How long can a bedridden patient live and how can his suffering be alleviated?

Prevention

To prevent a disease such as pneumonia from developing in bedridden patients, several preventive measures are required.
It is necessary to exercise stress on the body to maintain muscle tone. And also regularly perform therapeutic breathing exercises. Physical activity may include the following measures:

• transferring the patient from a lying position to a sitting position;
• You can turn the patient from one side to the other several times a day;
• regular gymnastic exercises with raising your arms up and down, this will allow the chest diaphragm to return to its normal position and improve blood supply.

Use a humidifier. The air in the room should be moist, but not heavy, do not overdo it, everything is good in moderation. Dry air provokes infectious diseases by drying out the mucous membranes of the respiratory tract.

You can resort to massage by lightly tapping the back area, without going into the spine area. Ventilate the room regularly, but carefully so that the patient does not get puffed up. Also do breathing exercises.

You can use a regular inflatable ball for such exercises. By inflating and deflating it, the lungs are fully opened and mucus and harmful organisms are expelled from them.

It should be remembered that any preventive and therapeutic measures should be taken after consultation with a doctor, since no one will be happy about the fatal outcome of the situation.

Complications and methods of dealing with them

When you stay in a supine position for a long time, blood circulation and the functioning of almost all internal organs are disrupted, and the ability of the body's immune defense is significantly reduced. Because of this, complications can arise, sometimes leading to irreparable consequences.

Low pressure

The causes of hypotension may be drug therapy in an incorrectly selected dose, redistribution of blood in a constant horizontal position, or weakness of the heart muscle. Manifestations of this condition are pale skin, dizziness, tinnitus, chilliness, drowsiness, headaches, and severe weakness.

Medicines to increase blood pressure are used in the post-stroke period for emergency treatment - in a collaptoid or shock state (Dobutamine, Mezaton).

If hypotension is mild, general tonics are recommended:

• an infusion of rose hips, St. John's wort and immortelle flowers, taken in equal parts (a tablespoon of the mixture per glass of boiling water, brew overnight in a thermos, take 50 ml half an hour before meals);
• green tea;
• honey with pollen;
• juice from carrots and celery.

Watch the video about recipes for increasing and decreasing blood pressure:

Constipation

Intestinal dysfunction is associated both with neurological disorders and with forced physical inactivity and pureed food. To prevent constipation, you need to review your diet to include:

• juices from vegetables (carrots, beets, pumpkin), fruits (apricots, plums);
• vegetable oil (in the morning on an empty stomach, take a tablespoon with half a glass of cool water);
• decoction of prunes, dried apricots and figs;
• homemade fermented milk drinks using starter cultures;
• additive for porridge, kefir - a teaspoon of ground bran, pre-steamed with boiling water, be sure to drink at least 1.5 liters of water;
• ground dry seaweed (kelp) - use instead of salt;
• infusion of flaxseed (a tablespoon per glass of boiling water), strain after 20 minutes, drink twice.

If these preventive measures are insufficiently effective, laxatives help achieve regular bowel movements. In consultation with your doctor, use:

• laxative tea;
• Guttalax, Regulax, Picolax drops;
• Senadexin tablets;
• Duphalac syrup;
• therapeutic enemas Norgalax, Microlax, Normacol, Enema;
• laxative suppositories – Bisacodyl, Glycerin.

If there has been no bowel movement for more than 3 days, a cleansing enema is indicated.

Pneumonia

Acute pneumonia in the post-stroke period is the cause of death in approximately 20% of cases. In a bedridden patient, its main cause is the entry of water and food into the respiratory tract.

Therefore, it is not recommended to feed the patient in the usual way in the absence of consciousness or sensitivity of the pharynx, or impaired cough reflex. Such patients are advised to administer a nutrient solution through a tube or intravenously.

Severe pneumonia increases cerebral edema and leads to worsening neurological abnormalities. Manifestations may include: difficulty breathing, cough, chest pain, increased body temperature. It should be taken into account that in elderly and weakened patients, pneumonia can occur without fever. Treatment requires antibiotic therapy. It is possible to prevent the development of this complication by:

• regular breathing exercises;
• turning over in bed on your side every 2 hours;
• use of vibration (anti-bedsore mattresses);
• tapping the chest in a position on the healthy side.

Watch the video about preventing pneumonia in bedridden patients:

Bedsores

They arise due to excess pressure of the body weight on areas of contact with the bed. They may fester with the development of sepsis. When a bedsore forms, the skin turns pale, then turns red and becomes dead. To prevent the occurrence you need:

• from the first days of staying in bed, examine the patient’s sacrum, shoulder blades and heels, wipe them with camphor alcohol;
• change body position;
• avoid sweating or diaper rash;
• regularly replace wet clothes and sheets, use absorbent diapers under the buttocks and perineum;
• purchase an anti-decubitus mattress or rubber circle;
• Wash the patient daily and dry the skin completely;
• carry out massage and therapeutic exercises.

Stages of bedsores
To heal the skin defect, ointments are used: Actovegin, Solcoseryl, Oflocain, Methyluracil, Panthenol, Argosulfan.

Bedridden patient: how to recognize the signs of impending death?

A bedridden patient usually experiences mental anguish before death. In a sane mind there is an understanding of what is to be experienced. The body undergoes certain physical changes, this cannot be ignored. On the other hand, the emotional background also changes: mood, mental and psychological balance.

Some people lose interest in life, others completely withdraw into themselves, and others may fall into a state of psychosis.

Sooner or later, the condition worsens, the person feels that he is losing his own dignity, more often thinks about a quick and easy death, and asks for euthanasia. These changes are difficult to observe and remain indifferent.

But you will have to come to terms with this or try to alleviate the situation with medications.

As death approaches, the patient sleeps more and more, showing apathy towards the world around him. In the last moments, there may be a sharp improvement in the condition, reaching the point that the patient, who has been lying down for a long time, is eager to get out of bed. This phase is replaced by subsequent relaxation of the body with an irreversible decrease in the activity of all body systems and the attenuation of its vital functions.

Bedridden patient: ten signs that death is near

At the end of the life cycle, an elderly person or a bedridden patient increasingly feels weak and tired due to lack of energy. As a result, he is increasingly in a state of sleep. It can be deep or a slumber through which voices are heard and the surrounding reality is perceived.

A dying person can see, hear, feel and perceive things and sounds that do not actually exist. In order not to upset the patient, you should not deny this. Disorientation and confusion may also occur. The patient becomes more and more immersed in himself and loses interest in the reality around him.

Due to kidney failure, urine darkens to an almost brown color with a reddish tint. As a result, swelling appears. The patient's breathing quickens, it becomes intermittent and unstable. Under pale skin, as a result of impaired blood circulation, dark “walking” venous spots appear that change location.

They usually appear first on the feet. In the last moments, the limbs of a dying person become cold due to the fact that the blood, flowing from them, is redirected to more important parts of the body.

There are primary signs that appear at the initial stage in the body of a dying person, and secondary signs that indicate the development of irreversible processes.

Symptoms may be external or hidden. Disorders of the gastrointestinal tract How does a bedridden patient react to this? Signs before death associated with loss of appetite and changes in the nature and amount of food consumed, manifested by problems with stool.

Most often, constipation develops against this background. Without a laxative or an enema, it becomes increasingly difficult for a patient to empty his bowels. Patients spend the last days of their lives completely refusing food and water.

Don't worry too much about this. It is believed that when dehydrated, the body increases the synthesis of endorphins and anesthetics, which to some extent improve overall well-being.

Functional disorders

How does the condition of patients change and how does a bedridden patient react to this? Signs before death associated with weakening of the sphincters in the last few hours of a person's life include fecal and urinary incontinence. In such cases, you must be prepared to provide him with hygienic conditions by using absorbent linen, diapers or nappies.

Even with an appetite, there are situations when the patient loses the ability to swallow food, and soon water and saliva. This may lead to aspiration. With severe exhaustion, when the eyeballs are severely sunken, the patient is unable to completely close the eyelids. This has a depressing effect on those around you.

