Hospitals are the place to go for serious medical care. Typically, the care is followed by the question, "Would you like to stay a day or two for observation, or leave now?" In a dementia such as Alzheimer's, what's the right thing to do?
Why does the doctor offer a choice? Because there is no ‘right’ answer. This is one reason why the doctor gives YOU the option. The doctor does not want to be blamed or liable for a 'wrong' choice. But there are a few reasons to lean towards leaving as quickly as you can.
- GERMS: Doctors joke, “If you want to get sick, go to a hospital.” After all, a hospital is the place with the highest concentration of sick people, with their catchy germs and viruses.
- RELATIONSHIPS: How much can even the most competent, most caring doctor or nurse get to know the personal needs and nuances of a patient? Especially knowing that after tomorrow, they are unlikely to ever see the person again? What can one expect?
- DETAILS: A hospital is sort of a war zone, with constant life-and-death battles. The strategy is to treat the newly sick and get them out of the hospital in a matter of days. There is little time to get to know a patient’s details. Compare that to a nursing home or assisted living facility, where there are regular routines, with staff members who get to know the patient quite well, over many weeks and months. And some people go home, a place that lends itself to the highest level of personal care, attention to detail, and personal knowledge.
"This is Mimi, from one of our studies --in her 90s, she had to move out of her home because her family was worried about falls. Raise your hand if you had a serious fall in your household, or if any of your loved ones had, or your parents or so forth. Right? Classic.Situations such as Mimi's are even more sensitive in people with dementia, who typically cannot completely care for themselves. At the same time, there are many forms of care that only a hospital can provide. With all this in mind, it seems wise for a person with dementia to strongly consider leaving a hospital as soon as they have completed receiving the care that only the hospital offers.
"Hip fracture often leads to institutionalization of a senior.This is what was happening to Mimi; the family was worried about it, moved her out of her own home into an assisted living facility. She tripped over her oxygen tank.
"Many people in this generation won't press the button, even if they have an alert call system, because they don't want to bother anybody, even though they've been paying 30 dollars a month. Boomers will press the button. Trust me. They're going to be pressing that button non-stop. Right?
"Mimi broke her pelvis, lay all night, all morning, finally somebody came in and found her, sent her to the hospital. They fixed her back up.
'She was never going to be able to move back into the assisted living. They put her into the nursing home unit. First night in the nursing home unit where she had been in the same assisted living facility, moved her from one bed to another, kind of threw her, rebroke her pelvis, sent her back to the hospital that she had just come from.
"No one read the chart, put her on Tylenol, which she is allergic to. Broke out, got bedsores, basically, had heart problems, and died from the fall and the complications and the errors that were there.
"Now, the most frightening thing about this is, this is my wife's grandmother.
"Now, I'm Eric Dishman.
"I can't stop this from happening.What happens if you don't have money, you don't speak English, or don't have the kind of access to deal with these kinds of problems that inevitably occur?"
- I speak English.
- I work for Intel.
- I make a good salary.
- I'm smart about falls and fall-related injuries -- it's an area of research that I work on.
- I have access to senators and CEOs.
(End of transcript. See this segment in the video below at the 10-minute mark.)