Max ward management. DIL DNR. Harsh words to family members, but do we know whether the patient on the other end, might just think these are the best things to hear at the height of their ordeal?
Tried MaxWardMx one old lady who premorbidly was bedbound in NH, non-communicative on NG feeding now admitted for pneumonia. Family not keen for discussion of max ward management despite being informed that overall life quality would not improve with ICU admission/intubation if the old aunty deteriorates.
How do we make people understand that ventilating a 'dead' person is like giving flushes of water to the gills of a fish who's trapped in a little, drying up pudge of water? The moment we stop it, either the fish will die, or fall back into the same old misery...
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