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If pneumonia is the "old man's friend", should it be prevented by vaccination? An ethical analysis.

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  • If pneumonia is the "old man's friend", should it be prevented by vaccination? An ethical analysis.

    http://www.ncbi.nlm.nih.gov/pubmed/15893623
    Vaccine. 2005 May 31;23(29):3843-9. Epub 2005 Mar 23.
    If pneumonia is the "old man's friend", should it be prevented by vaccination? An ethical analysis.
    Zimmerman RK1.

    Abstract

    Because pneumococcal disease is a major problem among the elderly, pneumococcal polysaccharide vaccination is widely promoted. However, Sir William Osler called pneumonia the friend of the aged, leading to an ethical discussion. Mortality from pneumonia is higher with increasing degrees of underlying illness, outweighing the age effect. Although some symptoms are less common in the elderly, other symptoms are not and the duration may be longer. Problematic criteria for limiting pneumococcal polysaccharide vaccination include age, social value, and quality of life. Recommended criteria for limiting vaccination include autonomous patient refusal, imminent death, and lack of medical benefit, as would be seen in hospice cases.
    Never forget Excalibur.
    “‘i love myself.’ the quietest. simplest. most powerful. revolution ever.” ---- nayyirah waheed
    Avatar: Franz Marc, Liegender Hund im Schnee 1911 (My posts are not intended as advice or professional assessments of any kind.)
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