Patient's Query
Hello doctor,
My grandfather is 78 years old with advanced Parkinson's disease and has had multiple hospital admissions this year due to infections, falls, and confusion. Lately, our family has started questioning whether aggressive hospital treatment is still helping him or only exhausting him more.
Should a 78-year-old patient with Parkinson's disease continue hospital treatment? It is a difficult conversation because we do not want to feel like we are giving up on him, but we also want whatever time he has left to be peaceful and dignified.
Kindly advise.
Hello,
Welcome to icliniq. com.
I have read your query and am sorry for the discomfort.
The condition your family is going through is one of the hardest and most caring decisions people can face, and asking this question does not mean that you are giving up on your grandfather.
In advanced Parkinson's disease, especially when there are repeated hospitalizations for infections, falls, and confusion, families often reach a stage where the focus shifts from prolonging life at all costs to maintaining comfort, dignity, and quality of life.
Hospital treatments can still sometimes be helpful if they are likely to improve comfort or restore some level of function. However, repeated hospital admissions can also become physically and emotionally exhausting and disorienting for older adults with advanced neurological disease.
The most important question is often not simply, Can another treatment be given? But rather, will this treatment help him live in a way that he would consider meaningful or worthwhile?
Many families find it helpful to speak openly with the treating doctors about goals of care, including the expected outcomes of future hospitalizations, the possible burdens of treatment, and whether palliative care or hospice care may provide greater comfort and peace in a familiar environment, such as home.
Choosing comfort-focused care does not mean abandoning someone. It is still active and compassionate care that focuses on relieving suffering, maintaining emotional connection, and respecting the person’s wishes and dignity during the final stage of life.
I hope this is clear, and if you have any questions at any time, please feel free to ask.
Thank you.
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Answered byDr. Ashraf Ghani
Medically reviewed byiCliniq medical review team
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