According to a recent research, only about 5% of patients who require the CPR will survive outside the hospital and only 15% of them will survive in the hospital. To make the matters worse, the elderly who have multiple medical issues or those with advanced stage cancers are much less likely to survive. A DNR can affect any kind of treatment other than that which requires either a CPR or intubation. But most of the patients still continue to get chemotherapy, antibiotics, dialysis or any other appropriate treatments.
A DNR also called a do not resuscitate order is a medical order written by a licensed physician, with the consent of the patients themselves or their surrogate decision makers. Its purpose is to indicate whether or not the patient will receive the cardiopulmonary resuscitation (CPR) in the event of a cardiac or a respiratory arrest. The first open cardiac massage was successfully performed in 1901.
In old age, many people are not able to take care of themselves, in terms of their health, safety, and well being. Therefore, they often move to facilities that provide them assistance. These facilities are referred to as assisted living facilities and provide general care delivery and management services. They are a combination of housing, personalized help, supportive services, and healthcare assistance for your elderly loved ones. They often provide personal care services like meals, housekeeping, transportation, and assistance with activities of daily living (such as bathing, dressing, toileting, medication, etc).
The concept of assisted living communities emerged in the late 1990s as the baby boomers began to grow old. At that time, continuous care of the elderly became a requirement, particularly for those who could not live independently but also did not need the 24-hour medical care and attention of nursing homes. Consequently, various attempts were made to provide varied services to seniors under one umbrella. The residents in these assisted living facilities remained independent, as compared to those who were living in nursing homes, though they had constant supervision.
Assisted living falls in-between home care and nursing homes. Before the concept of assisted living came into being, a person who needed professional care went to a nursing home, even though the care didn’t require the intensive supervision and control of a nursing home. The fairly new alternative of assisted living provides a more home-like environment for people needing or anticipating help with activities of daily living or incidental activities of daily living, though 24-hour nursing care is not a necessity.
Despite the advantages of living in assisted living for many seniors, there are also disadvantages. Examples of both are discussed below.
Alzheimer’s disease (AD) engulfs a person mainly by the presence of sticky deposits of protein called amyloid that the human body makes naturally. But this protein tends to get accumulated in their brains in the form of a plaque in the Alzheimer’s patients. Beta-amyloid is the chief component of the plaques. As these plaques grow, they damage the nerve cells and cut off their ability to communicate with other cells. For a long time the scientists have been struggling to find ways to remove plaque either with a drug or a vaccine, but unfortunately this has not proven successful.
Currently there is no cure for the disease, but the scientific research is probably bringing us closer to the breakthroughs. The new research by the British, American and Canadian scientists has been hailed as the most important breakthrough in the disease yet. In fact the preliminary results appear to be safe with no side effects. It holds true for some patients who are relatively in the early stages of the disease, who have lost some memory but not all. For these kinds of patients there is a chance of hopefully halting the progression of the disease.