Feb 24, '08
whoa, that is so difficult. i know exactly the type patient you're speaking of and of those i have seen in hh they are now deceased and at an early age. their spouses are powerless to make any changes. it reminds me of the morbidly obese person who can't get oob yet their cg brings them all the food that they request.
you can beat your head against the wall but in the end they are going to do exactly what they want and will eat and drink exactly what they want. in that state of health there's not much that can be done. they more or less have themselves on what they consider to be "comfort measures". we have discharged patients such as these for non-compliance. a psychiatrist is the only doctor who should be prescribing an antidepressant to a patient with such severe health issues. it's very sad.
Quote from blueridgehomern
this individual is currently being treated for their second cabg (3 vessel) after second or third mi. diabetic, amputated toes, old cva, two episodes of dka that led to codes, smoker with etoh abuse, only in their mid-forties.
it's amazing he survived the cabg
Last edit by DutchgirlRN on Feb 25, '08