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Farm Business
Politics, Covid19 and Brexit
What is the root cause of overcrowded hospitals?
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<blockquote data-quote="ollie989898" data-source="post: 8180453" data-attributes="member: 54866"><p>This is evidence based medicine for you. Research has shown that people rehabilitate much more successfully and faster if they are admitted, go through whatever they need to do and then get sent home promptly. Witness the legions of OTs and physios in hospitals at all levels- they are all aiming to get people home. People do not exist solely to lie in bed in hospitals, they have lives to lead. Let me explain.</p><p></p><p>You don't <em>want</em> people in hospital. Firstly, hospital is a top place for someone to catch a bug despite the best will in the world. Secondly, if I took even the average TFF reader and told them to lie in a bed for two or three weeks whilst their every whim was pandered to they <strong>would</strong> lose muscle mass, become weaker and might even <em>begin to enjoy</em> being waited on hand and foot. People, particularly the elderly, get admitted and begin to actually lose their normal capabilities, until one day, actually, no I can't get out of bed on my own. I can't climb stairs, I can't even dress myself. And do you know what, since I don't actually have any family or anyone to talk to back home, I quite like being in here. Constantly new faces and staff who will listen to me mean I have someone to talk to now, cripes, I don't even have to make my own tea or buy biscuits anymore. Heck here comes a free lunch, oh and more tea, fantastic. Suddenly I don't want to go home now. In fact, I'd much rather stay here in this bed with my expensive air mattress and which adjusts all the ways under the sun, you'd never fit this in my bedroom at home. Move to a care home? Cripes no, I'd have to pay £2000 a week for that, hospital is free. Besides, I like it here.</p><p></p><p>The longer you keep people in such an environment where everything is done for them, the less they will be able to do. It's also quite hot and dry in the average hospital, and with the best will in the world, people won't be eating and drinking as they normally would- what does this do for their health? And thirdly, the other reason you don't want people in hospital is because many elderly people, if you put them in an unfamiliar environment, with no familiar faces, it will confuse the fudge out of them and cause them distress. They are away from their loved ones, they don't see their regular carers, they don't have they usual clothes, their usual shower, their usual loo. You can't personalise a building to cater for every particular occupant. Think of the workload involved in just monitoring, feeding and caring for 20 people who are actually medically well. Physical observations done like clockwork, fed three times a day and supper at night. Drinks on demand. Bedlinen changes, cleaning, house keeping, just the loo roll use. It bends the mind.</p><p></p><p>This is why, no, if you are an otherwise healthy person who has their hip replaced, the next morning those dragonzord physios will have you out of bed and walking to the loo using walking aids. Then they'll make you climb stairs. If you can do this, they'll probably get you discharged tomorrow. I've seen privately treated hip op patients in the door and out within 72 hours, with a follow service at home a little later to check dressings, etc. The same is true for women giving birth. If you've had a normal birth, they want you out and away as soon as possible once the wellbeing of mum and baby has been deemed satisfactory. Not because the workforce are cruel or to meet some target or they want your bed, it's just widely recognised that people 'do' better in their usual environment and doing what they usually do. In the case of obstetrics, this can be seen in the numbers of women who prefer midwife-led units or even opt for home births.</p><p></p><p>The old ways may not have been the best after all.</p></blockquote><p></p>
[QUOTE="ollie989898, post: 8180453, member: 54866"] This is evidence based medicine for you. Research has shown that people rehabilitate much more successfully and faster if they are admitted, go through whatever they need to do and then get sent home promptly. Witness the legions of OTs and physios in hospitals at all levels- they are all aiming to get people home. People do not exist solely to lie in bed in hospitals, they have lives to lead. Let me explain. You don't [I]want[/I] people in hospital. Firstly, hospital is a top place for someone to catch a bug despite the best will in the world. Secondly, if I took even the average TFF reader and told them to lie in a bed for two or three weeks whilst their every whim was pandered to they [B]would[/B] lose muscle mass, become weaker and might even [I]begin to enjoy[/I] being waited on hand and foot. People, particularly the elderly, get admitted and begin to actually lose their normal capabilities, until one day, actually, no I can't get out of bed on my own. I can't climb stairs, I can't even dress myself. And do you know what, since I don't actually have any family or anyone to talk to back home, I quite like being in here. Constantly new faces and staff who will listen to me mean I have someone to talk to now, cripes, I don't even have to make my own tea or buy biscuits anymore. Heck here comes a free lunch, oh and more tea, fantastic. Suddenly I don't want to go home now. In fact, I'd much rather stay here in this bed with my expensive air mattress and which adjusts all the ways under the sun, you'd never fit this in my bedroom at home. Move to a care home? Cripes no, I'd have to pay £2000 a week for that, hospital is free. Besides, I like it here. The longer you keep people in such an environment where everything is done for them, the less they will be able to do. It's also quite hot and dry in the average hospital, and with the best will in the world, people won't be eating and drinking as they normally would- what does this do for their health? And thirdly, the other reason you don't want people in hospital is because many elderly people, if you put them in an unfamiliar environment, with no familiar faces, it will confuse the fudge out of them and cause them distress. They are away from their loved ones, they don't see their regular carers, they don't have they usual clothes, their usual shower, their usual loo. You can't personalise a building to cater for every particular occupant. Think of the workload involved in just monitoring, feeding and caring for 20 people who are actually medically well. Physical observations done like clockwork, fed three times a day and supper at night. Drinks on demand. Bedlinen changes, cleaning, house keeping, just the loo roll use. It bends the mind. This is why, no, if you are an otherwise healthy person who has their hip replaced, the next morning those dragonzord physios will have you out of bed and walking to the loo using walking aids. Then they'll make you climb stairs. If you can do this, they'll probably get you discharged tomorrow. I've seen privately treated hip op patients in the door and out within 72 hours, with a follow service at home a little later to check dressings, etc. The same is true for women giving birth. If you've had a normal birth, they want you out and away as soon as possible once the wellbeing of mum and baby has been deemed satisfactory. Not because the workforce are cruel or to meet some target or they want your bed, it's just widely recognised that people 'do' better in their usual environment and doing what they usually do. In the case of obstetrics, this can be seen in the numbers of women who prefer midwife-led units or even opt for home births. The old ways may not have been the best after all. [/QUOTE]
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