If the eyes are constantly open, the conjunctiva must be moistened with special ointments or saline.

Respiratory and thermoregulation disorders

What are the symptoms of these changes if the patient is bedridden? Signs before death in a weakened person in an unconscious state are manifested by terminal tachypnea - death rattles are heard against the background of frequent respiratory movements.

This is due to the movement of mucous secretion in the large bronchi, trachea and pharynx. This condition is quite normal for a dying person and does not cause him suffering. If it is possible to place the patient on his side, wheezing will be less pronounced.

The beginning of the death of the part of the brain responsible for thermoregulation is manifested by jumps in the patient’s body temperature in the critical range. He may feel hot flashes and sudden cold. The limbs are cold, the sweating skin changes color.

Road to death

Most patients die quietly: gradually losing consciousness, in their sleep, or falling into a coma. Sometimes in such situations they say that the patient passed away along the “usual path.” It is generally accepted that in this case, irreversible neurological processes occur without significant deviations.

A different picture is observed with agonal delirium. In this case, the patient’s movement towards death will take place along a “difficult road”.

Signs before death in a bedridden patient who has taken this path: psychosis with excessive excitement, anxiety, disorientation in space and time against a background of confusion.

If there is a clear inversion of the cycles of wakefulness and sleep, then for the patient’s family and relatives this condition can be extremely difficult.

Delirium with agitation is complicated by a feeling of anxiety, fear, often turning into a need to go somewhere or run. Sometimes this is speech anxiety, manifested by an unconscious flow of words. A patient in this state can only perform simple actions, without fully understanding what he is doing, how and why. The ability to reason logically is impossible for him.

These phenomena are reversible if the cause of such changes is identified in time and treated with medication.

Before death, what symptoms and signs in a bedridden patient indicate physical suffering? In general, uncontrollable pain rarely worsens in the last hours of a dying person's life. However, it is still possible.

An unconscious patient will not be able to let you know about this. Nevertheless, it is believed that pain even in such cases causes excruciating suffering. A sign of this is usually a tense forehead and deep wrinkles appearing on it.

If, when examining an unconscious patient, there is evidence of developing pain, the doctor usually prescribes opiates. You should be careful, as they can accumulate and over time aggravate an already serious condition due to the development of excessive overexcitation and convulsions.

Giving help

A bedridden patient may experience significant suffering before death. Relief of symptoms of physiological pain can be achieved with drug therapy. Mental suffering and psychological discomfort of the patient, as a rule, become a problem for relatives and close family members of the dying person.

An experienced doctor, at the stage of assessing the general condition of the patient, can recognize the initial symptoms of irreversible pathological changes in cognitive processes.

This is primarily: absent-mindedness, perception and understanding of reality, adequacy of thinking when making decisions.

You can also notice disturbances in the affective function of consciousness: emotional and sensory perception, attitude to life, the relationship of the individual with society.

The choice of methods to relieve suffering, the process of assessing the chances and possible outcomes in the presence of the patient, in some cases can itself serve as a therapeutic tool. This approach gives the patient a chance to really realize that he is sympathized with, but is perceived as a capable person with the right to vote and choose possible ways to resolve the situation.

In some cases, a day or two before the expected death, it makes sense to stop taking certain medications: diuretics, antibiotics, vitamins, laxatives, hormonal and hypertensive drugs. They will only aggravate the suffering and cause inconvenience to the patient. Painkillers, anticonvulsants, antiemetics, and tranquilizers should be left.

How should relatives who have a bedridden patient behave? Signs of approaching death can be obvious or conditional.

If there is the slightest prerequisite for a negative forecast, you should prepare in advance for the worst.

By listening, asking, trying to understand the patient's non-verbal language, you can determine the moment when changes in his emotional and physiological state indicate the imminent approach of death.

Whether the dying person knows about it is not so important. If he realizes and perceives, it makes the situation easier. You should not give false promises and vain hopes about his recovery. It is necessary to make it clear that his last will will be fulfilled. The patient should not remain isolated from active cases.

It’s bad if there is a feeling that something is being hidden from him. If a person wants to talk about the last moments of his life, then it is better to do it calmly than to hush up the topic or accuse him of stupid thoughts. A dying person wants to understand that he will not be alone, that they will take care of him, that suffering will not affect him.

At the same time, relatives and friends need to be prepared to show patience and provide all possible assistance. It is also important to listen, let them talk, and offer words of comfort.

Doctor's assessment

Is it necessary to tell the whole truth to relatives whose family has a bedridden patient before death? What are the signs of this condition? There are situations when the family of a terminally ill patient, being unaware of his condition, literally spends their last savings in the hope of changing the situation.

But even the best and most optimistic treatment plan may not produce results. It may happen that the patient will never get back on his feet or return to an active life. All efforts will be in vain, expenses will be useless.

Relatives and friends of the patient, in order to provide care in the hope of a speedy recovery, quit their jobs and lose their source of income. Trying to alleviate the suffering, they put the family in a difficult financial situation. Relationship problems arise, unresolved conflicts due to lack of funds, legal issues - all this only aggravates the situation.

Knowing the symptoms of inevitably approaching death, seeing irreversible signs of physiological changes, an experienced doctor is obliged to inform the patient’s family about this. Aware, understanding the inevitability of the outcome, they will be able to focus on providing him with psychological and spiritual support.

Do relatives whose family has a bedridden patient need help before death? What patient symptoms and signs indicate that she should be seen? Palliative care for a patient is not aimed at prolonging or shortening his life. Its principles include the affirmation of the concept of death as a natural and natural process in the life cycle of any person.

However, for patients with an incurable disease, especially in its progressive stage, when all treatment options have been exhausted, the question of medical and social assistance is raised. First of all, you need to apply for it when the patient no longer has the opportunity to lead an active lifestyle or there are no conditions in the family to ensure this. In this case, attention is paid to alleviating the suffering of the patient.

At this stage, not only the medical component is important, but also social adaptation, psychological balance, peace of mind of the patient and his family.

A dying patient needs not only attention, care and normal living conditions.

Psychological relief is also important for him, the relief of experiences associated, on the one hand, with the inability to independently care, and on the other, with the awareness of the fact of his inevitably approaching imminent death.

Trained palliative care nurses and physicians are skilled in the art of alleviating such suffering and can provide significant assistance to terminally ill people.

Predictors of death according to scientists

What should relatives who have a bedridden patient expect? Symptoms of the approaching death of a person “eaten” by a cancerous tumor were documented by the staff of palliative care clinics.

According to observations, not all patients showed obvious changes in their physiological state. A third of them did not show symptoms or their recognition was conditional.

But in most terminally ill patients, three days before death, a noticeable decrease in response to verbal stimulation could be noted.

They did not respond to simple gestures and did not recognize the facial expressions of the personnel communicating with them.

The “smile line” in such patients was lowered, and an unusual sound of the voice was observed (groaning of the ligaments).

In addition, some patients had hyperextension of the neck muscles (increased relaxation and mobility of the vertebrae), non-reactive pupils were observed, and patients could not close their eyelids tightly.

Of the obvious functional disorders, bleeding was diagnosed in the gastrointestinal tract (in the upper sections).

According to scientists, the presence of half or more of these signs may most likely indicate an unfavorable prognosis for the patient and his sudden death.

Relatives of a dying patient at home should be aware of what they may encounter in the last days, hours, moments of his life. It is impossible to accurately predict the moment of death and how everything will happen.

Not all of the symptoms and signs described above may be present before the death of a bedridden patient. The stages of dying, like the processes of the birth of life, are individual. No matter how hard it is for relatives, you need to remember that it’s even harder for a dying person.

Close people need to be patient and provide the dying person with the best possible conditions, moral support and attention and care. Death is an inevitable outcome of the life cycle, and this cannot be changed.

Source: https://cont.ws/post/655308

The most serious forecasts come from little things

As you know, in medicine there are no trifles. Medical scientists have identified factors that reliably influence how long a person can live after a stroke.

