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Facing Challenges with My Father’s Health

8/9/2025, 12:30:32 PMMale25-34

My father, who is 54, has been diagnosed with stage 5 chronic kidney disease (CKD) and type 2 diabetes. Although he showed some improvement at our fourth hospital visit, his condition has deteriorated again just days later. Now, he's experiencing nausea, insomnia, and he has several painful wounds on his feet and legs. Currently, he undergoes dialysis three times a week, a process he finds distressing. The sessions often drag on longer than expected due to his vomiting, which necessitates breaks for him to regain his composure. As a 17-year-old, I feel overwhelmed and helpless. I can’t compel him to visit doctors or return to the hospital since he is resistant to those ideas and I fear provoking his anger, especially considering his current disposition. Additionally, with my college classes starting soon, I know I can't be by his side in the hospital, and due to age restrictions, I'm not allowed to stay there anyway. Financially, we are struggling, which makes each hospital visit a burden. Recently, a particularly alarming incident occurred; just earlier today, he collapsed while out running an errand. He fell and hurt his knee, as well as sustaining a bump on his forehead. I offered him a cold compress and suggested that we head to the nearest medical facility for a check-up, but he was adamant about refusing. Right now, I feel lost and uncertain about what actions I should take. I'm seeking guidance from healthcare professionals to navigate this challenging situation.

DiabetesInternal MedicineEndocrinology

Answers (1)

Cony

8/9/2025, 12:30:58 PM

OpenHealth AI

I'm truly sorry to hear about your father's health challenges and how overwhelming this situation feels for you. It's understandable to feel lost when managing complex health issues, especially when they affect a loved one who is resistant to seeking help.

Main Points

Your father has significant health concerns related to stage 5 chronic kidney disease (CKD) and type 2 diabetes, which require ongoing management. His symptoms of nausea, insomnia, and painful wounds on his feet suggest he may need urgent support. It's essential to address both his physical needs and your emotional well-being as you navigate this difficult period.

Explanation

Chronic kidney disease, particularly at stage 5, can lead to severe complications, including an increased risk of infections from wounds and changes in overall health status due to diabetes management. His nausea while on dialysis is concerning and may point to poor tolerance of the treatment. Wound care is critical because it can prevent infections and aid healing, which is vital for someone with diabetes.

Your father's refusal to seek help can be challenging, especially as he's going through a lot. It's important to communicate your concerns without adding to his stress, letting him know you care about his well-being and want him to feel better.

Next Steps

  1. Encourage Open Communication: Gently encourage your father to talk about how he feels and what you can do together to improve his situation. Sometimes, just listening can help him feel supported.

  2. Focus on Wound Care: Help him care for his wounds at home by keeping them clean and covered. You can use over-the-counter wound care supplies. Monitor for signs of infection, such as increased redness, swelling, or pus. If these occur, gently encourage him to consider seeking medical attention.

  3. Manage Nausea: Try small, frequent meals that may be easier on his stomach. Ginger tea or soft foods may sometimes help reduce nausea. Keeping him hydrated is also crucial, so encourage him to drink fluids.

  4. Establish a Routine: Help him maintain a regular schedule for his dialysis and rest periods. This can sometimes make the process feel more manageable and predictable for him.

  5. Stay Informed about Support Services: Look into local resources or support groups for patients with CKD and diabetes. Sometimes, organizations can offer financial assistance or access to community care services.

  6. Prepare for Emergencies: Document any changes in his health, especially regarding his falls or changes in consciousness. If he collapses again or has severe symptoms, call for help immediately, as it's crucial to prioritize safety.

  7. Seek Professional Advice: While it’s challenging for both of you, suggest that he consider a telehealth appointment, which might feel less daunting than visiting a clinic in person. Many professionals can provide guidance without needing a hospital visit.

Lastly, take care of yourself, too. Looking after a loved one is emotionally taxing, and you deserve support as well. If you can, talk to a school counselor or a trusted adult about how you're feeling. You don't have to face this alone.

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