My mother was recently in a rehab nursing facility and ended up in ICU for kidney failure due to dehydration and malnutrition. She is 90 years old. I have been told that the normal number is 90 and she was down to 18 when she went to ICU. She has not been the same since, both mentally and physically. What kind of effects does this have on her long term?

Chronic kidney disease (CKD) in the elderly is difficult to manage and must be managed by carefully considering the wishes of the elderly person.  Dialysis can be very difficult to do in very elderly people.  I suggest that your mother and her family discuss the options available for management and then make decisions that keep her as well as she can for as long as she can without causing undue pain and suffering.  This often requires consultation with a palliative care physician, her primary care physician (PCP) and a nephrologist in order to make very difficult decisions.


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