The volume of damage to brain tissue or the size of the stroke. People with extensive brain damage require emergency intensive care, mechanical ventilation, and cardiovascular support. It is no secret that some strokes are simply incompatible with later life or shorten it significantly. It is unknown how long such patients can live in a hospital bed: a day, two or a month. Doctors usually warn relatives about such situations.

The consequences of a stroke greatly change the quality of life and shorten its duration. We are talking about extensive paralysis. Complete paralysis of half or the entire body confines a person to the bed. A constant horizontal position without special mattresses and turns in bed is doomed to bedsores, pneumonia and other infectious complications. Complications lead to tragic outcomes, greatly reducing the life time after a stroke. Although, with adequate care, bedridden patients live for many years. The patient's age plays an important role. Younger people have a chance of living several years longer after a disaster, all other things being equal. Proper organization of living space. After discharge from the hospital, a person faces a lot of inconveniences

It is important to protect the surrounding area. Falls due to leg weakness, dizziness and imbalance can result in broken bones

In particular, a hip fracture confines elderly patients to bed and is very difficult to treat. Prolonged immobility after a stroke leads to blood stagnation and the formation of blood clots in the deep veins of the legs. With a sharp rise, blood clots can break off and travel through the bloodstream to almost any organ. If it enters the lungs it causes pulmonary embolism, which can be fatal.

Unfortunately, a stroke, in addition to brain damage, causes a lot of changes in the body that greatly affect life expectancy.

How long does the patient live without water? A bedridden patient does not eat or drink - how long will he live and what to do?

How long can you live without water?

How long can a person live without food and water?

The possibility of fasting depends on many factors: initial weight, health status, time of year and even blood type. According to scientists, a healthy person can live without food for up to eight weeks. For obese people who are fasting under medical supervision, the period of harmless abstinence from food is even longer. At the same time, it is necessary to get enough water and replenish vitamin reserves.

Without water, a person can no longer live for so long. The maximum period, with rare exceptions, is no more than three days. This is explained by the fact that water takes part in all the most important metabolic processes in the body. With a lack of fluid, all metabolic processes decrease, the blood thickens and ceases to deliver oxygen and nutrients to vital organs.

Prolonged dehydration leads to irreversible changes in the body, some of which may be incompatible with life.

The dangers of fasting and not drinking

Any unusual restrictions are stressful for the body. When fasting, carbohydrates are consumed first, then accumulated fats and, last but not least, proteins. When all reserves are depleted, metabolic disorders will occur and gradual cell death will begin.

Drink more water!

Refusal to eat can have a number of unpleasant consequences, such as:

• weakness
• arrhythmia
• muscle spasms
• hallucinations
• pain in body parts

If irritability, general weakness and any other alarming symptoms appear, fasting should be stopped.

But dehydration is much more dangerous for the body than starvation. Here, dry mucous surfaces, impaired urination, and arrhythmia are observed. Confusion, weakness and faintness appear. In the last stage of dehydration, the skin turns blue and shock occurs. Without medical intervention, this condition ends in death.

Excessive dehydration is often complicated by kidney damage

Almost every one of us has ever wondered, what are the limits of the human body? How long can a person deprive himself of the most essential things: sleep, food, water, air? Few of us try to answer these questions from our own experience, subjecting our bodies to extreme stress. Thanks to them, we will be able to answer these interesting questions for you.

How long can you live without water?

By refusing to drink water, the body becomes susceptible to dehydration. The normal functioning of the body allows you to go without water from several days to a week and a half, in extreme cases. For the normal functioning of the body, you need to drink at least two liters of fluid. A smaller amount of fluid negatively affects the skin and the performance of internal organs.

The record here belongs to Andreas Mihavic, who lasted without water and food for about 18 days, as he was locked in a cell and forgotten by the guards.

How long can you live without food?

How long we can go without food is significantly influenced by many factors: the state of the body, gender, age, climatic conditions. A normal person can go completely without food for five days to six weeks. But under some circumstances, according to unverified data, up to 100 days.

The officially recorded fasting record was fifty days. It was installed by Agassi Vartanian. Recently, the Guinness Book of Records refused to record such records, as they could be fatal or cause harm to health.

How long can you live without sleep?

For normal functioning of the body, 6-8 hours of healthy sleep per day are required. Restricting sleep is possible for about three days, but this causes irritability, poor health and mental disturbances, which manifest themselves within a day.

How to organize care for a bedridden patient

Therefore, especially if we are talking about a terminally ill person, a hospice or other skilled nursing facility may be the best option. In this case, specially trained personnel will help the patient live the rest of his days as comfortably as possible, saving him from suffering and loneliness.

In hospices, everything is done to make the lives of seriously ill people easier: effective pain relief techniques are used, psychological support is provided, complications are prevented, and medical supervision is provided.

The hospice accepts people of all ages who need care, and not only with cancer, but with any serious illness that limits life.

This is the best way to solve the problem, especially if relatives do not have the opportunity to provide their loved one with full care and supervision at home.

Hospices can be either state-owned, where you can get a referral, or paid. You can go to a paid hospice without a doctor’s referral; in addition, the level of comfort in such institutions is usually higher.

But, nevertheless, often a bedridden patient remains at home, especially in cases where the illness is temporary.

In this case, it is important to organize the whole process in such a way that it would be good not only for the patient, but also for those who care for him

The ideal option is to select a separate room and leave in it only the necessary furniture and care items that should be at hand. In addition, the room should have a TV, books, a computer - everything a sick person needs to feel connected to the world.

If there is no separate room, it is better to place the bed closer to the window, provide access to it from all sides and place all care items nearby.

It is better to purchase a special functional bed, but if you don’t have one, you can modify a regular one. It is necessary to add height and rigidity to the bed with the help of additional mattresses and create a fence.

The toilet chair and the items needed by the patient should be next to the bed.

It is important to calculate your strength and understand that caring for a patient is a long process. You should definitely learn basic nursing techniques: how to make a bed, feed and change a patient, prevent bedsores, do massage and therapeutic exercises

You should definitely learn basic nursing techniques: how to make a bed, feed and change a patient, prevent bedsores, do massage and therapeutic exercises.

These useful skills can be acquired in an inpatient setting. Nurses and hospice staff also teach how to care for the sick.

It is necessary to draw up a schedule for caring for the patient, a daily routine and nutrition.

It is necessary to find out from the doctor in which cases it is necessary to urgently call an ambulance.

All instructions from doctors regarding care and taking medications must be followed exactly.

You need to find out from the attending physician what the patient can do on his own and what he needs help with.

There is no need to do absolutely everything for the patient; on the contrary, it is important to support and encourage his activity and independence

Special items for the care of bedridden patients make life much easier, so they are worth purchasing. This can be done inexpensively or even for free via the Internet, from friends or with the help of charitable foundations.

Who can help care for the patient?

It is very difficult for those who directly care for a sick person. Sometimes this ends in moral and physical exhaustion, or even serious illness. To prevent this from happening, you need to determine in advance the circle of people who can provide at least some help and do not hesitate to ask for it.

Close people: someone can help with money, someone can take the patient to the doctor, sit with him for several hours or cook food.

Social workers can provide free assistance with shopping.

Patronage service of sisters of mercy - can come to your home for advice on care. Charitable organizations - can help in purchasing expensive care items or medicines.

Nurses are a good way to significantly alleviate the situation and provide qualified assistance to a loved one. If it is not possible to hire a caregiver on a permanent basis, you can do this at least sometimes to give yourself a break.

Chagan-tranzit.ru

Reference: On March 8, 1908 , in the stronghold of capitalism - the city of New York - a rally was held, followed by a march-parade, in which about 15 thousand women took part. They demanded equal working conditions and pay as men, as well as equal voting rights.

In 1921, the Communist Women's Conference decided to establish a single date for this holiday - March 8 (before that it was celebrated on different days, usually weekends). And since 1966, in the Soviet Union this day has become a public holiday and a day off. For more detailed history of the holiday, see https://www.un.org/ru/events/women/iwd/cyberschoolbus/hisory.shtml

*

Early morning...March 8th.

The alarm clock rang - and, without even having time to properly begin its song, it fell silent under the pressure of my finger.

