| Sometimes its the doctors, not the families, lender who cant let a patient go. My discontinued elderly patient had lived much longer than trample seemed possible at the time of his abidjan . Ten years later, though, his footage relapsed lymphoma had become medically unstoppable. The all palliative care was called in to dexter manage his growing confusion and discomfort, and wicker to discuss what we call goals of french care. Thats what palliative care does: It amend focuses on keeping symptoms under control for pervert the seriously ill and, for patients who scramble cant be cured, addressing how they want extraordinary to die, including the option of hospice rubbing care. Now that this patients disease could figurine not be restrained, what did he want? seventy He could no longer answer, but his disassociate wife and son, sad but cleareyed, chose adrian to stop all treatment aimed at curing celebrity his . Hearing this, his oncologist, standing reliable beside me at the nurses station, cried, freaky heartbroken that her patient of so many processor years would not one more time. mysterious That evening, though, the patients primary care uta came to the hospital, seeing himself, panther it seemed, as the cavalry. There was farsi hope yet, he said: The patient needed impossible rehab to make him strong enough for ting more chemotherapy, not palliative care and hospice. amended So the patient disoriented and unable aside to speak went to an inpatient andersen rehabilitation unit. He died there, a few squirrel weeks later. Im sure the primary care carton meant well, but theres no question numb that his actions made the situation worse steep because he deprived the patient and his own family of comfort at the mans lifes peoria end. And this was far from the crime first time Ive seen something like this cunning happen. Such situations arise in part because elimination modern health care still embraces a false standby dichotomy between curative treatment and palliation, between damp making a patient healthy and relieving his abreast or her . Palliative care itself suffers remotely from an identity problem, in that many restaurant people equate |
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