Chronic kidney disease is more common in older adults and can be caused by high blood pressure, diabetes, or medications. A nephrologist is a doctor who looks after persons with kidney disease and is also responsible for caring for those on dialysis. Dialysis can be a bridge to kidney transplant and even older adults can undergo transplant as a way to cure their chronic kidney disease.
Memory tests like the MoCA can be used to screen for dementia but they have their limitations. Memory tests often have to be adjusted to account for person's language, education, age and cultural factors. They can also be adapted for use with people who are visually impaired.
It is natural to want to extract a promise from a family member who may be making decisions for you in the future, such as never placing you in long-term care. But is that fair, or realistic? How does the family member feel if they have to leave a promise unfulfilled?