Almost in the dark, I got dressed, quietly closed the front door, and headed towards the market. It’s getting a little light...

I wouldn't say the weather was like spring. The icy wind tried to get under my jacket. Raising my collar and lowering my head into it as low as possible, I approached the market. I decided a week before - no roses, only spring flowers - It’s the Spring ...

https://www.greenmarket.com.ua/blog/cvetnik/son-trava/

*

….Now I can’t say what exactly, but something about his appearance attracted me.

An old-fashioned raincoat, style 1965 - there was no place on it that was not sewn up. But this darned and mended cloak was clean. Trousers, just as old, but insanely ironed. The boots were polished to a mirror shine - but this could not hide their age. One shoe was tied with wire. (I understand that the sole just fell off on it). An old, almost shabby shirt was visible from under the cloak - but it was clean and ironed.

Face... His face was the ordinary face of an old man - only there was something adamant and proud in his gaze - no matter what.

https://m.ok.ru/zapiskivbl/topic/69998000152594

*

I approached the bazaar. Right in front of the entrance there was a huge basket with very beautiful spring flowers. These were Mimosas.

I went. Yes - the flowers are really beautiful.

- Who is the seller? - I asked, hiding my hands in my pockets. Only now did I feel how icy the wind was outside. “And you wait, son, she went away for a while - she’ll be back right now,” said the aunt who was selling pickled cucumbers next door.

https://klumba.guru/sadovye-cvety/mimoza.html

*

I stood aside, lit a cigarette and even began to smile a little when I imagined how happy my women would be - my daughter and wife...

https://selgazeta.ru/sovetchik/mimoza-tsvetok-vesnyi-i-lyubvi.html

*

An old man stood opposite me.

Today was a holiday, and I already realized that my grandfather could not NOT be shaved on such a day. There were a dozen cuts on his face, some of them covered with pieces of newspaper. Grandfather was afraid from the cold, his hands were blue...

He very afraid, but he stood in the wind and waited...

Some kind of bad lump rolled up to my throat.

..I started to freeze. But the saleswoman was still not there...

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*

I continued to look at my grandfather. Based on many little things, I guessed that my grandfather was not a drunk - he was just an old man, exhausted by poverty and old age. And I just clearly felt that my grandfather was embarrassed by his current position below the poverty line...

The saleswoman approached the basket.

Grandfather moved towards her with a timid step. I also followed...

Grandfather approached the saleswoman, I remained a little behind.

“Housewife... dear, how much does one sprig of Mimosa cost?” the grandfather asked with lips trembling from the cold. - So... Get out of here, you drunk! Look, you’ve decided to beg... Come on, get out, otherwise... - the saleswoman growled at her grandfather. “Mistress, I’m not a drunk, and I don’t drink at all, I would like one sprig... How much does it cost?” the grandfather asked quietly.

I stood behind him and slightly to the side. I saw my grandfather have tears in his eyes.

https://www.bfm.ru/news/348166

*

- Alone... Let me mess with you, you drunk... LET'S GET OUT OF HERE! - The saleswoman growled again. “Mistress, just tell me how much it costs, and don’t yell at me...” the grandfather said still quietly. “Okay, for you, drunk... FIVE RUBLES A BRANCH,” the saleswoman said with a kind of grin. A malicious smile appeared on her face.

The grandfather pulled his trembling hand out of his pocket; on his palm lay three ruble bills. “Mistress, I have three rubles, maybe you can find me a twig worth three rubles?” the grandfather once asked very quietly.

I saw his eyes. Until now, I have never seen so much melancholy and pain in a man’s eyes. Grandfather was afraid from the cold, like a sheet of paper in the wind.

- Find you three, drunk... Gaga-ga-ga! ..I’ll find it for you...” the saleswoman had already babbled. She bent over to the basket and rummaged through it for a long time...

- Here you go.. Run to your drunk - give... Ha-ha-ha-ha! - this fool laughed wildly.

In my grandfather’s hand, blue from the cold, I saw a branch of Mimosa - it was broken in the middle. Grandfather tried to give this branch a divine appearance with his second hand, but it, not wanting to listen to him, broke in half - and the flowers looked at the ground...

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*

A tear fell on the grandfather's hand... The grandfather stood, held a broken flower in his hand and cried.

- Do you hear, you bastard... What are you doing ? – I began, trying to maintain the remnants of calm and not hit the saleswoman in the head with my fist. Apparently, there was something in my eyes that made the saleswoman somehow turn pale and even decrease in stature. She just looked at me like a mouse at a boa constrictor and was silent.

“Grandfather, just wait,” I said, taking my grandfather’s hand and turning to the saleswoman. “You stupid chicken - how much does your bucket cost, answer quickly and clearly so that I don’t strain my ears,” I hissed, barely audible, but very clearly. “Eh...a...well...I don’t know,” the saleswoman mumbled. “I’m asking you for the last time - HOW MUCH IS A BUCKET COST!?!” The saleswoman uncertainly stated the amount

All this time, my grandfather looked blankly, first at me, then at the saleswoman. I threw a bill at the saleswoman’s feet, pulled out flowers and handed them to my grandfather. “Father, take it and go congratulate your wife,” I said.

https://vospitanie.guru/doshkolniki/risovanie-na-temu-mimoza-v-vaze-dlya-starshih-i-podgotovitelnyh-grupp

*

Tears, one after another, rolled down the grandfather’s wrinkled cheeks. He shook his head and cried... He just cried silently.

I myself had tears in my eyes. The grandfather shook his head as a sign of refusal, and covered his broken branch with his other hand.

“Okay, father, let’s go together,” I said and took my grandfather’s arm. I carried flowers, grandfather carried his broken branch, we walked in silence. On the way, I took my grandfather to the grocery store. I bought a cake and a bottle of red wine. And then I remembered that I didn’t buy myself flowers. - Father, listen to me carefully. I have money, these 50 hryvnia won’t matter to me, and it’s no good for you to go to your wife with a broken branch - today is the Eighth of March ... Take flowers, wine and cake and go to her, congratulate her.

Grandfather's tears flowed. They flowed down his cheeks and fell onto his cloak, his lips trembled...

I couldn’t look at it anymore—there were tears in my eyes. I literally forced flowers, cake and wine into my grandfather’s hands, turned around, and, wiping my eyes, took a step towards the exit.

“We... We... have been together for 45 years ... She got sick... I COULD NOT leave her today without a gift,” the grandfather said quietly. - Thank you…

I ran, not even understanding where I was running. Tears flowed from my eyes...

*

A bucket of mimosa... The saleswoman is a bitch... And two men are in line behind her... That old grandfather was the first in line - He stood sad, and his face was darker... And the saleswoman rudely refused And laughed, not selling the branch - Pointed to poverty with a laugh, And from driving away the buckets of mimosa... Well, who will save the old man from his rudeness? I couldn’t keep silent - “A bucket of mimosa for me!” I bought it and gave it to my grandfather - let him give it to his sick and old wife... (Larisa Shahbazyan)

Do good

HAPPY HOLIDAYS

*

Sources:

https://poet-putnik.do.am/publ/rasskazy_o_ljubvi/trogatelnyj_rasskaz_pro_8_marta/2-1-0-498

https://m.ok.ru/zapiskivbl/topic/69998000152594

https://valse-boston.livejournal.com/601244.html

https://rg.ru/2016/03/01/kak-mimoza-stala-simvolom-8-marta.html

Risk group

Bedridden patients after surgery are at additional risk of developing the disease. The postoperative period increases the chance of developing the disease, as breathing worsens and the diaphragm cannot function normally. Being confined to a bed does not allow a person to care for himself. The patient sometimes cannot even rise up in bed. Lack of movement (hypodynamia) leads to the accumulation of an excess of pathological microorganisms in the body, and fluid stagnation occurs in the lungs, which creates an ideal environment for the proliferation of pathogenic flora.

Symptoms are more pronounced in bedridden patients, especially in old people who have long lost motor function. This happens because it is easier for bacteria to develop in an immobilized body with reduced activity of the immune system than in a completely healthy one.

