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 health and wellbeing care procedure to competently deal with seniors? the truth that it’s truly doing them damage. In A sour Pill, Dr. John Sloan investigates the explanations why the clinical group is not able to supply lasting future health to seniors, concluding that wrong assumptions have resulted in the present healthiness challenge one of the aged. In a striking argument, Sloan contends that clinical measures established in prevention truly do seniors extra damage than stable, diminishing their present caliber of existence within the hopes of stopping destiny affliction. Sloan continues that we needs to comprehend what these sick really want — the way to benefit from the ultimate phases in their lives. A worthy source for caregivers, nurses, medical professionals, and youngsters of the aged, this ebook may flip the tide of clinical false impression that has plagued the senior group.

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Two people, same illness. Breathtaking difference in its impact on function. I like to say that somebody like Margaret Bellamy is on the “slippery slope”; a little bit of illness produces a very big, important change in function. People like my patients start out relatively capable and then decline more or less in a straight line until they die. But this theoretical straight line isn’t the real picture, either. Small, unimportant-sounding illnesses, accidents, social changes, and other minor health disturbances come along all the time and have a huge effect on independence and need for help.

We don’t see “Near the End of Her Life” on most textbook lists of characteristics of frailty. But it is one. And it does make a difference to how we ought to be thinking about and helping our patients, clients, neighbors, friends, and loved ones when they are old and need help. Anyone who meets the definition of a fragile old person doesn’t get better but tends to get worse and then die. This isn’t pleasant, but it is a hard fact I’m afraid we need to face. What is that short time usually like for the people living it?

The fragile elderly on drugs need to be watched carefully. And, especially for people who have trouble getting out to go to a doctor’s office, a vigilant home care family doctor is about the only person in a position to do that. Heterogeneity produces unpredictability. Old people are different from one another, so we don’t know in advance what drugs will do to them. indd 32 8/19/09 1:54 PM t h e f r agi l e e l de r ly 33 things. How much indignity will someone put up with, how will she feel about being cleaned after a bowel movement by someone she’s never met before, how much reassurance does she need, and how tactful and reasonable will she be about, say, money?

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