“Being Mortal” by Atul Gawande is a book that anyone with parents or grandparents in the elderly stages of life can relate too. Many of the stories are relatable and during my time of reading the book I would take specific stories he tells and show them to my mom and ask her who in our family does this sound like and does this not sound like what we are going through with grandma. She immediately agreed and wanted to read on for the smallest idea to help or solution that could solve the problems and issues we are facing. Dr. Gawande is accounting the care and treatment of the elderly and the dying and how it has evolved and progressed over the last century to what it is today and could become within the future. Dr. Gawande was a general surgeon who took interest in the care and treatment of the elderly. Within the book he relates his own experiences with his elderly patients and their …show more content…
Gawande reports on improving facilities like those that follow the assisted living model, so being somewhere between independent living and the nursing home. Gawande also gives voice to the “Green Houses” developed by Dr. Bill Thomas, who believed that by placing real life in the form of plants, pets and children into nursing homes that the elderly could benefit from the activity around them. Palliative care or hospice care, which focuses on what a terminally ill patient wants the rest of their life to be like is coming into focus for many new health professionals. The hospice caregiver focuses on removing as much pain and suffering from the patient as possible. Finding out what the person would like to do with the rest of their life and trying to help them achieve those goals and aspirations. He states there is hope for the aging population, a group that includes everyone living. Doctors are starting to recognize that not everyone can be cured and that some people just need comfort, kindness, attention, care and the chance to have a purpose during the rest of their
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Wednesday, October 22 Reading Response 2 “Living Will” by Danielle Ofri is about an author who is a doctor who came across a patient that is suicidal. “They All Just Went Away” by Joyce Carol Oates is about a young lonely girl who finds herself attracted in entering abandoned house and is entranced by other peoples lives and what they left by. Although these stories are very different, I believe both the authors share a similar idea, but different outlooks, of how the main characters in each essay struggle to do the right thing. “Living Will” gives us a better perspective of what doctors today have to face with their jobs. The author, Danielle Ofri, came across a severely ill patient, Wilburn Reston, which really makes her think.
Alzheimer's is a type of dementia that causes problems with memory, thinking and behavior. It is the sixth leading cause of death in the United States, and recklessly growing at a fast pace, in that every sixty-seven seconds, someone in the United States develops Alzheimer’s. ("Latest Facts & Figures Report | Alzheimer's Association., n.d.) The worst part of Alzheimer’s is not what occurs in the present, but instead, in what is yet to come. In “Jan’s Story,” the author and main protagonist of the tale, Barry Peterson, learns how to cope and live with the pain of The Disease, on a heartbreaking journey of love, loss, and the true test of how far will one go for whom they love.
The Last Days of Ptolemy Grey, by Walter Mosley, offered a unique insight into the mind of an elderly person struggling with dementia. Seeing the world through Mr. Grey’s perspective gave me a new appreciation for our elderly and the problems they face on a daily basis. Mr. Grey is an elderly man struggling with the beginning stages of dementia. He is no longer able to care for himself and has family members that come to take care of him, though Mr. Grey only trusts a select few people to do so. His physical and cognitive abilities have declined with age and make it difficult for him to get around and communicate with people.
Atul Gawande in his article “Whose body is it, anyway?” introduced couple of cases, which discussed a controversial topic, doctors dealing with patients and making important medical decisions. These are difficult decisions in which people might have life or death choices. Who should make the important decisions, patients or doctors? Patients don’t usually know what is better for their health and while making their decisions, they might ignore or don’t know the possible side effects and consequences of these decisions.
The past year I have seen how much of a big difference hospice makes. I have seen how patients and their families become attached to their hospice team. I have witnessed all hospice team members working together to be supportive to families when their loved one has passed. I never knew how much of a difference hospice can make until my time at Homestead. I saw how the entire hospice team cared for each and every patient and wanted to make the patient’s last days the best they could possibly be.
In fact, in many institutional homes patients are not allowed to keep pets in case those pets cause inconvenience to the staff. Gawande notes that an obsession with risk is stultifying the lives of the elderly people in our society, in the years when their choices should be cherished and respected even if those choices shorten their lives. We have exalted longevity over what makes life worth living says the author. Often our elders are forced into making dramatic changes. Not only do they have to accept the fact that they must leave the home environment, they must also accept the fact that aging and health needs necessitate this move.
