just means that he is in a separate area where medical folks can watch him continuously.

His blood pressure is pretty low...is it steady or swinging?

Also, any kidney problems?

I am not a medical professional of any kind, but have sat with a good number of folks in my family who were in grave condition.

Also, the nurses won't say anything negative around him, even if you think he is not conscious, so expect them to be very supportive and caring, but you really need to hear from a doctor before taking any prognosis from it.

FWIW, your grandpa sounds to be in bad shape, but I certainly wouldn't say all hope is anywhere near lost.
Posted by Jeb Busch Lite
Member since Apr 2016
2584 posts
Posted on 3/9/19 at 6:00 pm to
quote:

Either you’re trolling, or don’t know jack shite about medicine...


Sorry, meant that he had been intubated. Been in the ICU since getting home from school yesterday so everything is running together. I’m also 21 so this medical terminology is new to me.
Posted by Hangover Haven
Metry
Member since Oct 2013
34713 posts
Posted on 3/9/19 at 6:12 pm to
quote:

Sorry, meant that he had been intubated. Been in the ICU since getting home from school yesterday so everything is running together. I’m also 21 so this medical terminology is new to me.


That's cool, sorry for being snarky...

It's a tough time for your parents, and it's tough letting go, but they have to remember what he's going through.

Being a WWII vet and living to 94 is a feat in itself.. God bless him... He lived a long life, we should be so lucky..
Posted by TigerstuckinMS
Member since Nov 2005
33687 posts
Posted on 3/9/19 at 6:25 pm to
He's 94 years old. If he has a glass of ice water, you should brace for the worst.
Posted by BeachDude022
Premium Elite Platinum TD Member
Member since Dec 2006
36583 posts
Posted on 3/9/19 at 6:27 pm to
I’ve seen a lot of this. Yes, brace for the worst. If he’s been in afib for 3 months, his heart is starting to quit.
Posted by Tigerbythetale
Las Vegas
Member since Aug 2014
1458 posts
Posted on 3/9/19 at 6:29 pm to
While having your grandfather moving on to the next stage is hard for you, be not concerned about him or where he is going.
On the contrary , celebrate for him.


Posted by Jeb Busch Lite
Member since Apr 2016
2584 posts
Posted on 3/9/19 at 8:45 pm to
quote:

His blood pressure is pretty low...is it steady or swinging? Also, any kidney problems?


It’s been low, but I wouldn’t say steadily low. It’ll swing from 106/56 and then go back down to 97/46ish. No kidney problems, but they collected a liter of fluid from each lung thursday before his sat levels dropped and they had to sedate him before intubation. He was joking around with the nurses and talking just like nothing was wrong before the intubation, just complained about trouble getting his breath.

No kidney problems but the nurse said tonight he wasn’t producing the amount of urine they were hoping for.

He was in a fib yesterday morning (flunctuated between 100-110) until they shocked his heart back into normal rhythm. It’s been normal (60-70) since then, but I dont know how much that has to do with the oxygen being pumped down his throat.
This post was edited on 3/9/19 at 8:47 pm
Posted by Patrick_Bateman
Member since Jan 2012
17823 posts
Posted on 3/9/19 at 8:55 pm to
In the next few days, there are probably a lot of things the doctors and nurses can do to him, but probably not much they can do for him. At 94, with atrial fibrillation (assuming uncontrolled), low blood pressure, and respiratory failure, you may be looking at a dire situation.

A lot of families - with good intentions - cause a lot of unnecessary suffering in their loved ones' final days. I would advise you to let your grandfather know how much you love him and what he has meant to your life. Make sure family are able to visit. And help him go in peace. At home if possible. And with family with him. Not on a ventilator and multiple IVs in the ICU, and especially not with chest compressions and shocks.
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