Itisdifficultin a carehometobeabletogive a balance, becauseiftheyareallkeptentirelyintheirroomsandthere's nootheractivitiesgoingon, theycan't seetheirfamiliesonfriends.
Thingslikethat, itgetsdepressing.
A depressionis a quickwaytogetyourselfinto a lessgoodstate, andthereforeyou'remoresusceptibletoillness, soitisimportantforustomanagethoseareaseffectively.
Ondhe, wealsofeel a littlebitas a caresectorneglectedmovieEveryonehasbeenfocusingentirelyrightlyonthe N hsandhowimportantitis.
Butwedoneedtomakesurethat, bearinginmindsomethinglike 400,000 peoplearebeingcaredforinthesector, a tinyonetimethatis a hugeproportionoffthepopulation, probablylargerthantheactualpopulationofpeopleactuallyinthehospitalsandsoon.
Sylvia, whenwecometoyourlookingaftertheseolderpeopleinthehome, haveyougotabsolutelyallthe P P E equipmentYouneedtokeepyousafefromtheBarrys.
I don't understandwhywehavetomakethisway's offdoingthingstoprotectthemandus.
Butsomeofthemdon't havethey.
Well, thankyouvery, verymuch.
Andcongratulationsonthejobyoudo, you'reIt's a difficultconversationaboutworstcasescenariosthatnoneofuseverreallywanttohavebutcircumstancesandareforcingmanyofushaveifwe'reelderlyorvulnerableandget a badcaseofcovert 19 Howwouldwewanttobetreated?
Butthecost, theriskofnothavingthesedifficultconversationswithourlovedonesisthatsuddenlyyoumayfindyourselfor a familymemberin a in a chaotic, panickedsituationbecausesomeoneissuddenlyseriouslyunwellwithCoronavirus, andyourealizethatactuallyyouhavenoideawhattheirwishesare, andmaybe a doctorornursespeakstoyoufromthehospitalandsays, Doyouhaveanyideawhatyourmomordadwouldhavewanted?
Didtheywantintensivecare?
A ventilator?
AndAndyouhavetosay, I havenoideabecauseyoudidn't havethischaton.
Andandtheyfacethepossibilityofgoingtohospitalgoingon a ventilator, saying, Actually, wedidn't wanttodothisonebecauseit's it's painfulandmightnotwork, and I'd rathergivemyhospitalbeduptosomeoneelsewasyounger.
Um, I thinkthere's beenquite a lotofveryfibrillationsensationalistdiscussioninthemediaandespeciallysocialmediaaboutthatissue, someveryunderstandablefearsthatsomehowCoronavirusisforcingdoctorsinto a positionwherebywearerationingtreatmentonthegroundsofageonDDE.
ThatwasimpliedinsomeofthecommentssectionfromageUKthere, and I thinkit's reallyimportanttostressthatthathasneverseenthecaseinthe N hs.
It's It's notlegaltodothat.
It's not.
It's notlegaltodothatnowwhenwe'remakingdecisionsaboutwherethereare, notsomebodywouldbeappropriateforintensivecare, a ventilatororresuscitationCPR.
I hatethethoughtthatiftheydidgotohospitalandwereseriouslyunwell, thattheywouldbecutofffromtheirlovedonesbecause, ofcourse, allhospitalhospitalsatthemomentarehavingtohave a reallystringentvisitorpolicyon.
Actually, somepeoplearethinkingyouknowwhat?
I'm 85.
I knowthechancesofCPRorgoingtwitoyouarevery, veryunlikely.