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ICU/Critical Care/my mom is in icu need to decide the next step

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Question
my mother is 67 years old and is in icu, she have copd, and symptoms of multiple myeloma, she has been in the icu for 7 days, she is already in vent,she is sedated, they need to drain fluid in her lungs because of the pneumonia..she is still strong, when she is awake nurses say she tries to remove her tubes, and her blanket. She squeezes our hand so tight when visiting. But as days goes by we feel she is not improving, my father feels that it all the tubes and machines the only reason she's still alive.. we have already been discussing if it is already time to take her off the vent, and remove her in icu, she never liked it inside the icu. as days passed by we feel that she is just suffering, that it may be better if we can be with her.. but i feel its like giving up hope..at her state, being already supported with a ventilator, and being in the icu, does it mean that we are just prolonging the inevitable? or is there still a chance for her to breath on her own, she is still strong and not in vegetive stae. she just seems so angry and afraid because of the tubes and being in the icu. what can we do?

Answer
Dear Catherine,

I am very sorry for what you and your family are going through. Unfortunately, the question is not an easy one to answer. Each individual has a different scenario. Your best indication is asking the ICU physicians what her prognosis is. If she has a poor prognosis, with a poor quality of life, it would be in her best interest to consider comfort measures at this time. Wishing you all the best.

ICU/Critical Care

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Dr. Pamela M. Cipriano, DNP, ACNP-BC

Expertise

My name is Dr. Cipriano. I am able to answer questions regarding critical care issues including the cardiac system, pulmonary system, gastrointestinal system, gallbladder, small bowel obstructions, crohn's disease, diverticulitis, general abdominal surgery, ventilator management, ARDS, dehydration, heart failure, kidney failure, shock. pneumona, surgical complications, disease process.

Experience

I am a Hospitalist at a local hospital and in the emergency department. I am on the Medical Staff. I round, admit, discharge, consult and assist with surgeries in the OR. I manage patients in the ICU and Med/Surg floors.

Organizations
Society of Hospital Medicine American College of Nurse Practitioners Connecticut Advance Practice Nurse Society

Education/Credentials
Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

Awards and Honors
Golden Key Honor Society; Merit Award Recipient; Scholarship Recipient

Past/Present Clients
Trained at Hartford Hospital, Hartford, CT - Open Heart Cardiac Intensive Care Post Anesthesia Care Unit & Radiology Internship Interned at MD Anderson Cancer Center in Texas Trained at St. Mary's Hospital, Waterbury, CT - emergency Department & Hospitalist Program

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