Doctor insights on:
End Of Life Pneumonia
If pt. Is D/C'd back to a RCFE but now receives nursing services from a hospice, does this mean end of life care? Pt. had aspirational pneumonia.
If true hospice care: Yes, if it is true hospice care. However, some hospice services also provide "bridge care" for patients whose end is not quite in sight yet (it's like palliative care). Hospice services are a wonderful asset to have at the end of one's life. We all have an end. When our end is in sight, hospice is the way to go. It lets one die a good death, at home, pain-free, worry-free, in peace and quiet. ...Read more
In a "natural" death-
in the last few months / weeks - progressive wt loss, anorexia, refusal to eat, weakness, increased sleeping and somnolence, confusion.
In the last few days / hours - decreased respiration and altered patterns of breathing, gurgling / inability to handle secretions. ...Read more
A short list:
A study of what patients want included the following:
-excellent pain and symptom control
-not prolonging life inappropriately
-achieving a sense of control
-strengthening important relationship
-reducing bürden on family (including non-biological family!)
i would add--a place to be, either at home or in a facility that gives the patient a sense of security and peace. ...Read more
Palliative care: Means that professionals keep the patient comfortable but do not focus on doing things to help the illness itself. It is often provided in end of life or hospice situations but can be used when no other alternative is available. None of us knows when we will die so please stay open to the way life unfolds. Prepare but live in the moment. Peace and good health. ...Read more
Palliative - Hospice: At a point when a fatal illness becomes un-treatable, palliative care may keep one comfortable and as strong as well as possible until death. Other, treatable conditions will be treated during this time and pain will be addressed. Sometimes this is in the home, but it may be inpatient. It is often part of hospice care. It may also include counseling for the patient and loved ones. Best wishes. ...Read more
Medication: Depending upon the source and severity of pain narcotics are used either as a patch, orally or injection. ...Read more
Your community: You can go to http://www. Nhpco. Org/palliative-care-0 for information about hospice care. You can also do a web search for "hospice" in your local community. This will bring up the available hospice organizations in your area. Visit them and talk to the providers so you can understand what each one offers, and whether they feel right for you or your loved one. ...Read more
Great question: Not necessarily, but in most cases has to do with life limiting diseases in different stages. Uncontrolled symptoms in serious diseases may trigger also a palliative care consult. Hope it helps. ...Read more
End of life: You should include as many people as you wish. The more the family and extended family is aware of your wishes, the less the potential guilt, confusion, and ambivalence that your loved ones may have when the critical decisions are ready to be made. There are cultural and psychosocial issues that you may have related to whom you will include. ...Read more
Palliative care: Care that is palliative, ie symptom support, but no treatment of underlying disease or cardio-resuscitation. ...Read more
Meds, hydration: The issues to consider: reducing some existing meds (sometimes opioids), adding meds to help control delirium (often haloperidol is a first choice), and sometimes small amounts of hydration can be helpful. You should get an experienced clinician to help--if you're at home with someone, call the hospice or your doctor's office. ...Read more
Discuss: This is a great question. I think that it is best done when there is not a crisis. The direct approach with a very caring sense is important. You want to learn how your loved one wants to be treated in a situation where they might not be able to express themselves. I think that idea should be worked into the discussion. ...Read more
Yes: Family and lawyer in that order.Get a more detailed answer ›
Sw: Provide support & grief work.Get a more detailed answer ›
Counting on your valuable support in seeking healthy living until the end of life. No questions to ask.
What a wonderful: Attitude. Our "self talk" is very important. Cognitive psychology and an area of research called psychoneuroimmunology are topics you might enjoy reading about. Continued peace and good health. ...Read more
End of Life: A physician can be very helpful in assisting in the end of life discussions in many ways. Most primary care physicians have the paper work to get you started on resusitation requests. They can refer you to others for medical power of attorney issues. They can provide you with many medical details to your decision making. ...Read more
?: I do not understand your question.Get a more detailed answer ›
Social worker: Hospitals, hospice and your local mental health center (csb) should have crisis response team. ...Read more
My fathr's creatinine lvl 9 and he is on dialysis 2 times week. We worried abt its continue till end of life or folowing discipline fud will revise c?
May be forever...:
Most dialyzed patients are for ended stage of chronic failure by various reasons; if so, he would need dialysis forever until renal transplant if clinically, ethically, and socially suitable. Occasionally, the renal failure requiring dialysis may be acute and usually related with identifiable surgical or medical ordeals. So, ask treating doc in detail.
Nonetheless, practice healthy lifestyle.. ...Read more
Directly, before ill: End of life decisions are extremely important in people of all ages and health conditions. The best way to approach these matters is directly - it is important to discuss these matters open and honestly with our close family members. Printing out advanced directive paperwork to discuss (and review, sign, & witness) is a good place to start this conversation. Hospitals have staff to help with ad's. ...Read more
Many possibilities: Some doctors don't feel comfortable, some don't have the communication skills. But you can find another doctor or clinician who can answer your questions, so do not give up! This is not about you... ...Read more
End of Life: When people ask me the 'when' question, that usually means that it needs to be done now. Asking about these important issues when the loved one is able to express them is the most important thing that people can try to accomplish. Resuscitation issues, medical power of attorney issues, finanical decision-making are all important to discuss. ...Read more
Directly: End of life decisions are extremely important in people of all ages and health conditions. The best way to approach these matters is directly - it is important not only for you to find out what his end of life wishes are, but for you to inform him of yours. Printing out advanced directives paperwork to discuss is a good place to start for initiating this conversation. ...Read more
End of Life: As painful or difficult it is, the discussions should start as soon as you can. Sometimes adding a neutral party (however you want to define that) is important and can ease things. Even working with a trained attorney that is familiar in these issues is most helpful. Better sooner, rather than later when cognition is affected. ...Read more
65 year old plus: In clinical practice all patients 65 years old and above must have "advance directives" clarified before they present with a serious medical emergency. Pcp's offered on the first appointment or during complete physical exams. ...Read more
Due to high sugar level in blood, I am using Metformin500mg from today onwards. Friends told me, you should use until end of life. Is it correct? Plz
What family should I include when I talk to the person I am caregiving for about end of life care?
Confidentiality: I agree that if the patient is competent, they should direct their care. But at the same time, the patient should have a living will, and a medical power of attorney;a close friend or family member who serves to carry out the wishes / intent of the incapacitated family member. Hospice when consulted and "on board" usually help to make sure these end of life documents are in place, also a will. ...Read more