Doctor insights on:
Refuse Dialysis Sedate
Yes: Anyone can refuse treatment. You cannot force a person to take a pill or go to therapy or even to get shock treatment. However, if that person is really at risk of hurting himself or herself then the person can be hospitalized against his/her will. What happens after that depends on a lot of factors, including the person's willingness to continue with treatment. ...Read moreSee 1 more doctor answer
Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more
Depends: Dnr concept is accepted in most of cultures, religions and laws, you need to check with the specific country in asia to make sure that dnris accepted and legal as it varies from country to another! ...Read more
Metabolism: Kidneys eliminate toxins from the body. Dialysis is never a complete substitute for a real kidney. Some toxins are not removed or only partially eliminated from the body. Accumulation of these chemicals often disturbs brain function. Dialysis may result in infection, of which the first manifestation may be impaired thinking (cognition). ...Read more
Hospitalization: Sometimes people with dementia need to be in the hospital -- especially when they have an acute change in their mental status. Many medical conditions need to be ruled out, and treated as needed. Families often bring their elderly family members to er's, asking for help. This may best be provided on medical psychiatric units, where staff is skilled and comfortable working with such people. ...Read more
Yes: As a patient, you have the right to refuse any treatment as long as you are fully aware of the consequences, oriented, and alert. If you have an active psychiatric disorder like psychosis or conditions like dementia or delirium, an evaluation needs to be done to determine your ability to make decisions. The court may even get involved depending on the situation. ...Read more
Very complex issues: Any person may refuse medical treatment, even when committed to a psychiatric hospital. Yet these same people often do need medications. Legal perspectives cite 2 important bounds: protecting ill/vulnerable people, and not infringing on their autonomy. Therapeutic alliance between patient & doctor must walk between these bounds. In a medical emergency, the patient can be involuntarily medicated. ...Read moreSee 1 more doctor answer
Geriatrics md: how can nursing home refuse to share care plan with woman's child citing hipaa even before she moves in? Older nonmedical sib has poa.
HIPAA strictly: Demands that medical personnel do not discuss medical care issues with anyone but the person designated by the patient. It appears it is not you. Don't get mad at the nursing home, your beloved government came up with the rule. If they are ever found in contempt, the home is fined and potentially taken out of business. So there's that! ...Read moreSee 3 more doctor answers
It is less traumatic: Usually specially-trained nurses or technicians access dialysis fistulas, not physicians. Metal needles are used to help penetrate the skin and the thickened wall of the vein accurately and with minimal trauma. Sometimes blunt needles are used (if a buttonholing technique is being employed). ...Read moreSee 1 more doctor answer
Yes.: As long as you don't have other medical contraindications, and you have fully recovered from surgery, which can take several weeks depending on the technique used. Remember, never mix alcohol with narcotics or sedatives, don't drink in excess, don't drive after drinking even small amounts of alcohol. ...Read more
If that is: The therapy chosen by the specific treating physician for that specific patient at that specific time. Your question is too generic and not appropriate for the general population at large. ...Read more
In ca, if a patient's advanced directive says dnr, but the patient verbally states desire for resuscitation at hospital admission. What will happen?
Most recent is right: An advanced directive is just a statement of someone's wishes in the event of a serious illness. Wishes can change. The most recent and clear statement of intent is the one that counts. But it can't be some relative interpreting the patient's intent for them. The reason you need advanced directives is if the situation arises where a dnr is needed, the patient is usually too out of it to change it. ...Read moreSee 1 more doctor answer
Usually not: Some nh who have rn round the clock can administer IV medications. Most of them do not provide this service. ...Read more
You decide when : Hospice focuses on treating symptoms and proving comfort care in patient who are terminally ill or have failed to respond to treatment or have declined aggressive interventions such as use of a ventilator, dialysis, or feeding tubes. Many conditions qualify including cancer, heart failure, emphysema, cirrhosis, aids, kidney failure, dementia, stroke. You or your family determine when it's time. ...Read moreSee 4 more doctor answers
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