Posted by Willful on March 4, 2014, at 1:23:37
In reply to New Recomendations for over 65, testing, Mammo, Me, posted by Phillipa on March 3, 2014, at 11:50:01
You've unfortunately misinterpreted these recommendations.
They are saying, don't do things that are useless and/or make people worse -- mammograms now are not thought to entend survival, because all the recent large scale studies have shown that those who received yearly mammograms do not survive longer than those who do not-- and they often suffer from false positive that lead to frightening, and painful further testing and sometimes treatment of things that turn out not to be cancer, or , like carcinoma in situ, are thought now not to become cancerous.
Don't give people with anorexia high calorie meals because they are determined not to gain weight and will defeat that type of treatment. There may be other types of treatment that will help, which are not discussed.
Physical restraint are barbaric and unnecessary in most cases.
Don't give meds without assessing cognitive or other side effects so as to prevent people taking meds that are disabling them cognitively.
Anti=psychotics often don't help in people with certain types of dementia and are used solely to sedate people-- not to give them treatment. This helps the staff, but deprives the older person of whatever cognitive ability they have left.
For the same reason, don't use xanax or other sedating meds, simply to control people.
As far as I can tell, every one of these recommendations is done to protect from over=medication, danger of false positives without any evidence of increasing survival, and from useless treatments, and to give vulnerable patients greater self control, safety, and comfort, rather than forcing useless and often draconian treatments on them.
It nowhere says that if you want nutrition, you will deprived of it. It says if nutrition is rejected, or not wanted or not helpful, do not force it on people, Instead, use treatments that provide greater quality of life and are more effective in helping them.
Emsam.
Abilify
Provigil
Rilutek
poster:Willful
thread:1061722
URL: http://www.dr-bob.org/babble/20140214/msgs/1061806.html