Sometimes a decision is taken that a patient should be for ‘No aggressive treatment of infections’, ‘Do Not Attempt Resuscitation’ this can be quite a vague statement. Precisely what this means in practice will depend on the particular patient and the type of infection, and how people respond at the time. Here people reflect on how things have been discussed with them, and the decisions taken, and what it might mean to prioritise ‘comfort care’.
Phil argued for his partner to go into critical care because he feels Lewis gets very little attention if left on a ward.
Michael had been moved out of the nursing home back into hospital while Imogen was away for the weekend. She had specifically asked that he should not be moved while she was away.
The hospital may refuse to place Angela’s husband on a ventilator if he develops life-threatening pneumonia, she talks about her desire for her husband to be free of stress or fear.
Sometimes patients are treated by default, without proper discussion of the correct course of action. When Miggy’s son was close to death with an infection she wishes nature had been allowed to take its course:
When Miggy’s son was close to death with an infection she wishes nature had been allowed to take its course.
Fern is someone who has changed her mind over time about how her partner’s should be treated.