As a nurse who works with older patients, I am often required to justify not disclosing information to the next of kin about treatment or care to that patient.
As a nurse who works with older patients, I am often required to justify not disclosing information to the next of kin about treatment or care to that patient. Nearly every day, I feel like I need to justify why I don't include next-of-kin in decision making. I often say things like "I didn’t discuss it as Mrs X is an adults with capacity so I didn’t need to discuss it with next kin." It makes me wonder if the same questions would be asked if I was working with patients fifty years older. If I was working with thirty-year-olds, would there be the same expectation of me not making any changes in care or having decision-making discussions with patients? I don't think so.
This experience is not unique to me. I have seen letters from other doctors that describe deeper consultations and more intimate relationships with patients than they do with their patients. Sometimes, a diagnosis is only disclosed to a family member and never to the patient. Professionals like me are not happy with the routine societal infantilization and it can cause harm to patients. Long-term admissions can be dangerous for older patients, especially if they are working with them. They may become ill, develop delirium, or contract infection. It is also a risk to their health. It happens.
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Patients who wish to return home are often those who feel they could, or would like to, be able to do so. However, their families may not accept the team's recommendations or their wishes. The family feels that the return of a family member to them would be "not best for them" or that they don't have the capacity. So the team, the family, and the patient engage in multiple discharge planning meetings and a prolonged period of admission. Inevitably, the patient falls for one of the risks associated with long-term admission. Sometimes they don't make it home at all.
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I have never met anyone who wants to be involved in or consult about the decisions regarding care for their relative. Although they were all well-intentioned, it is a situation that can hamper the provision of person centred care. This is a situation that I've only seen in geriatrics. It makes me wonder: Why do older relatives become more paternalistic as they age? What age does an adult cease to be an adult?
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For women's health, tips for heart, mind, and body - https://www.mpolska24.pl/blog/for-womens-health-tips-for-heart-mind-and-body
If you want to avoid problems such as strokes and heart disease, there is an easy way.
Get more fruits and vegetables.
Whole grains are better than refined ones. Brown rice is better than white. Switch to whole-wheat pasta
Consider lean proteins such as poultry, fish and beans.
Reduce your intake of processed foods, sugar, salt, saturated fat, and other unhealthy food.
Flexibility is key to eating well, according to Joyce Meng, MD assistant professor at UConn Health's Pat and Jim Calhoun Cardiology Center. You can follow a strict diet plan if you prefer. It's okay if you don't like following a strict diet plan.
Tricia Montgomery (52), founder of K9 Fit Club knows firsthand the benefits of a healthy diet and lifestyle. Her favorite things are eating healthy food and making small, frequent meals. She says, "I don’t deny myself anything." "I still enjoy dessert, key lime pie, yum!" -- I love frozen gummy bears and moderation is the key.
Get regular checkups. Your doctor will keep track of your medical history so that you can stay healthy. If you are at high risk of osteoporosis (a condition that weakens bones), your doctor may recommend more vitamin D and calcium.
You may be recommended by your doctor to have screening tests done to monitor your health and detect conditions before they become serious.
Be open to communication. Meng said, "If you have any questions, ask your doctor." "Ensure you are satisfied with the information." Talk to your doctor if you have concerns about any medication or procedure.
It can be very detrimental to your health. It is impossible to avoid it all, but there are ways you can reduce the effects. Do not take on too many responsibilities. Set limits for yourself and others. It is okay to say no.
To relieve stress, try:
Talking to a friend or family member.
Develop healthy habits
You can prevent problems from coming your way tomorrow if you make the right decisions today.
Brush your teeth twice daily and floss each day.
Limit your alcohol. Limit your alcohol intake to 1 drink per day.
Take your medication exactly as prescribed by your doctor.
Get better sleep. Try to sleep for at least 8 hours. Talk to your doctor if you are having trouble sleeping.
Keep out of direct sunlight between 10 a.m. and 3 p.m.
Wear your seatbelt.
Meng suggests that you take time each day to invest in your own health.
Montgomery was able to see the benefits. Montgomery says that she has overcome health issues, is happy, and has a positive outlook. She says that her life has been forever transformed.