General medical wards are the kiss of death for anyones sanity or wellbeing
The whole model of care never used to be like this…older general medical patients died at the end of their natural lifespan with little intervention and nursing expertise was focused on specialised medical patients and elective surgical patients
The older medical cohort remained in community based care and nobody would have thought of ringing 999 for an 80 year old with a breathing problem
The problem is the unwillingness of folks to face up to mortality, a modicum of patient behaviour and a whole heap of entitlement etc
I have to agree with you, based on my experience of death in my family. As a nation, we aren’t good at handling death at all. The prerogative seems to be to avoid it at all costs, instead of accepting that it’s an inevitability for all of us.
My grandma meant the world to me… I absolutely adored her. But she had rapid onset dementia following the death of my grandpa and was a lifelong smoker with COPD in her 80s… it was her time to go but it just seemed to be the only recourse was to call 999 when things seemed bad for her (a few years ago). We couldn’t stand by at watch her struggle to breath and get ill without doing something.
At the time I was in a better place emotionally/mentally to accept her death than other members of my family. She’d deteriorated so badly it was a relief when she died for me, because the cycle of hospital visits was honestly more traumatic and undignified for her. Hospitals should be for people who have a chance of getting better.
I wish the stress and trauma of her being taken in and out of hospital wasn’t a thing. I wish calling 999 wasn’t the only “option” for us a family. But we didn’t feel we had any other recourse.
I wish there had been some sort of support for us to manage her decline in a dignified way at home, instead of the ups and downs of getting sick -> hospital admission -> stable again -> sick and then that cycle until she died. Community based care would have been a saviour. Not just for my grandma but for my wider family. It would have been more peaceful.
Being in and out of hospital seemed like a sad end to an otherwise full and happy life.
Mentally, she had already left us. It was just her body clinging on and it felt like an utter waste of time and money and resources to keep her body alive at that point.
Maybe that sounds harsh but that’s how it felt to me. I guess it’s a whole can of ethical worms though.