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128 points mykowebhn | 2 comments | | HN request time: 0.401s | 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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1. b3ing ◴[] No.44730965[source]
Until you have to make that decision it’s easy to judge. Even if you think you are doing the right thing for someone that can’t speak for themselves, the guilt can stick with you.
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2. nicoburns ◴[] No.44732974[source]
People really need to consider the alternative though. I've seen a lot of old people who were desperate to depart this world but whose younger relatives wouldn't let them.