Patient : My 76 year old, 300 pound, father took a very serious turn for the worse two day ago. He has emphysema, a heart fibrillation, diabetes, a bad knee and is overweight. He has not been doing all that well since my mother passed away 4 years ago, but he was able to pay his own bills, go to the bathroom and even was driving until this year. He lives with me and my family and yesterday my boyfriend heard him calling from the basement. He had tried to go to the bathroom and fallen and could not get back up. He has since fallen every single time he has tried to stand up. He has no strength is his body and can barely hold a cup. He is nodding off to sleep mid sentence and many of his sentences are incoherent now. He has trouble swallowing and his sense of balance is severely out of whack. He refuses to go to the hospital, as he is ready for death. Because he is 300 pounds and cant walk the only way we can get him to a doctor is via an ambulance and he does not want us to call one. He never has and in fact has a DNR order. He hasnt complained of numbness on the left side of his body, but is dizzy, weak, in and out of coherency and can not swallow. I do not know if these are signs of a stroke, but would like to find out if they are. Perhaps I can talk him into letting me call an ambulance to get him to the hospital.
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