I'm new to the site and am looking for advice in regards to my grandad. He was diagnosed over 10yrs ago with Parkinsons. He is currently in hospital and I'm stuck really.
He initially went into hospital due to being massively constipated and this had caused an issue with a possible blockage/hernia problem. He had his hernia repaired last Thursday night. Since then he's bee having a SALT person come each day to help with his swallowing (the drs thought he would be eating on his own by now) and since having his operation his swallowing has kinda ceased. If he needs to cough he suppresses it and turns purple as to not cough. He's refusing Physio exercises (even when he was at home he never did the exercises). He's had termites for as long as I can remember and the drs changed him fro oral medication which he's not absorbing to patches (I didn't know these patches were available) since having the patches his tremors have ceased.
My question is I'm aware my Grandads in the later stages of parkinsons along with his other health issues the Drs are very reluctant to have him sedated/ga but at what point wil his body just give up? Due to the surgery he's had they don't tend to give oral nutrition until 5-7 days post op. He's had a nasogastric tube in that they managed to get nutrition into but he pulled it out on Saturday morning. They have since tried to consciously put another one in since Saturday and failed.
So 10 days post op he's had no nutritional line/supplements, he's refusing Physio, he's got horrendous swelling of his arms and legs, he's struggling to seallow/cough, he's pretty much out of it each time I visit I may get him to open his eyes and acknowledge I'm there but then he goes back to sleep. I had to made a decision last week to dnr and refused a ventilator should he deteriorate.
I do have medical knowledge but feel at a loss.
At what point will his body give up and will he starve/deteriorate dramatically