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128 points mykowebhn | 1 comments | | HN request time: 0.205s | source
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asdfj999 ◴[] No.44725886[source]
If I could change one thing about healthcare, it would be how we handle end of life care. Sadly, hospitals are full of 80-90+ year old people who cannot walk or talk for years, advanced dementia plus many other serious comorbidities, with severe malnutrition and recurrent aspiration pneumonia, with large non-healing sacral ulcers, who shit and piss themselves, and the family continues to insist we "do everything" to help this person. It is by far the most demoralizing part of working in healthcare, in my opinion, and an astronomical amount of expenditure and effort goes into torturing these people - at the direct order of the family - only to prolong suffering a few more months.
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graemep ◴[] No.44726091[source]
I suspect this happens in the UK too, although doctors (in my very limited experience of this) do tell families the truth about what they can do.

I think there is a cultural problem about facing up to death, because people do not talk about it. It is a taboo subject to many, and people use euphemisms a lot (which is always a sign of a topic people do not want to talk about).

We need much better end of life care. Hospices seem to do a great job (no experience from the patient and family end, but I knew someone who used to work in one) but there are not enough of them.

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1. general1726 ◴[] No.44727528[source]
> I think there is a cultural problem about facing up to death

It definitely is culture problem, just look on average police chase in USA followed by a news helicopter. The moment when suspect crashes, news camera will start wildly zooming off and panning away. Why is that? You don't want to see the end of chase, where a guy is getting crushed by momentum of his car, while he could stop and get arrested anytime during the chase? Show the consequences of his actions and tell that if he would not try to run, he would likely be still alive. Arrested, maybe little bit beaten by the cops, but alive.