Re: H1N1 & a Rationing Plan in Florida Originally Posted by Rebel Yell
http://www.sun-sentinel.com/news/nat...387,full.story
"Florida health officials are drawing up guidelines that recommend barring patients with incurable cancer, end-stage
multiple sclerosis and other conditions from being admitted to hospitals if the state is overwhelmed by
flu cases.
The plan, which would guide Florida hospitals on
how to ration scarce medical care during a severe flu outbreak, also
calls for doctors to remove patients with poor prognoses from ventilators to treat those who have better chances of surviving. That decision would be made by the hospital.
The flu causes severe respiratory illnesses in a small percentage of cases, and patients who need ventilators and are deprived of them could die without the breathing assistance the machines provide."
I hope we never see this come to fruition. Quite an ethical dilemma. What do you think?
as a nurse who lives and works in south florida--the problem is that so many people get put on vents unnecessarily to begin with.. no one wants to let grammy die in peace, she has to have a vent, a PEG and be on dialysis and maybe by the 3rd code of the day someone in the family will say "stop!"
the TV commercials are clouded completely with 1-800-ambulance-chaser and 1-800-who-can-i-sue and we have so many risk managers at my hospital it will make your head spin!
anywho, i don't understand the reasons why we don't actually have enough vents--i think the problem is more of not enough ICU bed space and qualified nursing staff. especially since it's winter, and people come to FL for the winter, and a percent of them end up in the hospital.
i am certaintly in no place to decide who is worthy of a vent... but if hospitals have to make the choice to keep a 95 year old who has end stage cancer and a 33 year old pregnant woman with the flu on a vent, one would hope they would make the choice to end the futile attempts to keep someone who is already suffering on a ventilator... i suppose that is what this article is saying?
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