People at risk for pneumonia progression include:

1. Post-stroke condition.
2. Damage to the lower extremities, back, skull, brain, meninges, blood vessels and cranial nerves.
3. Oncological diseases.

For patients with cancer, the increased risk is general exhaustion of the body. Chemotherapy, while weakening the symptoms of malignancy, reduces the functioning of all organ systems, including the immune system. In addition, the treatment affects blood circulation in the pulmonary circulation and the removal of excess substances from the lungs (self-regulation). This is how the respiratory organs lose some functions, which also affects the proliferation of pathogenic flora in the lung tissues.

The inflammatory process can be facilitated by necrosis of soft tissues, which appears as a result of constant bed rest and swelling.

People from the above risk group are characterized by bilateral pneumonia. Thus, bedridden patients have constant pressure on the lower back, where when pressure is applied, fluid stagnates, and the causative agent of the disease is predominantly mixed types of microorganisms. Because microflora is favorable for both bacteria and viruses. The clinical picture does not have clear symptoms for elderly people and patients confined to bed. This is where the difficulties in diagnosing and differentiating the disease lie. Since signs appear only after some time, the prognosis with conservative treatment can be disappointing.

In other patients with pneumonia, the bilateral form is due to Streptococcus pneumoniae (Pneumococcus).

Signs of approaching death

Most often, signs of imminent death in a bedridden patient can be observed within a few days (in some cases, weeks). A person’s behavior and everyday habits change, and physiological signs appear. Since the attention of a bedridden patient is focused on internal sensations for a long time, he very sensitively feels all the changes that occur. At this time, many patients begin to increasingly talk to their relatives about their approaching death and take stock of their lives. The reaction at this stage is very individual, but, as a rule, the person becomes depressed and really needs the support and attention of his family. Further manifestations of signs of approaching death provide an opportunity for the family to accept the idea of ​​imminent loss and, if possible, to ease the last days of the dying person.

General signs of impending death in bedridden patients

All signs of impending death in bedridden patients are associated with the gradual failure of internal organs and the death of brain cells and are therefore characteristic of most people.

Fatigue and drowsiness

One of the first signs of imminent death of a bedridden patient is a change in habits, sleep and wakefulness. The body tries to save energy, as a result the person is in a state of constant sleep. In the last days before death, a bedridden patient can sleep 20 hours a day. Enormous weakness does not allow me to fully wake up. Sleep disturbances occur several days before death.

Psychological signs

All this affects his emotional state. His relatives sense his detachment and isolation. Often a bedridden patient at this stage refuses to communicate and turns away from people. It is important for relatives to understand that such behavior is a consequence of the disease, and not a manifestation of a negative attitude towards them. Subsequently, a few days before death, the decline gives way to excessive excitement. A bedridden patient remembers the past, describing the smallest details of long-ago events. Scientists have identified three stages of change in the consciousness of a dying person:

• denial, struggle;
• memories. The dying person thinks in his past, analyzes, is far from reality;
• transcendence. In other words, cosmic consciousness. At this stage, a person accepts his death and sees meaning in it. Hallucinations often begin at this stage.

The death of brain cells leads to hallucinations: often dying bedridden patients report that someone is calling them or suddenly start talking to people who are not in the room. Most often, visions are associated with the afterlife, with the concept of heaven and hell.

Note. In the 60s Californian scientists conducted a study that showed that the nature of the hallucinations of a dying person has nothing to do with education, religion or level of intelligence.

No matter how difficult it may be for the family at this moment, you cannot contradict and try to refute the delusions of the dying person. For him, everything he hears and sees is reality. At the same time, confusion of consciousness is observed: he may not remember recent events, not recognize relatives, or not be oriented in time. Patience and understanding will be required from the family. It is better to start communication with your name. Impaired perception of reality can be observed a month before death. Delirium begins 3-4 days before death.

Refusal to eat and drink

At the same time, food refusal occurs. Due to lack of movement and prolonged sleep, the patient's appetite decreases and the swallowing reflex may disappear. The body no longer requires much energy, metabolism slows down. Refusal of food and water is a sure indicator that death will occur very soon. Doctors do not recommend trying to force feed. But you can moisten your lips with water, this will at least ease the condition a little. The next symptom appears partly as a consequence of refusing water.

Renal dysfunction and associated signs of death

Due to the lack of water entering the body, the amount of urine excreted becomes much less and its color changes. Urine becomes dark red, sometimes brown. The color changes under the influence of toxins that poison the body. All this signals that the kidneys are beginning to malfunction. Complete cessation of urination is a symptom of kidney failure. From this moment on, the clock starts counting.

During this period, the bedridden patient is no longer too weakened and the process of urination cannot be controlled. Intestinal problems are added. Kidney failure leads to severe swelling of the arms and legs. Fluid that the kidneys no longer remove accumulates in the body.

Symptoms associated with poor circulation

With the onset of the terminal stage, the blood pressure of a bedridden patient drops, and blood circulation becomes centralized. This is the body’s defense mechanism, which in a critical situation redistributes blood flow to protect vital organs: heart, lungs, brain. The periphery is insufficiently supplied with blood, which causes the following signs of death in bedridden patients:

• feet and hands get cold,
• the patient complains of cold,
• wandering spots appear (primarily on the feet).

Venous spots begin to appear shortly before death on the feet and ankles. They are often mistaken for cadaveric spots, but their origins vary. Venous spots in a dying person appear due to slow blood flow. After death they turn blue.

Violation of thermoregulation

Neurons in the brain gradually die, and the department responsible for thermoregulation is one of the first to suffer. Before death, a bedridden patient either becomes covered in perspiration or begins to freeze. The temperature rises to critical (39-40°), then drops sharply. When the temperature rises, it is recommended to wipe the dying person’s body with a damp towel and, if possible, give an antipyretic. It will not only help reduce the fever, but also relieve pain, if any. Just before death, the temperature begins to gradually decrease.

Breathing problems

General weakness also affects breathing. Slowing down all processes leads to the fact that the need for oxygen is significantly reduced. Breathing becomes rare and shallow. In some cases, difficult, intermittent breathing is noted. Most often it is associated with the fear experienced by the dying person. At this moment, he needs the support of his family, the understanding that he is not alone. As a rule, this is enough to even out breathing.

In the last hours, wheezing and bubbling in the chest may appear. This is due to stagnation of fluid in the bronchi. The person is so weakened that he can no longer clear his throat on his own. And although this does not cause him any discomfort (at this point the body’s reactions are already greatly muted), you can turn him on his side so that the phlegm comes out.

Cheyne-Stokes respiration may also be observed. This is a phenomenon when breathing changes in waves from rare and superficial to deep and frequent. Having reached the peak at 5-7 breaths, a decline begins, then everything repeats.

Relatives need to constantly moisten or lubricate the lips of the dying person. Mouth breathing causes severe dryness and can add additional discomfort.

Sense organ failure

A decrease in blood pressure leads to the fact that a person hears practically nothing before death. In addition to rare moments of enlightenment, he hears constant ringing and noise in his ears.

The eyes also suffer. Lack of moisture and normal blood supply lead to a painful reaction to light. Often weakened patients cannot open or close their eyes. At night, you can notice that the patient sleeps with his eyes open. At the same time, the eyes may sink from weakness, remaining open.

Despite the fact that it is very difficult for relatives, it is necessary to moisten the cornea with drops.

A couple of hours before death, a person loses his sense of touch. He does not feel touch, does not respond to sound.

Interesting! Scientists have proven a direct link between loss of smell and near death. According to statistics, an elderly person who can no longer distinguish smells dies within five years.

Other signs

In addition to those described above, hospice nurses identify several other signs that indicate imminent death.

Signs before death (dying bedridden patient):

• the smile line goes down;
• a person complains of nausea;
• a “death mask” appears. The nose becomes sharper, the eyes and temples sink in, the ears turn out slightly;
• fleecing (carphology). Just before death, it manifests itself with restless hand movements, reminiscent of picking up crumbs.

