Futile Care? Palliative Care? Death Panels? Let’s Watch Our Language
Posted by Patti on October 27th, 2009 /
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High tech health care doesn’t always mean better lives for our elderly. But we should be careful with the language we use when discussing other “options”. Futile care is an example I would hesitate to speak right now.
LOS ANGELES — A surprising number of frail, elderly Americans in nursing homes are suffering from futile care at the end of their lives, two new federally funded studies reveal.
One found that putting nursing home residents with failing kidneys on dialysis didn’t improve their quality of life and may even push them into further decline. The other showed many with advanced dementia will die within six months and perhaps should have hospice care instead of aggressive treatment.
Most LTC nurses and aides I know do not support aggressive treatment. We see the frail, dehydrated, malnourished bodies of the very old and know these treatments will not help.
Medical experts say the new research emphasizes the need for doctors, caregivers and families to consider making the feeble elderly who are near death comfortable rather than treating them as if a cure were possible — more like the palliative care given to terminally ill cancer patients.
“We probably need to be offering a palliative care option to many more patients to make the last days of their lives as comfortable as possible,” said Dr. Mark Zeidel of the Beth Israel Deaconess Medical Center in Boston, who was not involved in the studies.
Palliative care focuses on managing symptoms of a disease and a main goal is to relieve pain at the end of life.
Isn’t this what we do with our nursing home residents? Don’t we go out of our way to keep them comfortable and clean? Calling this all “palliative” and using phrases like- “last days of their lives” really isn’t good right now during the fight for health care reform. All this discussion brings many people to believe there really might be “Death Panels” and that turns folks away, especially older people. Who can blame them?
















October 28th, 2009 at 7:56 pm
If you haven’t seen the new nursing show Mercy, be sure to catch the first 4 episodes this Saturday, October 31st, from 8 pm-12 am on NBC! So great!