Taking Responsibility for Death

New York Times. By SUSAN JACOBY/ March 30, 2012

I WAS standing by my 89-year-old mother’s hospital bed when she asked a doctor, “Is there anything you can do here to give me back the life I had last year, when I wasn’t in pain every minute?” The young medical resident, stunned by the directness of the question, blurted out, “Honestly, ma’am, no.”

And so Irma Broderick Jacoby went home and lived another year, during which she never again entered a hospital or subjected herself to an invasive, expensive medical procedure. The pain of multiple degenerative diseases was eased by prescription drugs, and she died last November after two weeks in a hospice, on terms determined by explicit legal instructions and discussions with her children — no respirators, no artificial feeding, no attempts to buy one more day for a body that would not let her turn over in bed or swallow without agony. Continue reading

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公办院拒收失能老人是政府失职

2012年03月30日 07:51:17  来源: 新京报

3月22日,北京一家养老院内,一位老太太坐在房间内,身前摆着年轻时的照片。记者 尹亚飞 周岗峰摄

阎青春

北京养老 之 【养老出路】

本文是北京养老系列调查的最后一期。

过去四期里,我们从城区养老院“一床难求”、社区养老“形同虚设”、养老院内“问题凸显”、民办养老院“成长烦恼”等方面,问诊北京养老体系建设。本期专访权威人士,借鉴国外经验,问路北京养老的未来。 Continue reading

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民办养老院成长的烦恼

2012年03月29日 星期四 新京报

很多养老院里,混住、护工短缺和医疗缺位,把很多老人从对养老院专业、温馨的想象拉回了现实(详见本报昨日报道)。
最新数据显示,北京401家养老机构中,有186家民办养老院,占46.4%;目前全市共有养老床位6.9万张,民政部门计划,截至2015年,全市养老床位总数达到11万张。目前仍有数万张床位的市场缺口。
巨大的市场潜力,这本该是民办养老院蓬勃发展的良机。但却有诸多仍待解开的结,束缚着它们前行的脚步。城市中心区寸土寸金,民办养老院规划、用地不得不让位于商业价值;扶持政策多年未落实到位;失能、半失能老人被公立养老机构所拒,只能辗转至此,随之而来的是高成本、高风险;当民办养老院的自身造血功能遭遇不可知的未来,境遇如同“刀悬在头上”。 Continue reading

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