Not all of the symptoms listed above always appear, but a complex of several is a sure sign of an early death. Signs of death in bedridden patients due to old age do not differ from those described above. Some diseases, in addition to the general ones, cause specific symptoms of death in a bedridden patient.

Death of a bedridden patient due to stroke

The highest percentage of mortality from stroke occurs in the hemorrhagic course of the disease. After a stroke, the patient finds himself bedridden for 2-3 weeks. 80% of such cases end in death. With a hemorrhagic stroke, the blood supply to the brainstem is first disrupted, and specific signs of death appear in a bedridden patient.

Bedridden patient after a stroke (signs before death):

• "locked man" The patient completely loses the ability to move (can only lower and raise his eyelids), while consciousness remains clear;
• cramps, muscles of the arms and legs in hypertonicity;
• asynchronous movements of the eyeballs associated with damage to the cerebellum;
• breathing becomes loud, with long pauses.

These signs of death in a bedridden patient after a stroke indicate irreversible processes in the body and an early death.

Important! Scientists have found that the survival rate of women after a stroke is 10% lower than that of men. However, stroke is the third leading cause of death for women.

Death of a bedridden patient with oncology

With oncology, everything is a little more complicated. How a person with cancer dies depends on the type of tumor. The location of metastases causes different symptoms and sensations for the dying person. However, there are some general signs:

• pain syndrome intensifies;
• sometimes gangrene of the legs develops;
• paralysis of the lower extremities may also occur;
• severe anemia;
• weight loss.

Death from cancer is always painful. Conventional painkillers at this stage no longer help; improvement occurs only after taking narcotic drugs. A person exhausted by illness needs peace and family support.

The first signs of bedsores

• Subjective sensations that the patient can communicate to caregivers when he is conscious and has preserved pain sensitivity in parts of the body:
• tingling on the skin in places where bedsores are likely to develop, is associated with stagnation of biological fluids (blood, lymph) feeding the nerve endings;
• loss of sensation (numbness) after about 2-3 hours in this area of ​​the body.
• Visible signs of an incipient bedsore that caregivers must know:
• stagnation of peripheral blood and lymph, initially in the form of venous erythema of a bluish-red color, without clear boundaries, localized at the point of contact of the bone and muscle protrusions of the body with the bed, intensity of skin coloring: from barely noticeable to rich;
• desquamation of the skin epidermis with or without preliminary formation of purulent blisters.

These are signs of a developing bedsore. It is urgent to take measures to prevent further deterioration of the pathology.

What to do to eliminate the first symptoms of a bedsore?

To do this you need:

change the patient’s position every two hours; if there are no contraindications, it is recommended to use special pillows to change the position of the limbs and body relative to the surface of the bed, forming gaps between the skin and the bed; monitor the level of the head of the patient’s bed; the head of the bed should be lower or level with it; regulate the humidity of the patient’s skin using hygiene products (washing cream, foam, solution, spray, you can warm baths (it is forbidden to use hot water), do these procedures at least twice a day, in case of uncontrolled bowel movements, remove dirt as quickly as possible; remove excess moisture from the skin and skin folds (water, remains of liquid food, urine, wound exudate, sweat) using special absorbent pads, diapers, napkins, towels, films; regularly remake the bed or change bed linen at least once a day; do not do intense massage, light stroking is allowed areas of the skin with signs of stagnation, carry out this procedure carefully, without friction, especially in areas with close bones; use anti-bedsore mattresses of balloon or cellular type, equipped with special silent compressors to maintain and change the rigidity of its base, with adjustable and programmable inflation of different areas. use, for patients in wheelchairs, pillows filled with gel foam, air, monitor changes in body position in the chair at least once an hour.

If not school, then what?

On the Internet you can find a million articles on caring for seriously ill patients. Books, manuals, advice on forums. It would seem, study and apply.

“But it’s just terrible what they advise there! - Lena Andrev exclaims. — One day I came across the book “Professional Nurse” on the Internet, it was written by a psychologist, the author of another book, “How to Get Your Husband Back.” As I understand it, this author considers himself a generalist. There is, for example, the following advice: when moving the patient, you should take him under the arms or by the neck. But you should never do this! You will twist the patient’s joints and break your own back. Or here’s another thing: it is recommended to treat the skin with alcohol solutions to combat bedsores! And this is also strictly prohibited. So, such a book will bring nothing but harm. Well, the manual is also bad, in which the most important topic of communication with the patient is missed. This means that this manual was written by a person who knows nothing about proper patient care.

Photo: BSIP SA Alamy/TASS

There is also a problem with video tutorials. There is not a single Russian-made video that I would recommend to caregivers. It can be seen that many of these videos are made by sellers of anti-decubitus mattresses, sliding sheets, and other special equipment. Yes, they advertise the necessary things, but their instructions on how to use these products are completely illiterate, and therefore useless and even harmful. Why do I need to know a hundred ways to use a sliding sheet when I need one - one that will help me move the patient easily and painlessly without overstraining myself. There is a lot of unnecessary stuff in such videos, and it only confuses. And in practice these methods are of little use.”

According to Andrev, the ideal option for gaining knowledge is when theory (even from videos and textbooks) is accompanied by practice under the supervision of a specialist. A specialist who will guide and correct. Because even testing the acquired knowledge on colleagues, for example, may not yield results: everything works out on oneself, but when they come to a real patient, they cannot do anything.

It is in order to correctly combine theory with practice that two foundations opened the “Attention and Care” school of foster care.

Forecast

The prognosis for pneumonia in a bedridden patient depends on the general condition, type of pneumonia, pathogen and response to antibacterial drugs. An important role is played by the fact how treatment was started. In the early stages, the prognosis is much more favorable.

In addition, a person’s life is affected by:

1. The immune system.
2. Chronic diseases in other organs.
3. Deviations of a different type.
4. Complications (purulent inflammation of lung tissue with their melting and the formation of a purulent cavity).

If damage to the respiratory organs by pathological microflora is found at the beginning of the progression of symptoms, then in almost all cases the prognosis is positive. And within a month the person completely gets rid of the symptoms of pneumonia.

Attention! It is important to see a doctor in the early stages of the disease to prescribe optimal treatment. Since resistance to antibiotics may appear due to bacterial damage. If complications begin, it will be difficult to avoid negative consequences.

If complications begin, it will be difficult to avoid negative consequences.

Therefore, patients are mainly prescribed broad-spectrum pharmaceuticals. This step helps prevent the body from getting used to the drugs if the cause of pneumonia lies in pathological microflora. The downside is that if the patient is bedridden and also elderly, severe intoxication begins, which reduces the effect of the immune system. Lack of treatment can cause bilateral inflammation. And even cause death.

Elderly people produce an insufficient number of alveolar macrophages, which are responsible for cleansing the body of inhaled foreign particles of various natures. Over time, the disease spreads its effect to the lymph nodes and is rarely limited to a unilateral form. Therefore, prevention and care are very important for elderly people who cannot walk. As well as strict medical supervision before positive dynamics are monitored.

Why does the disease develop in long-term patients?

The appearance of pneumonia in old people confined to bed and simply bedridden patients after injuries is influenced by a general decrease in activity. Due to the lack of mobility and actions that are typical for people with an active lifestyle, weakness appears and weakening of protection against pathological microorganisms. This disrupts the functioning of the respiratory system. This process is aggravated by infection and parasitism. There are a number of pathogens that cause pneumonia:

1. Bacteria are prokaryotic microorganisms that rank first among the causes of disease. These include: Pneumococcus from the genus Streptococcus, Mycoplasma from the genus Mycoplasma, Staphylococcus aureus from the genus Staphylococcus, Chlamydophila from the family Chlamydiaceae, Haemophilus influenzae (Pfeiffer bacillus, influenza bacillus) from the family Pasteurellaceae, Bordetella pertussis (cause of Whooping Cough).
2. Viruses. For example, parainfluenza, influenza, infectious diseases that affect the nasal mucosa (rhinoviruses), RSV, adenoviral infection. Rarely: measles virus, Rubella virus, human herpes virus type 4.
3. Fungi, such as: Candida albicans (the causative agent of thrush, which enters the lungs in advanced stages), Aspergillus, Pneumocystis Jiroveci.
4. Protozoan parasitic worms. For example, worms.
5. Mixed. The disease occurs due to the combined influence of bacteria and viruses.

