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On my mom's death certificate: renal failure, dehydration, encephalopathy, cerebrovascular disease.
My thought until seeing this: She died of old age.
Seeing dehydration caused me a pang, even though I understand.

As far as cause of death on death certificates goes, I believe that the coroner has a dart board in his office and wherever the dart lands, that's what he enters on the form.

A friend got Covid, was diagnosed in an ER, and died after about a week in intensive care. His wife had refused to allow him to have remdesivir, an antiviral medication used to treat Covid-19, though his doctor recommended it. The cause of death was listed as pneumonia, no mention of Covid. Wife (who always knows better than any doctor) insists he never had Covid. Another friend had a rare cancer that supposedly started in her uterus and metastasized to many places in her body. Her death certificate lists cause of death as lung cancer, no other explanation, nor did her family members who were there when she died think she had breathing problems or lung issues (other than stopping breathing when she passed!). A relative died at age 102. She fell, broke no bones, and her organs started to fail. She died three weeks later. It would seem to me that this would be a death from old age, but her death certificate says she died of a fall.

These examples are why I no longer trust death statistics.
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My mom’s death certificate said malnutrition but she had dementia for years & got Covid 5 months before she passed
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We don't traditionally get a certificate that lists cause of death but I did ask for that. I felt some satisfaction that it was what I expected (aspiration pneumonia and dementia), it felt like that the doctor was working from the same playbook as I was.
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Dementia (if diagnosed) is often the underlying cause of an elder's death but not the literal direct cause. It woud be things like dehydration, infection, pneumonia, etc. Think of it this way: a person with cancer passes not because a tumor stopped their heart, but because of a complex of issues that caused organ failure, infection, etc. My friends' son (age 33) just passed after an 8-yr battle with glioblastoma. The tumor isn't what directly killed him, the impact of the tumor did.

I'm so sorry you are struggling with this. May you receive peace in your heart.
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Why would they even list dehydration. I think most of us are if we aren't drinking constantly. My Moms cause was actually Dementia but her death certificate said heart failure.
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It wasn’t hurtful to me because my dad had long expressed his desire to leave this world and I was glad he was at peace. Hopefully this doesn’t sound crass, I don’t mean it to, I kinda view the cause of death list much like those pharmaceutical ads where every possible side effect is rattled off. The doctor doing the death certificate lists every possible contributing factor, and by the time a person is elderly, there’s quite a list. It’s okay, our bodies aren’t built to last forever. In any case, I wish you much healing, comfort, and peace
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It didn't affect me one way or the other tbh. My mother died at 95 from dementia and congestive heart failure.

Was an autopsy performed on your mom? Because that's quite a lot of "official" causes of death, my God.

Basically, both of our mother's did die of old age. The details don't really matter now that they're at perfect peace. That's my take on things. It was a relief for me to hear that mom had passed because she'd been miserable for 3 years. I do understand your pang at the dehydration mention, although I technically think all elders who linger die from dehydration as one cause.

Sending you a big hug and a prayer for peace Rose.
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