Pneumonia: the demented patient's best friend? Discomfort after starting or withholding antibiotic treatment.

Author: OomsMarcel E, RibbeMiel W, van der SteenJenny T, van der WalGerrit

Paper Details 
Original Abstract of the Article :
OBJECTIVES: To assess suffering in demented nursing home patients with pneumonia treated with antibiotics or without antibiotics. This study should provide the first empirical data on whether pneumonia is a "friend" or an "enemy" of demented patients and promote a debate on appropriate palliative ca...See full text at original site
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引用元:
https://doi.org/10.1046/j.1532-5415.2002.50460.x

データ提供:米国国立医学図書館(NLM)

Pneumonia: The Demented Patient's Best Friend? Discomfort After Starting or Withholding Antibiotic Treatment

This study tackles the complex issue of managing pneumonia in demented nursing home patients, exploring the impact of antibiotic treatment on their level of discomfort and overall well-being. The researchers investigated whether pneumonia itself contributes to suffering or if antibiotic treatment is a more significant factor in determining discomfort.

Pneumonia Causes Significant Suffering in Demented Patients

The study revealed that pneumonia causes substantial suffering in demented patients, regardless of whether they receive antibiotics. While antibiotic treatment may initially reduce some symptoms, the overall level of discomfort remained high. Furthermore, patients who died from pneumonia experienced a greater increase in discomfort shortly before death, suggesting that pneumonia itself is a significant source of suffering.

Importance of Symptomatic Treatment and Palliative Care

This study highlights the importance of providing adequate symptomatic treatment and palliative care for demented patients with pneumonia. The research emphasizes the need to prioritize comfort and quality of life, even when antibiotic treatment is not the primary focus. The findings suggest that a compassionate approach to managing pneumonia in this vulnerable patient population is crucial for ensuring their well-being.

Dr.Camel's Conclusion

This research sheds light on the often-overlooked suffering experienced by demented patients with pneumonia. The study underscores the importance of prioritizing comfort and quality of life, particularly in this vulnerable population. The findings emphasize the need for compassionate care and tailored approaches to managing pneumonia, taking into account the unique challenges faced by demented individuals. This research serves as a valuable reminder that clinical decisions should be guided not only by biological considerations but also by a deep understanding of the patient's experience and well-being.

Date :
  1. Date Completed 2002-12-19
  2. Date Revised 2019-07-09
Further Info :

Pubmed ID

12366622

DOI: Digital Object Identifier

10.1046/j.1532-5415.2002.50460.x

Related Literature

SNS
PICO Info
in preparation
Languages

English

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