It’s beyond a battle to make the best of my life with chronic illness. “Life is just not fair.” I am not always able to make plans because I don’t know if I will be able to follow through. I don’t know what the future holds because I have to take life as it comes. I can only be hopeful, and I am.
Life or Death Who chooses death over life? Sometimes we have to make this decision over a loved one when there is no hope for their recovery. It would be incredibly hard to make this life or death decision on another human being and twice as hard when it is someone we love. The author discusses the argument of this controversial topic of sustaining life at any cost or dying peacefully as an ethical issue. An ethicist, a person who specializes in or writes on ethics, can provide valuable discernment with respect to right and wrong motives or actions.
Life and Death in Assisted Living Facilities Assisted living facilities are one of the fastest growing industries in the United States. Unfortunately, assisted living facilities have a history of being problematic. Specific cases from the movie Life and Death in Assisted Living Facilities indicates that assisted living facilities are often under staffed, poorly trained, and often admit elderly patients who are not qualified candidates for their facilities (Byker and Thompson, 2013). When taking this in to account, it is important to consider why families may admit their loved ones in to assisted living facilities.
A hospice provides a more suitable environment for those at the final stages of their lives compared to a hospital for a multitude of reasons. Hospice care is designed to care for all aspects of the person life; they provide physical, mental, and religious services, as well as caring for the patient’s family. Since hospice care is also available at home, the patient has the opportunity to die in familiar surroundings. On the contrary, hospital care provides primarily physical services to the patient and is focused on the patient’s disease. Also, dying in a hospital can be less pleasant because a connotation of hospitals is illness which is a negative quality compared to that of a home, where a person is surrounded by their memories and belongings.
Pharmaceutical Care Patch Adams is a 1998 semi-biographical comedy-drama film based on the life story of Dr. Hunter "Patch" Adams and his book, Gesundheit: Good Health is a Laughing Matter, by Adams and Maureen Mylander. (Wikipedia) The movie is all about a medical school student, Patch Adams who is eager and passionate in helping patients in a way which his dean disagreed on. Despite being warned by his dean and lecturers, he still holds on his principle in treating the patient as a person, not treating the disease.
Through serving others, I have come to realize that every person, regardless of one’s cultural background, has something to offer to the community. As an immigrant, I was quite hesitant about accepting new challenges. The fear of others’ judgment regarding my performance hindered my progress. However, through serving others in various capacities, I was able to interact and help people in my community, who themselves helped me overcome my fears. Whether helping patients at St. John Providence or assisting refugees at the American Red Cross, I was amazed as to how much my presence made a difference, especially for those who needed me to interpret for them.
From newborn babies to those at end of life, the environmental theory of Florence Nightingale can benefit all populations. A specific population to apply the Florence Nightingale theory to is patients at end of life and hospice care. A patient and family choosing hospice care are in need of a holistic care plan. The goal of hospice care is to reduce symptoms, prevent hospitalizations and maintain quality of life until the end. Psychosocially a patient and family need time to understand and accept the diagnosis.
the theory is patient-specific because of the patient’s diagnoses and the limited verbal communication. The theory assumptions are helpful with this patient as the nurses make it a priority to interpret cues which reflect his end of life experience and giving prompt intervention to maintain peaceful experience even at his dying moment. The theory was developed be used with terminally ill adult patients and their families/significant others. The theory is not applicable in its totality with non-hospice or palliative care patients. The goal of the end of life care is not to optimize care rather is to provide comfort measures, dignity and peaceful end of life experience.
PATIENT CARE EXPERIENCE AND PARTNERING IN CARE Name of Student Institution Affiliation Patient care experience and Partnering in care Health care is continuously evolving with improvements in cures and medical equipments. Nevertheless, this does not transform into better health care delivery. To ensure proper and satisfactory services in the health care industry, it is important to focus on patient care experience and partner in care along with the families. We discuss this approach and its benefits, especially for the elderly like Mr. Taylor and how it helps them overcome the barriers they face for healthcare delivery.