It is hoped that people will die a normal death, that is, a death caused by intrinsic health reasons, such as illness or old age. In this case there is no need for some overmedication at the end of life such as intubation.
Refuse Intubation is an initiative started by some famous people. It is the hope that at the end of life, when unconscious, let nature take its course without intubation and excessive medical treatment.
The end-of-life overmedication refers to the patients have been unconscious for a long time, rely on intubation ventilator and other equipment to maintain life, as long as the ventilator and other equipment will stop breathing rescue medical treatment.
Rejecting end-of-life intubation and other resuscitation is a serious issue. There is a serious answer to the book: it is acceptable. Old age, sickness and death, and the leaves return to their roots is the law of nature, do not go against it, deliberate and futile.
1, refused to intubation and other end-of-life resuscitation treatment
woman Qiong Yao also issued a similar statement. 2017 May 9 is the 38th wedding anniversary of Qiong Yao and her husband, Ping Xintao, however, Ping Xintao suffered from vascular dementia, has been hospitalized for more than 400 days.
Qiong Yao on the 31st in Facebook PO article, can not bear to let her husband insert a nasogastric tube, so and stepchildren fall out, and later in the anesthesiologist Hou Wenyong's persuasion yielded.
You Shu Jun rejected some of the excessive medical treatment at the end of life, and because that's how his mother came to be.
When my mother was diagnosed with terminal cancer, she said she didn't want to suffer through surgery, and we agreed. After two hospital admissions she said she wanted to go home, we agreed and took her home until she left. She left as if she were asleep, peaceful and calm.
Some patients' families don't want to give up treatment, such as having the option of full public health care costs.
Patients spend thousands of dollars a day, or less, in ICUs, and there have been cases where people have stayed for 500 days before passing away. Why did they stay more than 500 days?
Because it was all publicly funded, and the family didn't have to spend a dime, and as long as the patient was alive, there were tens of thousands of dollars in salary available each month, and my son would stop by to see the patient every month when he got his paycheck.
Then the son seldom went to the ward. How much did the son receive? Was it illegal? Where was it wrong? None of it seems to be. Living like this is a waste of the country's public **** resources, and just breathing through machines is no longer practical? Living? s significance.
But the patient does live, and no one has the right to refuse to not intubate except the family. Normally, no one in the family dares to say no even if a loved one says resuscitation is necessary. The only way to make a judgment is to wait until after the fact.
Refusing end-of-life intubation is a very sensitive issue.
Because everyone knows that being in an agitated state can be attacked as ungrateful, and being cautious is said to be callous. Indeed because of the existence of people in their lives who stopped treating patients because they were considering the possibility of losing both human and financial resources.
Some people's homes, 90-year-old grandmother had a stroke, the doctor said that the best case scenario is to be rescued over the vegetative state, it is recommended to give up, but always outside the aunt insisted on saving, inserted the tube, and then discharged to go home, we have a long time to take time off from work to accompany the impossibility of only hiring a nurse to take care of coma state of the grandmother.
There are also families in which the old mother is intubated with oxygen, because it is too difficult for the mother to scratch with her hands, the doctor can only put her hands up with a rope, that kind of helplessness and pain really want to shout.
After that, for more than a year, she kept her eyes closed and didn't say a word, enduring the pain of her illness. The five siblings did not want to take on the responsibility of removing the nasal feeding tube.
No one wants to be the villain, so they can't help the patient's pain. The children, who work in shifts of two every other day, are all on leave from their jobs. Nowadays, there are very few families with many siblings and most of them are only children. It is difficult for the average family to do so.
The need for temporary maintenance is necessary to wait for relatives to come home.
Loved ones are often difficult to accept the sudden departure of the patient, it is human nature, after all the efforts to rescue, family members feel at ease, do not leave regrets. And waiting for the child to get there is another story.
An intern said the chief physician arranged for three people to take turns pressing, five minutes a change. Said "just press and forget about the rest".
Two hours later the patient's eldest son arrived in the ward, looked at the cardiac monitor is still moving, flopped down on his knees beside the bed bawling: "Mom, you do not go, so-and-so is back.
The chief physician glanced toward us, we immediately understood, put down his hands, cardiac electricity into a straight line. The patient's companion comforted his oldest son "Your mom knows that you came to see her one last time, and she's at peace!"
We pressed for two hours to let a mother and her son see each other for the last time. At that moment, we have no complaints, the ward medical staff slowly pack up things, leaving the patient's family in the quiet accompanied the patient.
The panic of loved ones and the pain of facing the ultimate coming is understandable.
Many people who have been there know that those feelings are too contradictory. Not to take rescue measures, watching their loved ones pass away, psychological acceptance, unable to think rationally in the hope that through efforts to retain their loved ones.
