A Bitter Pill: How the Medical System Is Failing the Elderly by John Sloan

By John Sloan

What’s worse than the failure of the well-being care method to appropriately take care of seniors? the truth that it’s truly doing them damage. In A sour Pill, Dr. John Sloan investigates the explanations why the scientific group is not able to supply lasting future health to seniors, concluding that inaccurate assumptions have resulted in the present overall healthiness drawback one of the aged. In a amazing argument, Sloan contends that clinical measures established in prevention really do seniors extra damage than sturdy, diminishing their present caliber of lifestyles within the hopes of forestalling destiny ailment. Sloan keeps that we needs to comprehend what these ailing really want — the way to benefit from the ultimate levels in their lives. A invaluable source for caregivers, nurses, medical professionals, and kids of the aged, this booklet could flip the tide of clinical false impression that has plagued the senior group.

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Indd 35 8/19/09 1:54 PM 36 a bi t t e r pi l l when, but with older, fragile people, we know it’s probably pretty soon. ” Palliative patients are typically people expected to die within six months. Traditionally they are mostly cancer patients, but they also include many folks with heart, lung, or other serious diseases nobody can cure. In the palliative-care culture, death and dying are taken to be natural, very real, of course inevitable, and coming up within a clearly defined period of time.

Why does our old friend Mary McCarthy come out of the hospital ten times worse than when she went in? Is she just an exception, a rare but predictable occurrence that bucks a trend of otherwise unbroken success? My practice is full of Mary McCarthys. Sudden deterioration after getting textbook treatment is a regular event. We keep paying a price for health care’s success through its overriding priorities, and the bill gets presented to people like that old lady, at life’s end. The trouble is, I don’t think you can constructively criticize a well-entrenched and almost universally credited method without attacking its foundations.

Ideally this conversation will have taken place in advance. What is needed in a crisis of function is support of function and keeping medical care effective but simple. The fifth defining characteristic of the fragile elderly is that comfort is an overriding priority. Although function has to be pretty close to the top of the priority list, comfort should stand beside it as another overriding priority in treatment. Comfort just means absence of misery— physical, psychological, or social. Textbook preventive treatment should only be considered if it improves or at least does not hinder comfort.

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