In addition, the development of pneumonia can be influenced by allergies, infectious lesions of organ systems, disruption of blood flow in the small circle of the circulatory system, and the entry of hydrochloric acid from the stomach into the lungs during vomiting.

The main factor influencing the appearance of pneumonia is the course of chronic processes. They reduce immunity by involving all the body's forces in the fight against other diseases. When the immune system is malfunctioning, the cause of the disease is most often Streptococcus, Staphylococcus, and anaerobic infection. These microorganisms are contained in the normal microflora of the body, but during inflammatory or chronic processes they begin to actively multiply, causing pneumonia.

Bedridden patients are characterized by pneumonia, which appears as a result of a deviation in the blood flow of the pulmonary circle. Breathing deeply contributes to complete blood supply to the lungs, and in patients confined to bed, such blood circulation is impaired. The weakened body of a bedridden person is simply not capable of fully inhaling and exhaling. Deviation of blood flow leads to changes in blood pressure, which negatively affects the lungs.

During exhalation, the following is removed from the body:

• carbon dioxide;
• slime;
• microbes;
• dust;
• dirt.

In a bedridden patient, these particles are not removed from the lungs, since the blood supply is disrupted and the respiratory organs do not have enough strength to remove excess. Over time, dirt and other debris accumulate, causing pneumonia.

CAUSES OF HIGH TEMPERATURE IN A BED-BED PATIENT

Urinary tract infection Pneumonia Concomitant pathology of the upper respiratory tract Deep vein thrombosis Pulmonary embolism Pressure ulcers (READ BEDSORES THIS ...) Vascular diseases (for example, myocardial, intestinal or limb infarction) Infective endocarditis Intravenous injection site infection Drug allergies

Immobility of stroke patients most often provokes infectious diseases of the lungs and genitourinary system. Pulmonary infection usually occurs in the early stages of a stroke, occurring in 20% of patients, while genitourinary infection occurs throughout the entire recovery period.

Infectious lesions of the lungs may be associated with aspiration, insufficient secretion, and decreased movement of the chest on the side of hemiparesis. According to the pathological examination, pneumonia was more often bilateral, and when it was unilateral, it was not necessarily on the side of hemiparesis. However, other authors found clinical symptoms of pneumonia more often on the affected side.

Studies based on the assessment of retrospective data revealed that 25-44% of stroke patients who were recovering in hospital after a stroke had a genitourinary tract infection. Infections are the most significant causes of morbidity and mortality in bedridden patients and often lead to interruptions in the rehabilitation process.

Diagnostics

To diagnose inflammation, you need to listen for wheezing in the lungs using a phonendoscope.

Particular attention is paid to the lower back. In addition to wheezing, crepitus can be heard

To confirm the suspected diagnosis, the patient is prescribed an x-ray at a point where there is a special apparatus designed for bedridden patients.

If necessary, transportation to the procedure site is carried out using paid services that have equipment for hospitalization of patients with impaired motor function.

Severe cases lead to direct admission to the hospital, where a full examination, including x-rays, will be carried out.

A comprehensive examination consists of the following studies:

• blood chemistry;
• general urinalysis (UCA);
• general blood test;
• electrocardiography;
• Ultrasound diagnostics of the heart.

To prescribe pharmaceuticals intended to get rid of the pathogen, it is necessary to take a sputum test. It is collected in two containers and sent to the clinical and bacteriological laboratory, one copy each. Studying the material helps to find the cause of the disease, the beginning of the development of tuberculosis or oncological processes.

How long does a person live in a dying coma? Cancer before death: what you need to be prepared for - Treatment

Cancer is a very serious disease, which is characterized by the appearance in the human body of a tumor that grows rapidly and damages nearby human tissues. Later, the malignant tumor affects the nearest lymph nodes, and at the last stage metastases occur, when cancer cells spread to all organs of the body.

The terrible thing is that at stages 3 and 4, cancer treatment for some types of oncology is impossible. Because of this, the doctor can reduce the patient’s suffering and slightly prolong his life. At the same time, he is getting worse every day due to the rapid spread of metastases.

At this time, the patient's relatives and friends should roughly understand exactly what symptoms the patient is experiencing in order to help survive the last stage of life and reduce his suffering. In general, those dying from cancer due to complete damage by metastases experience the same pain and ailments. How do people die from cancer?

Why do people die from cancer?

Cancer occurs in several stages, and each stage is characterized by more severe symptoms and damage to the body by the tumor. In fact, not everyone dies from cancer, and it all depends on at what stage the tumor was discovered. And here everything is clear - the earlier it was found and diagnosed, the greater the chances of recovery.

But there are still many factors, and even stage 1 or even stage 2 cancer does not always provide a 100% chance of recovery. Since cancer has many properties. For example, there is such a thing as the aggressiveness of malignant tissues - the higher this indicator, the faster the tumor itself grows, and the faster the stages of cancer occur.

The mortality rate increases with each stage of cancer development. The largest percentage is at stage 4 - but why? At this stage, the cancerous tumor is already enormous in size and affects nearby tissues, lymph nodes and organs, and metastases spread to distant parts of the body: as a result, almost all tissues of the body are affected.

At the same time, the tumor grows faster and becomes more aggressive. The only thing doctors can do is reduce the growth rate and reduce the suffering of the patient himself. Usually chemotherapy and radiation are used, then the cancer cells become less aggressive.

Death with any type of cancer does not always occur quickly, and it happens that the patient suffers for a long time, which is why it is necessary to reduce the patient’s suffering as much as possible. Medicine cannot yet fight advanced stage cancer, so the earlier the diagnosis is made, the better.

Causes of the disease

Unfortunately, scientists are still struggling with this question and cannot find an exact answer to it. The only thing that can be said is that there are a combination of factors that increase the chance of getting cancer:

• Alcohol and smoking.
• Junk food.
• Obesity.
• Bad ecology.
• Working with chemicals.
• Incorrect drug treatment.

In order to somehow try to avoid cancer, you must first monitor your health and regularly undergo examination by a doctor and take a general and biochemical blood test.

Symptoms before death

That is why the correct treatment tactics, chosen at the last stage of the disease, will help reduce pain and illness for the patient, as well as significantly prolong life.

Of course, each oncology has its own signs and symptoms, but there are also common ones, which begin immediately at the fourth stage, when almost the entire body is affected by malignant formations.

How do cancer patients feel before death?

1. Constant fatigue. This happens because the tumor itself takes a huge amount of energy and nutrients for growth, and the larger it is, the worse it is. Let's add metastases to other organs here, and you will understand how difficult it is for patients in the last stage. The condition usually worsens after surgery, chemotherapy and radiation. At the very end, cancer patients will sleep a lot. The most important thing is not to disturb them and let them rest. Subsequently, deep sleep can develop into a coma.
2. Appetite decreases. The patient does not eat because general intoxication occurs when the tumor produces a large amount of waste products into the blood.
3. Cough and difficulty breathing. Often, metastases from any organ cancer damage the lungs, causing swelling of the upper body and coughing. After some time, it becomes difficult for the patient to breathe - this means that the cancer has firmly settled in the lung.
4. Disorientation. At this moment, there may be memory loss, the person ceases to recognize friends and relatives. This happens due to metabolic disorders with brain tissue. Plus, there is severe intoxication. Hallucinations may occur.
5. Blueness of limbs. When the patient’s strength becomes low and the body tries with all its might to stay afloat, the blood mainly begins to flow to the vital organs: heart, kidneys, liver, brain, etc. At this moment, the limbs become cold and acquire a bluish, pale tint. This is one of the most important harbingers of death.
6. Spots on the body. Before death, spots appear on the legs and arms due to poor circulation. This moment accompanies the approach of death. After death, the spots become bluish.
7. Muscle weakness. Then the patient cannot move and walk normally, some can still move slightly but slowly to the toilet. But the majority of them lie down and move around.
8. Coma state. It may come suddenly, then the patient will need a nurse who will help, wash and do everything that the patient cannot do in such a condition.