To take resuscitation measures, there are many tubes inserted all over the body, and even the throat has to be cut. The most loved one is in too much pain, eating, breathing, defecation, are machine tubes to assist in the completion, and finally still left.
2. Patients can't express their will
The patients themselves can't make decisions, they are already in a coma. Whether out of what they see or their own will to decide, there is a book gentleman in favor of refusing all resuscitation after the elderly serious and terminal coma.
Olderly basically hopeless old people, intubation ventilator prolonged life of a few hours or a few days has no more meaning, but as a doctor can not not be resuscitated.
Doctors consult the patient's family, agreed to try to save. Because the patient's family will sue the hospital for failure to resuscitate the patient resulting in death and huge claims, there are many such examples.
Doctors will only stop resuscitation if the patient or the family voluntarily tells the doctor to give up resuscitation.
Some doctors tattoo themselves to give up on resuscitation.
When a patient is unconscious, the doctor may only make decisions based on the wishes of the patient or family, and the family and patient have the right to make choices.
In the United States there are indeed examples of this, and some doctors also tattoo themselves so that the resuscitating doctors will see that they don't have to resuscitate. There was an old man who had fainted several times and was taken to the hospital to be resuscitated, and each time he was resuscitated.
The old man was tired of this "strange experience", so he tattooed on his chest the words "refused to be rescued", and later, when the old man was sent to the emergency room again, the doctor saw this tattoo, and respected the old man's choice to give up the rescue.
The rural elderly were also reluctant to accept that it was too much of a sin.
The landlord's father in the mountain village is 92 years old and his mother is 90 years old. Last year, the mother felt uncomfortable, because the mother has not been to the city, the landlord brother to take the elderly to the city's hospital to check.
Entered the hospital, a variety of tests followed. 90-year-old man could not pump the spinal cord, and pumped again. Big mom can not stand, then very son said, you go to find an axe to help me cut into a few pieces to take me home to forget. When he said this, the landlord's brother fell in tears.
Their six brothers have always regretted sending the old man to the hospital for a checkup. 90-year-old old man a little bit of small illness is natural, let her go to suffer so much, suffered so much torture, is really heartbreaking.
The patient has no way to live with dignity and wants to leave with dignity.
3, suggest that the patient and the patient's family to be sensible to deal with excessive resuscitation
Some patients in the awake time to inform their families in advance of their own ideas. This is done because they do not want to put a heavy moral burden on the living and do not want to accept over-resuscitation.
It is advisable to make a will if possible.
Children who follow their wills are doing the best they can for themselves. A loved one who is able to follow his or her will is showing the greatest respect. So it is wise to make arrangements for your own afterlife when you are awake in advance.
YouShuJun felt that there should be a proper way to solve this problem as early as when Qiong Yao and her stepson issued statements to each other, making their opinions clear.
Qiong Yao and her husband Ping Xintao and there was an agreement between them that if there were irreparable problems with their health, they agreed not to resuscitate each other and let each other leave with dignity.
When Ping Xintao really appeared such a situation, she could not do anything. Because of the past involved and her stepson's disapproval, she has no choice but to issue her own statement.
After such a thing happened, Qiong Yao openly wrote to her son's will in advance on that: serious illness coma do not intubate or injections, go with the flow of nature, and even mentioned that you can go to Switzerland euthanasia.
This is not the negative of life, but respect for the end of life. There is also the fact that there is no need to increase the amount of effort or increase the pain of the patient.
I hope the patient's family can be sensible about end-of-life resuscitation.
As a child, if your parents ever put forward such a wish, please give respect, do not have any psychological burden, old age, sickness and death is the law of nature. People leave as if a leaf, fluttering and passing away, the leaves return to the earth, is the final return.
It is important that patients need caring care before they die. Reduce pain rather than tossing and tormenting, many elderly people want to be on their deathbeds to reduce pain rather than live a few more days in sickness and suffering is pointless.
Some people are in intensive care units full of tubes, resuscitation, the family wants the patient to live is very strong desire, but continued, such a condition of the patient will have no quality of life.
In the absence of quality of life, most advocates do not deliberately prolong the patient's survival, including intubation for assisted breathing, and do not arbitrarily shorten the patient's life.
If the patient is not conscious for a long time, or the cancer is terminal, the doctor recommended to give up the treatment of brain-dead patients, it is better to give up. There is a book gentleman think this is a sensible choice.
Everyone has to experience old age, sickness and death, rather than painfully taking up medical resources, it is better to simply leave.
YuShuJun accepts the establishment of "Refuse to Intubate CLB" to reject some excessive medical treatment at the end of life. What about you, folks?