12 days ago
These days I am doing my clinical rotations on the geriatrics service (care for the elderly) in the hospital. Patients on our floors are usually admitted through the ER because of falls, mental status change, heart failure, or for palliative care
On admission, we would ask them their thoughts about DNR/DNI (do not resuscitate, do not intubate) for during their stay. I met a patient who opted for DNR/DNI, but when his wife came to visit him and saw that note, she got upset. She said to the husband “you don’t want that! You do want to get resuscitated if they have to right?”. The husband paused, then responded “if the day comes and I see the bridge, I will cross it. “
I also met a 103 years old patient that asked us what is the point of treating her lung disease. She said she’s 103 years old, she either wants to be healthy or die. She doesn’t want to be in the middle
Today I had to convince a patient to stay and get treatment for her kidneys. She was insisting on leaving the hospital to go home and said if her kidneys fail, she is ready to die. (She ended up staying though🙏🏻) All of these got me thinking a lot about a book I’ve read in the past - “Being Mortal: Medicine and What Matters in the End”. So what does it really matter in the end? Is it the patient’s wishes? Is it to fulfill the family’s wishes? What can we do as a family member, or as a health care provider to support our loved ones, our patient when their life is ending
Do you guys have any thoughts on this? I’ve been thinking about this and am really curious to see what you guys think!
你們有什麼想法嗎？想聽聽大家怎麼想 at Torres del Paine