Re: [MOL] Beav! [00917] Medicine On Line


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Re: [MOL] Beav!



I just saw on TV last night where they had a pump on a newborn babies arm,
the first for one so tiny. Let me know when you find out, thanks Beav, your
friend, lillian


We invite you to take a look at our Album.
www.angelfire.com/sc/molangels/index.html

  ( Very informational, good tips, Molers pictures, art work and much
more....

----- Original Message -----
From: <beav76@uswest.net>
To: <mol-cancer@lists.meds.com>
Sent: Wednesday, August 09, 2000 10:48 PM
Subject: Re: [MOL] Info. for our Caregivers.....


> Hi Lillian;
>     I will check again about a morphine pump. The way it was
> explained to us at a pain clinic was that it is a small pump
> that you wear and part of it would be surgically placed into
> the spine. They emphacized concern for infection to the
> spine. Thanks again for your reply. I am really wore out
> this week. The caregiver couldn't come this week and a
> replacement couldn't be found. Hopefully, next week will be
> better. Caregiver will be back, car is fixed and hopefully
> Bucky will be alright for awhile.........Love .......Beav
>
> Lillian wrote:
>
> >   Health News
> >
>
>        Health Focus: Comforting A Dying Person
>
>        August 2, 2000
>
>        Knowing what to expect and being prepared for the
>        death of a loved one can make this difficult
>        end-of-life transition a little less traumatic.
>
>        INTELIHEALTH FEATURE -
>
>        Until the 1940s, most people died at home,
>        surrounded by friends and family. But with the
>        dramatic advances in medical technology that
>        occurred in the mid-1900s, death and dying became
>        increasingly removed from the lives of Americans.
>        The primary location for death changed to hospitals
>        and nursing homes, often out of sight of families
>        and loved ones.
>
>        In recent years, however, more and more people are
>        dying at home again - primarily because they choose
>        to - and their families aren't always sure how to
>        act or what to say. Knowing what to expect and being
>        prepared can make this difficult end-of-life
>        transition a little less traumatic.
>
>        Giving Comfort, Giving Care
>
>        "Probably the most important thing is advance
>        planning," says Michael Harper, M.D., instructor of
>        medicine and medical director for Beacham Ambulatory
>        Care Center at Johns Hopkins. "Before it's too late,
>        the person who's dying should make plans for what
>        will happen as his life comes to an end - the things
>        he wants done, as well as those he doesn't want
>        done." It is also important to remember that despite
>        this advice, many people simply choose not to make
>        such plans.
>
>        For example, does the dying person want lots of
>        company, or would he rather be left alone? Should
>        family members share sensitive information, or
>        should they withhold it? Will there be aggressive
>        medical care, or will death be allowed to come
>        naturally? These are all things that are best
>        decided in advance.
>
>        "I often recommend that people who are dying name a
>        health care agent, maybe someone in the family who
>        will make decisions for them if and when the time
>        comes that they can no longer decide for
>        themselves," says Dr. Harper. "It certainly can help
>        families cope when there are some plans laid out and
>        they know what their loved ones have chosen."
>
>        Everyone has different needs, of course, but some
>        emotions are nearly universal among the dying. To
>        make those last weeks or months as comfortable and
>        stress-free as possible, here are a few points to
>        keep in mind:
>
>           * Your presence is everything. "One of the things
>             dying people are afraid of is abandonment,"
>             says Dr. Harper. Having people around -
>             talking, watching movies or simply reading
>             together - can give tremendous comfort. Of
>             course, Dr. Harper adds, some people would just
>             as soon be left alone. The only way you'll know
>             for sure is to ask.
>           * Be prepared to listen. Those who are dying may
>             want to share their fears, discuss their
>             uncertainty about the future and talk about
>             their concerns for those they're leaving
>             behind. Keep in mind, however, that men and
>             women, whether they're the caregivers or those
>             receiving care, often express themselves in
>             different ways. Men, for example, have a
>             tendency to give advice when someone really
>             just wants them to listen. Women, on the other
>             hand, may push people to "let it all out." "You
>             need to ask yourself what your spouse or your
>             father or your mother would want, not what you
>             want," says Dr. Harper.
>   [.]     * Be honest and share information. Family members
>             naturally want to protect their loved ones, and
>             sometimes they do this by withholding difficult
>             information - news about lab test results, for
>             example, or practical details about real estate
>             or finances. It's usually better to be
>             forthright. People who are dying need to retain
>             a sense of control, and this means being
>             included in family discussions.
>           * Give a lot of reassurance. "In surveys, when
>             you ask people what they fear most later in
>             life, death is rarely number one," Dr. Harper
>             says. "What people usually say is, 'I don't
>             want to be a burden on my family.'" Take the
>             time to let the dying person know how much you
>             value him and how grateful you are for the
>             opportunity to spend this last time together.
>           * Settle unfinished business. Everyone has
>             regrets - things they wish they'd done, old
>             rifts they wish they'd healed, places they wish
>             they'd seen. It's not always possible to
>             fulfill last wishes for a dying person, but
>             sometimes you can. So it's worth asking if
>             there's anything you can do.
>           * Respect the need for privacy. "People often
>             say, 'I don't want anyone to see me like
>             this,'" says Dr. Harper. "You just have to be
>             attuned to what the individual needs."
>
>        Care For The Living
>
>        Dying takes a toll on everyone, not the least on
>        those who are left behind. It doesn't make sense to
>        run yourself ragged during the last weeks or months,
>        says Dr. Harper. Get some help, and do it early.
>
>        "There's a great underutilization of hospice care,"
>        Dr. Harper says. "Most people who are enrolled in
>        hospice programs stay only a few weeks because they
>        came so late. This is unfortunate because hospice
>        care provides grief counseling along with lots of
>        additional benefits." In addition, hospice programs
>        are paid for by Medicare, and they include both
>        inpatient and at-home care, as well as care for the
>        living. Your doctor can recommend a program in your
>        area.
>
>        The process of dying is generally much longer than
>        it used to be because of improved medical care. So
>        it's worth looking for ways to gets through this
>        period with your emotions and even your health
>        intact. You can do several things to keep your peace
>        of mind:
>
>           * Realize that no matter how hard you try, you
>             can't do everything. Make sure other family
>             members know what you're going through. Get
>             them involved in the daily care - changing the
>             linens, shopping for groceries or keeping the
>             dying person company.
>           * Be direct about conflicts. Sometimes you just
>             can't do what the dying person wants. It's
>             important to be forthright about your
>             limitations. Otherwise, resentment and anger
>             are sure to simmer - and the dying person will
>             perceive them, whether they're spoken or not.
>           * Prepare yourself for feelings of guilt. Nearly
>             everyone who cares for the dying goes through
>             phases of guilt and anger. You may feel guilty
>             because of things you wish you hadn't done,
>             because of old wounds or because you found
>             yourself wishing it all would end. It's normal
>             to feel this way. So don't be hard on yourself.
>             Understand that feelings of guilt are simply
>             part of the process.
>           * Get ready for the end. Even when people have
>             prepared for the death of a loved one who has
>             been chronically ill for months or even years,
>             the end nearly always comes as a shock to the
>             survivors. You may want to ask your doctor to
>             explain how to recognize when death is near. It
>             will give you time to prepare yourself - and
>             your family - for this last, sad stage of
>             life.
>
>
> >    We invite you to take a look at our Album.
> > www.angelfire.com/sc/molangels/index.html   ( Very
> > informational, good tips, Molers pictures, art work and
> > much more....
>
>
>
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