The dying process and main stages

1. Predagonia. Central nervous system disorder. The patient himself does not feel any emotions. The skin on the legs and arms turns blue, and the face becomes earth-colored. The pressure drops sharply.
2. Agony . Due to the fact that the tumor has already spread everywhere, oxygen starvation occurs and the heartbeat slows down. After some time, breathing stops, and the blood circulation process slows down greatly.
3. Clinical death . All functions are suspended, both the heart and breathing.
4. Biological death. The main sign of biological death is brain death.

Of course, some cancer diseases may have characteristic signs, but we told you about the general picture of death from cancer.

Symptoms of brain cancer before death

Brain tissue cancer is difficult to diagnose in the early stages. It doesn’t even have its own tumor markers, which can be used to determine the disease itself. Before death, the patient feels severe pain in a certain place of the head, he may see hallucinations, memory loss occurs, he may not recognize his family and friends.

Constant change of mood from calm to irritated. Speech is impaired and the patient may utter all sorts of nonsense. The patient may lose vision or hearing. In the end, motor function is impaired.

Last stage of lung cancer

Lung carcinoma develops initially without any symptoms. Recently, oncology has become the most common among all. The problem is precisely the late detection and diagnosis of cancer, which is why the tumor is discovered at stage 3 or even stage 4, when it is no longer possible to cure the disease.

All symptoms before death of stage 4 lung cancer relate directly to breathing and bronchi. Usually the patient has difficulty breathing, he constantly gasps for air, he coughs heavily with copious discharge. At the very end, an epileptic seizure may begin, which will lead to death. Terminal stage lung cancer is very nasty and painful for the patient.

Liver cancer

When a liver tumor is affected, it grows very quickly and damages the internal tissues of the organ. The result is jaundice. The patient feels severe pain, the temperature rises, the patient feels sick and vomits, and there is difficulty urinating (the urine may contain blood).

Before death, doctors try to reduce the suffering of the patient himself with medications. Death from liver cancer is very difficult and painful with a lot of internal bleeding.

Bowel cancer

One of the most unpleasant and most severe oncological diseases, which is very difficult at stage 4, especially if a little earlier an operation was performed to remove part of the intestine. The patient feels severe pain in the abdomen, headache, nausea and vomiting. This is due to severe intoxication from the tumor and retained feces.

The patient cannot go to the toilet normally. Since at the last stage there is also damage to the bladder and liver, as well as the kidneys. The patient dies very quickly from poisoning with internal toxins.

Esophageal carcinoma

The cancer itself affects the esophagus, and in the final stages the patient can no longer eat normally and eats only through a tube. The tumor affects not only the organ itself, but also nearby tissues.

Metastasis spreads to the intestines and lungs, so pain will appear throughout the chest and abdomen.

Before death, the tumor may cause bleeding, causing the patient to vomit blood.

Laryngeal cancer before death

A very painful disease when the tumor affects all nearby organs. He feels severe pain and cannot breathe normally. Usually, if the tumor itself completely blocks the passage, the patient breathes through a special tube. Metastases spread to the lungs and nearby organs. Doctors prescribe large amounts of painkillers at the end.

Last days

Usually, if the patient wishes, the patient’s relatives can take him home, and he is prescribed and given strong drugs and painkillers that help reduce pain.

At this moment, you need to understand that the patient has very little time left and you need to try to reduce his suffering. At the very end, additional symptoms may appear: vomiting blood, intestinal obstruction, severe pain in the abdomen and chest, coughing up blood and shortness of breath.

At the very end, when almost every organ is affected by cancer metastases, it is better to leave the patient alone and let him sleep. The most important thing is that at this moment there are relatives, loved ones, close people next to the patients, who will reduce pain and suffering by their presence.

How to alleviate the suffering of a dying person?

Often the patient's pain can be so severe that conventional medications do not help. Improvement can only be brought by narcotic substances that doctors give for cancer. True, this leads to even greater intoxication and quick death for the patient.

How many years can you live with stage 4 cancer? Unfortunately, in the best case, you will be able to live for several months with the right therapy.

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Source: https://medicodo.ru/predsmertnaya-koma-skolko-chelovek-zhivet-rak-pered-smertyu-k-chemu-nuzhno-byt-gotovym.html

Clinical picture

Although the signs of pneumonia are not pronounced in the first stages, they are characterized by some features. So symptoms of pneumonia can be divided into pulmonary and extrapulmonary.

The first include a violation of the frequency and depth of breathing, accompanied by a feeling of lack of air, as well as a slight cough. Such manifestations of the disease are observed in people in a post-stroke state or with senile dementia of the Alzheimer's type.

Extrapulmonary signs are characterized by inhibition of all processes in the body, including the patient’s perception. Deviations occur in the activity and functioning of the central nervous system. These manifestations are accompanied by emotional instability, involuntary loss of urine, and a prolonged state of stress.

Popular symptoms of aspiration pneumonia:

• severe unproductive cough;
• activation of the cough center occurs mainly at night;
• increased salivation;
• incontinence of food in the mouth when chewing;
• dyspnea (shortness of breath).

The clinical picture of congestive pneumonia in the initial stages is characterized by:

• lack of sputum;
• asthenia;
• mild cough;
• shortness of breath;
• general weakness of the body;
• disruption of the respiratory system.

Common signs include that listening to the lungs reveals the presence of dry rales. Body temperature does not rise high or reaches insignificant values.

Causes of bedsores

The cause of bedsores is as follows. Our body is completely riddled with small blood vessels. Through these vessels - capillaries - blood flows to various organs of the body. If blood vessels are compressed, blood stops flowing to the tissues, as a result of which the tissues become necrosis.

Bedsores also form if a wet sheet is often pulled out from under a sick person. In this case, blood vessels rupture. This is completely invisible to the human eye. But after the blood vessels rupture, blood stops flowing to the tissues. Bedsores form.

Also, blood vessels can rupture if a person cannot, for example, walk and constantly slides down to take a different position.

Lots of problems

But even spending a relatively short time in a hospital bed without the opportunity to take at least a few steps is also dangerous. That is why surgeons force operated patients to get up almost immediately after the anesthesia wears off. Well, at least for the next day, for sure.

Among the harmful effects of prolonged lying: body numbness, joint stiffness, muscle atrophy. It is estimated that in complete rest a person loses up to 3% of total muscle mass per day. That is, after just a month or so of incessant horizontal rest, complete muscle atrophy can occur and a person simply cannot take a single step on his own.

In addition, prolonged bed rest can lead to a decrease in the functions of the cardiovascular system, the risk of thrombosis, and therefore pulmonary embolism, which threatens the patient with sudden death.

Article on the topic

It is forbidden to stand up. How to care for a bedridden patient

Rehabilitation of a bedridden patient

To properly organize the recovery period, strict adherence to the doctor’s recommendations is required. To make this task easier for relatives, you need to follow a clear daily routine. It is best to schedule all necessary hygiene procedures, taking medications, feeding, massage, and physical education classes by the hour.

Treatment

During the rehabilitation period, the mandatory intake of medications from the group of neuroprotectors, antiplatelet agents, hypocholesterolemic drugs, antihypertensive and diuretic drugs continues. Doses and frequency of use are prescribed by a doctor, and the person caring for a post-stroke patient must observe the time and sequence of their use.

It is also necessary to measure blood pressure at least 2 - 3 times a day and record the results. If unusual reactions occur, call a doctor immediately.

Sample of pressure recording and recording

Exercises

Massage and physical therapy are a necessary part of rehabilitation. They begin in the first week of a stroke and are usually carried out for a long period of time, taking 7-10 day breaks in agreement with the doctor. The duration of the session ranges from 10 (initially) to 30 minutes or more, depending on the patient’s adaptation.

The development of the limbs occurs after they are warmed by massage or thermal procedures (paraffin, ozokerite applications). Be sure to include movements for healthy and paralyzed limbs in the training.

Watch the video about physical therapy for bedridden patients: