Multi-system organ failure

Reference no: EM133712020

Mr. Kind is a 71-year-old man with multi-system organ failure. Presently, his kidneys are not functioning appropriately. However, his underlying problem is non-small cell lung cancer with metastases to the liver. He has been unconscious in this most recent hospitalization for more than five days. Fluid is accumulating around his heart and within the last 24 hours he was placed on mechanical ventilation. This is the third hospitalization at All Saints Hospital for Mr. Kind. His first resulted in physician requests to make him a "no code" and to limit the extent of aggressive technological interventions and instead focus solely on comfort care. Mr. Kind's three daughters, all of whom are single and have quit work to live with and care for their father, refuse to believe that their father is dying and think that if only appropriate medical interventions are given he will go home and live peacefully for some months, if not years. After Mr. Kind's daughters took him home following his first hospitalization, Mr. Kind seemed to stabilize for a short period of time, but then was hospitalized again with similar complications. Physicians and hospital staff took the same course of action and again requested a DNR.

Reference no: EM133712020

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