Ok so, I’m Angel F, my dad is Angel P. Briefest history is I’m his caregiver since my mom died in 2010 of liver cancer. He is an amputee of R leg Below Knee and all L toes. Due to complications from pneumonia back in 2007, he went on HD for seven months, got function back to 45% and stopped, but was monitored regularly by nephrologists. Fast forward to 2018, and his function started declining. Last “healthy” lab showed him at 15%. We had determined to do PD for him when kidney function declined under 10% per his dr; had done home check and surgical consult. Just were waiting. But then he developed pneumonia again and they had to put him on HD just to help his body drain the fluid build-up. During that time, they let his oxygen drop below 79 for no one admits how long and I ended up with a very confused father who was uncertain about many things. Fast forward a couple months, and here we are. He goes to HD while his PD is healing up now, but his brain is still forgetful and distracted and a bit confused at times. Now, he was heading that way prior to the oxygen deprivation but wasn’t as bad as he is now.
My question: Should I be concerned that since this experience is new and thus filed under SHORT TERM MEMORY, he will pull out his catheter? I’ve talked to only one lady who said her mom started PD when she was 89 but had multiple other health factors and didn’t end up living very much longer after. I don’t know if anyone out there can give me articles or personal experiences with the elderly and memory and PD or HD for that matter. Because it made me wonder if we should go ahead and get a fistula placed anyway on the off chance he has issue with the PD, since it takes months to heal. I’ve no idea how the insurance works either for that, and I’ve got calls to make come next week.