Quotes About Care

I'm in dread of what would happen if she becomes too hard for me to care for," he said. "I try not to think too far ahead. I don't think about next year. It's too depressing. I just think about next week." It's the route people the world over take, and that is understandable. But it tends to backfire. Eventually, the crisis they dreaded arrived

Staying at home is recommended.

We said the medicines we gave him may have contributed to it.

As fewer of us are struck dead out of the blue, most of us will spend significant periods of our lives too reduced and debilitated to live independently. We do not like to think about this eventuality. As a result, most of us are unprepared for it. We rarely pay more than glancing attention to how we will live when we need help until it's too late to do much about it.

In most cases, it wasn't technology that failed. Rather, the physicians did not consider the correct diagnosis in the first place.

In the horrible places, the battle for control escalates until you get tied down or locked into your Geri-chair or chemically subdued with psychotropic medications. In the nice ones, a staff member cracks a joke, wags an affectionate finger, and takes your brownie stash away. In almost none does anyone sit down with you and try to figure out what living a life really means to you under the circumstances, let alone help you make a home where that life becomes possible

No matter what measures are taken, doctors will sometimes falter, and it isn't reasonable to ask that we achieve perfection. What

Medical care is about our life and death, and we've always needed doctors to help us understand what is happening and why, and what is possible and what is not. In the increasingly tangled web of experts and expert systems, a doctor has an even greater obligation to serve as a knowledgeable guide and

We've been wrong about what our job is in medicine. We think our job is to ensure health and survival. But really it is larger than that. It is to enable well-being. And well-being is about the reasons one wishes to be alive. Those reasons matter not just at the end of life, or when debility comes, but all along the way.

More than 40 percent of oncologists admit to offering treatments that they believe are unlikely to work.

he was the one who had put in the most time caring for Walker.

They all believed that you didn't need to sacrifice your autonomy just because you needed help in your life.

For Thomas, it was the perfect demonstration of his theory about what living things provide. In place of boredom, they offer spontaneity. In place of loneliness, they offer companionship. In place of helplessness, they offer a chance to take care of another being.

All involve risk, uncertainty, and complexity — and therefore steps that are worth committing to a checklist and testing in routine care. Good checklists could become as important as doctors and nurses as good stethoscopes (which, unlike checklist, have never been proved to make a difference in patient care). The hard question — still unanswered — is whether medical culture can seize the opportunity.

Two-thirds of the terminal cancer patients in the Coping with Cancer study reported having had no discussion with their doctors about their goals for end-of-life care, despite being, on average, just four months from death. But the third who did have discussions were far less likely to undergo cardiopulmonary resuscitation or be put on a ventilator or end up in an intensive care unit. Most of them enrolled in hospice.

It took her several minutes alone with her father before she could sign.

The way that things go wrong in medicine is normally unseen and, consequently, often misunderstood.

It's an opaque term, intensive care. Specialists in the field prefer to call what they do critical care, but that still doesn't exactly clarify matters.

And partly, whether we admit it or not, a lot of doctors don't like taking care of the elderly.

her arm. Her face sagged. Her speech slurred. Although

An inherent tension exists between brevity and effectiveness. Cut too much and you won't have enough checks to improve care. Leave too much in and the list becomes too long to use.

We end up with institutions that address societal goals-from freeing up hospital beds to taking burdens off families' hands to coping with poverty among the elderly-but never the goal that matters to the people who reside in them: how to make life worth living when we're weak and frail and can't fend for ourselves

The birds were drawing him out. For Thomas, it was the perfect demonstration of his theory about what living things provide. In place of boredom, they offer spontaneity. In place of loneliness, they offer companionship. In place of helplessness, they offer a chance to take care of another being.

The soaring cost of health care has become the greatest threat to the long-term solvency of most advanced nations, and the incurable account for a lot of it. In the United States, 25 percent of all Medicare spending is for the 5 percent of patients who are in the final year of life, and most of that money goes for care in their last couple of months that is of little apparent benefit