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Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

hi, pt is 102 female with no major health confitions.

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Dr. Dorina Gurabardhi

General & Family Physician

Practicing since :2013

Answered : 5086 Questions

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Posted on Tue, 15 Jan 2019 in Elderly Problems
Question: hi,
pt is 102 female with no major health confitions. suffered major iso stroke to head and neck. chest xray shows white out. collapsed lung. refused life support. what happens next?
doctor
Answered by Dr. Dorina Gurabardhi 2 hours later
Brief Answer:
Treatment of a patient who refuse life support explained below.

Detailed Answer:
Hello dear and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I understand your concern.

When a patient who needs life-sustaining emergency treatment, refuses it, is very difficult to take decisions about the treatment.

In my opinion the most important components of treatment at this point are:

Provide fluids through a tube in their vein.

Feed her through a tube in her nose to help provide comfort.

Raise the head of the bed before you feed her.

Stop right away if you hear her coughing.

Do not feed or give fluids to her if she is sleepy.

Breathing exercises, if possible.

Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Follow up: Dr. Dorina Gurabardhi 43 minutes later
Thank you. due to dnr/dni, pt is now receiving comfort meds, nutrition to tube, o2, and antibiotics. What is the approx life expectancy of this pt?
doctor
Answered by Dr. Dorina Gurabardhi 4 hours later
Brief Answer:
Life expectancy is very shortened after a major stroke.

Detailed Answer:
Hi again dear,

It is very difficult to give you a precise answer about the life expectancy of a patient.

Life expectancy is very shortened after a major stroke.

Less than 50% of people who have a massive stroke survive for five years.

The recovery of the patient is a long and difficult process.

If the patient agrees with life support the recovery would be a much more easier process.

Wishing you and the patient a good health.

Take care dear,

Dr.Dorina Gurabardhi
Above answer was peer-reviewed by : Dr. Kampana
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