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RE: Asking for prayers and healing thoughts... - 1/10/2011 8:27:25 AM   
Phoenixpower


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quote:

ORIGINAL: LinnaeaBorealis
PhoenixPower, the situation that you're talking about is very different. The patient's age meant that she probably would have died from the anesthesia. And they weren't choosing due to resources. They were making a humane decision to not kill her in their attempt to treat her. If she was really in that great shape, she would not have died from breaking her shoulder. It sounds as if you don't know the full story. You listened to rumors spread by someone who was not involved in the decision making process.


I listened to the management in that home with whom I had supervision every 2nd week, not to any general staff rumours and I do know and agree that the situation differs. Nevertheless was I gobsmacked that they didn't even try. And of course is someone at an older age more fragile than someone younger and in better health, nevertheless was it predictable for the Matron that she will die as her fracture would have needed to be corrected to be able to heal and causes stress to the body. In her case it had to do with managerialism and therefore more with statistics than with actual resources. A different person in that home had died soon after she was moved to a cheaper care home, which is also shocking common, despite that she was in a pretty good state until then. I had visited her once after her move and this lady was in a shocking depressive stage and her will to live was not much there away, she then passed away two days before my planned second visit. So traumatic events can lead to passing away earlier than it likely would have been otherwise.

Anyhow, I do wish the best for the person this thread is meant for.

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RE: Asking for prayers and healing thoughts... - 1/11/2011 2:47:39 PM   
sirsholly


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quote:

Inky, I worked in a couple of transplant hospitals. There aren't enough donor kidneys to go around to all those who need them to survive, so they have to have certain criteria that a recipient needs to meet in order to receive one. There are many factors & one is age, unfortunately for his mother. Also the relative health of the recipient comes into play. If a recipient won't survive the surgery & the subsequent recovery, the donated kidney is wasted. I know that when it's someone in your personal sphere, that sounds harsh. But there has to be a way to choose who is a viable recipient & who is not.
not only what Lin said, but i can add that the testing to qualify for a transplant is not for the faint of heart. From the merely uncomfortable (Colonoscopy) to the invasive (Cardiac cath if there is an abnormal stress-test). And the testing can take months to complete before the patient qualifies for a donor list.

The last stats i heard were 11 recipients vying for one organ. Sadly, until organ donation increases, it is a matter of survival of the fittest.

Inky, my heart goes out to you, your friend and his family.


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RE: Asking for prayers and healing thoughts... - 1/11/2011 3:01:58 PM   
sirsholly


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quote:

I felt similar when I worked in a nursing home during a university placement, where a 95 or 98 year old person got hospitalised as she broke her shoulder after having a fall at the toilet at night time. Due to her age they refused to operate her, where I could not believe it when I heared that. The nursing home explained to me then that this would be as it looks worse for their statistics if patients die whilst being in the operation theather than when they aren't...she then died about 2 days later. I felt awful that she was left like that as I am a firm believer that it is always worth to give it at least a try when otherwise she would die anyway....and she was still incredible fit for her age, much fitter than my granny was aged 79...
whoever said that was a boob, Phoenix. The "nursing home" does not reach a decision of that caliber...a doctor does. And if the nursing home was stupid enough to use the opinion of their in-house physician in relation to an in-house accident, they should lose their license.

In my experience, unless the injury is life-threatening, the age of the patient will prevent any invasive action. The anesthesia would have possibly been fatal at that age. Perhaps the family was consulted and a plan of "comfort measures only" was implemented?


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RE: Asking for prayers and healing thoughts... - 1/11/2011 5:19:34 PM   
Daddysredhead


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quote:

ORIGINAL: sirsholly

The "nursing home" does not reach a decision of that caliber...a doctor does. And if the nursing home was stupid enough to use the opinion of their in-house physician in relation to an in-house accident, they should lose their license.

In my experience, unless the injury is life-threatening, the age of the patient will prevent any invasive action. The anesthesia would have possibly been fatal at that age. Perhaps the family was consulted and a plan of "comfort measures only" was implemented?



My thoughts exactly, Holly.

