I am a newbie but here goes.
My husband has a long history of heart problems spanning 20 years but is now deteriorating. He had a cardiac arrest 11 years ago and has a defibrillator in place which will have to be replaced soon.
He had a mitral valve repair 20 years ago but it is now leaking and cardiologists have ruled out open heart surgery. He has worsening renal function and has just been diagnosed with hypothyroidism which must be treated. He has just had an iron infusion for anemia and his blood pressure is very low. His ejection fraction is below 40%.
He has also suffered with some form of non-diagnosable dementia for about 13 years but still plays bridge several times a week.
He has always been in denial about how bad his health is but with the new diagnosis of hypothyroidism, he seems to be struggling and with his 85th birthday coming up in a couple of weeks, he seems somewhat depressed.
I would appreciate some thoughts how to approach this subject with him mainly to see if he would consider palliative care or maybe counselling.
I do not live in UK so I understand that any suggestions have to be general in nature. And my apologies for the long post