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View Diary: Death with Dignity Law Brings No Dignity to Some (272 comments)

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  •  You need to qualify (1+ / 0-)
    Recommended by:
    AllisonInSeattle

    for hospice care and there needs to be services available.

    My great aunt had applied for hospice care (terminal breast cancer) when her needs grew too great for her husband to deal with.  It takes time.  Time for the paperwork.  It doesn't happen instantly.  You don't turn in your paperwork and the next day be told a bed is ready.

    And someone has to approve the pain meds.  Only a doctor can do that.  If the patient had expressed a sincere desire to hasten their demise, a doctor may dig in his heels and refuse to increase the med orders.

    Proud member of the Cult of Issues and Substance!

    by Fabian on Mon May 11, 2009 at 03:27:51 AM PDT

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    •  Huh, (1+ / 0-)
      Recommended by:
      AllisonInSeattle

      When the hospital recommended hospice, we said ok, and the hospice people were right there with the forms. It was really quick.

      God knows I need a crutch at times To help this gimpy soul of mine along But not a Burning Truth That we must kill each other over.-Ric Masten

      by deminmarineland on Mon May 11, 2009 at 08:27:40 AM PDT

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      •  YMMV - your mileage may vary (1+ / 0-)
        Recommended by:
        AllisonInSeattle

        In reality any service is a restricted service since the demand can outstrip the supply at any time.  (See pandemics and ventilators for a great example.)  If a hospice has only a limited number of beds available, they may try to restrict admissions to patients who both need their services mostly urgently and who are not expected to survive more than a certain amount of time.

        It may sound a bit callous, but in reality it is pragmatic.  You can serve a higher number of patients if you have a higher turn over.  One patient there most likely would have better been served by a long term nursing facility.  She was in a coma and had been for literally years.  She was as healthy as the day she had been admitted.

        It can be disturbing to discuss these matters, but decisions are made every day by real people.

        Proud member of the Cult of Issues and Substance!

        by Fabian on Mon May 11, 2009 at 09:36:18 AM PDT

        [ Parent ]

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