At almost 86 years old, my father is not a good candidate for undergoing any type of surgery, even though he is in reasonably good health. It's just not the smartest move unless it's absolutely necessary, the patient's Advanced Medical Directive does not state measures to the contrary, or in the absence of AMD, the family deems it acceptable, and the physician advocates it to be worthwhile and not adverse to the overall health of the patient.

I cannot see any medical facility stating something as insane as what was represented in the above case. It smacks of hearsay and rumor-mongering on the part of someone who didn't agree with the choice of not operating on the 90+ yr. old patient.

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RE: Asking for prayers and healing thoughts... - 1/11/2011 8:32:56 PM   
hausboy


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Inked
so sorry to hear that you and yours are going through this. He's fortunate to have you for support! keeping you in my thoughts.


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RE: Asking for prayers and healing thoughts... - 1/12/2011 1:17:24 AM   
DaddysInkedSlut


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There is not change good or bad, she is simply "ok" as he put it tonight. He told me that This week I have been his reason to smile and to laugh and that is an amazing thing with everything going on. I agree, to even hear that under the circumstances  means that I am doing something right. He has also said that he was wrong for putting off me meeting his mom and other family so long, because this has made him realize we aren't promised tomorrow. I wanted to say "well duh" but didn't.  Thank you all again for all of your support.

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RE: Asking for prayers and healing thoughts... - 1/12/2011 10:58:02 AM   
Phoenixpower


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quote:

ORIGINAL: sirsholly

quote:

I felt similar when I worked in a nursing home during a university placement, where a 95 or 98 year old person got hospitalised as she broke her shoulder after having a fall at the toilet at night time. Due to her age they refused to operate her, where I could not believe it when I heared that. The nursing home explained to me then that this would be as it looks worse for their statistics if patients die whilst being in the operation theather than when they aren't...she then died about 2 days later. I felt awful that she was left like that as I am a firm believer that it is always worth to give it at least a try when otherwise she would die anyway....and she was still incredible fit for her age, much fitter than my granny was aged 79...


whoever said that was a boob, Phoenix. The "nursing home" does not reach a decision of that caliber...a doctor does. And if the nursing home was stupid enough to use the opinion of their in-house physician in relation to an in-house accident, they should lose their license.

In my experience, unless the injury is life-threatening, the age of the patient will prevent any invasive action. The anesthesia would have possibly been fatal at that age. Perhaps the family was consulted and a plan of "comfort measures only" was implemented?



I know very welll that this wasn't the decision from the nursing home Holly, it was only their explanation why that decision was taken by the hospital.
The incident happened in that nursing home, not the decision...nevertheless I would still prefer to at least give it a try or to offer the option with knowing the potential outcome, then just to let it go like that....I do agree and was told that probably the anasthesia would have been fatal, the matron in that home did work in hospitals for a long time before she took on that job and we had our lovely clashes between their medical model and the social model from my profession, but just because rules and regulations do exist doesn't mean I have just to agree with all of them as I prefer to allow taking risks.

And I only stated what I was informed during my supervision with the management, when I asked about how it continues with that client, where I was informed that there the hospital does consider the aspect that it looks worse in their statistics if she dies in the theater than outside of their theater. That was the view of the management to show me what other aspects hospitals have to consider
and was only an example that age can prevent from getting certain procedures done at times, not more and not less.

< Message edited by Phoenixpower -- 1/12/2011 11:06:25 AM >


_____________________________

RIP 08-09-07

The PAST is history, the FUTURE a mystery, NOW is a gift - that's why it's called the PRESENT

www.butyoudontlooksick.com/navigation/BYDLS-TheSpoonTheory.pdf

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Profile   Post #: 47
RE: Asking for prayers and healing thoughts... - 1/12/2011 11:29:22 AM   
Daddysredhead


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Thanks for the update, Inkydoo. I'm glad that he realizes this and I hope that he will make you part of his world more than he has before.

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Do not challenge me to a battle of wits & come to fight unarmed.

Are you really that stupid? ~ Bless your heart

13th doughnut


(in reply to Phoenixpower)
Profile   Post #: 48
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