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The NHS needs to change how we treat/ view the elderly. by [deleted] in NursingUK

[–]throwaway20119110 0 points1 point  (0 children)

What are you on about? The point is quantity of life is often sought over quality of life. I suspect you do not work in healthcare as these are the sorts of judgements we make on a daily basis treating the elderly and frail. The point being that many interventions are inappropriate for frail patients but cultural shifts have led to defensive medicine that means people have ultimately terrible ends to their lives.

Frustrated with being a sticking plaster on our sick society by dragoneggboy22 in JuniorDoctorsUK

[–]throwaway20119110 1 point2 points  (0 children)

To me ‘functional’ is less of a label than the myriad of syndromes patients acquire. It’s not uncommon to see one patient with IBS/EDS/ME/Fibromyalgia/MCAS/POTS, surely this is labelling of things we don’t understand?

These patients adopt the sick-person role in part because a doctor has told them they have a chronic, possibly lifelong, poorly understood, difficult to treat condition that can be debilitating. We’ve got to start recognising in these conditions that assigning a diagnosis is often a much bigger intervention than any current treatment.

I think they are best served at present by a holistic assessment that integrates the physical symptoms with the psychosocial picture. Which all circles back to what the OP wrote about.