Mom (82) in home hospice week and 1/2. No food or water for 4 days. Urine dark and low volume. Perked up this morning and drank 32 oz h20. Is this a rally? - AgingCare.com

Mom (82) in home hospice week and 1/2. No food or water for 4 days. Urine dark and low volume. Perked up this morning and drank 32 oz h20. Is this a rally?

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Will her organs be able to handle that much water? She also ate a small amount of oatmeal.

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Is your mom getting meds for anxiety, like Ativan? If not, perhaps you should discuss that with the hospice nurse by phone.

My mom was only on hospice for about 36 hours, so I can advise on frequency of nurse visits. You have a number you can call 24/7, which is answered by an RN, yes?

I think that's the best place to ask those questions right now.
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Thank you, thank you all. The Dr came today. She thinks 3-4 days based on lung and heart function. My mom did tell her she was afraid. Probably why she drank so much and ate. The Dr said, she needed it. That's it. She needed it. Love live this Dr. She is awesome. The problem we have had is that we were without a nurse one night over last weekend and was also told we would only have a nurse from 8-11 tonight. After calling, finally got a nurse for the night. Is this common? Twice in a week n a half?
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Thank you, thank you all. The Dr came today. She thinks 3-4 days based on lung and heart function. My mom did tell her she was afraid. Probably why she drank so much and ate. The Dr said, she needed it. That's it. She needed it. Love live this Dr. She is awesome. The problem we have had is that we were without a nurse one night over last weekend and was also told we would only have a nurse from 8-11 tonight. After calling, finally got a nurse for the night. Is this common? Twice in a week n a half?
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Oh gosh, I know this is a scary time for you, but anything is possible when you are dealing with an end stage Hospice patients.

I think 32 Oz of water is a bit extreme, and would recommend you monitor that a little more closely.

Little sips, frequently, and let her bodies reaction be your guide, but never withhold fluids of food for that matter!

Often there is a "last rally", and it can really throw you off, thinking that she's in a rebound of sorts, but that rarely happens, she must have been unusually thirsty, or perhaps scared, maybe overheard someone speaking of her low urine output, and she thought she could remedy that by drinking.

Depending on what her diagnosis is, if it is anything to do with poor kidney function, you be best to discuss this and Any concerns with your Hospice care Nurse, as they have all of the answers, and do be very careful about what you say in front of them, as remember, they are scared too!

I'm so sorry you are having to deal with this, having just been through the Hospice process with my own FIL, who passed in our home about a month ago, their status can change day by day, hour by hour, and sometimes minute by Minute.

I did not expect my FIL to pass the morning that he did, as his decline came on very rapidly, and it was quite shocking to me, so be prepared for anything to happen, and be as calm and clinical as you can be.

There will be plenty of time to break down after she has passed, as it's usually only then that your own feelings can be allowed to surface as you are so busy. In the meantime, Take Care of you, get as much rest as possible, and try to be strong!

As long as your Mom can manage small sips, small amounts of gentleach, easy to digest foods, and she still desires to eat and drink, you should allow her to have them. When she can no longer swallow, then those mouth swab/spongettes should be used to keep her mouth moist, and then you know that you are truly near the end. Take Care.
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It can be very up and down towards the end. It's very hard to go through this. Talk to the hospice nurses about what to expect. These rallys are not uncommon.
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