Modern Medicine can keep you alive
Machines, medications and man-made parts: modern medicine continues to find and develop life-saving and life-prolonging interventions.
Advancements in heart research include:
- Bypass surgery
- Man-made implantable cardiac devices like pacemakers
When organs fail, there’s dialysis for kidney failure, and transplants for kidney, lung, liver and heart. Cancer continues to be researched, and survival rates and life expectancy has greatly increased. For neurological (brain) illness and injury, medications and interventions are emerging, and rehab helps with increased function. Even infections – which were regularly the cause of death in past generations – are now treated with antibiotics.
However, as the body winds down, so-called ‘Heroic Measures’ may do more harm than intended. CPR (Cardio-Pulmonary Resuscitation) Breathing Machines (ventilators), Feeding tubes and specific medications can be considered Heroic Measures or seem more like Futile Treatment. When making decisions about any of these, it can help to understand the longer-term results and possible complications.
Pain as a Cause of Agitated Delirium
"Can't you do something about her pain?" An 85-year-old woman with multiple medical problems, including dementia, coronary artery disease, renal insufficiency, and peripheral vascular disease, was admitted to our hospital with urosepsis. Her hospital course was...
Quality of Life Better with Less Care at the End
The study focused on patients dying of cancer, but results apply across all chronic illnesses: a multicenter study suggests patients have a better quality of life towards the end if aggressive, life-prolonging measures are avoided and if they are able to die at home....
Comfort Care
Provide and adjust pain medication: addiction is not a worry Treat shortness of breath : oxygen, medication Treat agitation: medications or other treatment (massage, acupuncture) Treat anxiety: medications or other treatment (massage, acupuncture, music) Position for...
Dialysis
May be used for temporary or permanent loss of kidney function Dialysis is a life-sustaining treatment, but it is important to recognize that dialysis also has limitations. It may not be of benefit to prolong life with dialysis if quality of life suffers dramatically....