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US What is known about former first lady Barbara Bush's health

15:21  17 april  2018
15:21  17 april  2018 Source:   ap.org

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Home » National News » What is known about … Former first lady Barbara Bush is receiving “comfort care” at her family’ s home in Houston after deciding she wanted no further medical treatment for unspecified health problems.

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FILE - In a Thursday, Aug. 22, 2013, file photo, former first lady Barbara Bush listens to a patient's question during a visit to the Barbara Bush Children's Hospital at Maine Medical Center in Portland, Maine. A family spokesman said Sunday, April 15, 2018, that the former first lady Barbara Bush is in © The Associated Press FILE - In a Thursday, Aug. 22, 2013, file photo, former first lady Barbara Bush listens to a patient's question during a visit to the Barbara Bush Children's Hospital at Maine Medical Center in Portland, Maine. A family spokesman said Sunday, April 15, 2018, that the former first lady Barbara Bush is in "failing health" and won't seek additional medical treatment. (AP Photo/Robert F. Bukaty, File) Former first lady Barbara Bush is receiving "comfort care" at her family's home in Houston after deciding she wanted no further medical treatment for unspecified health problems.

The 92-year-old has suffered from congestive heart failure and chronic obstructive pulmonary disease in recent years, and had surgery in 2009 for severe narrowing of her main heart valve. She also has been treated for decades for a thyroid condition called Graves' disease, and had surgery on a perforated ulcer in 2008.

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Former first lady Barbara Bush is receiving “comfort care” at her family’ s home in Houston after deciding she wanted no further medical treatment for unspecified health problems. The 92-year-old has suffered from congestive heart failure and chronic obstructive pulmonary disease in recent years

Former first lady Barbara Bush is receiving “comfort care” at her family’ s home in Houston after deciding she wanted no further medical treatment for unspecified health problems. The 92-year-old has suffered from congestive heart failure and chronic obstructive pulmonary disease in recent years

A family spokesman did not elaborate on whether there were other health problems.

Here is what is known:

COMFORT CARE

People who opt for comfort care receive treatment only for their symptoms, such as shortness of breath or pain, rather than trying to prolong life or cure the underlying health problem, said Tim Simpson, a certified hospice and palliative nurse for almost 28 years

For example, patients having trouble breathing might receive oxygen or steroids; or if they have fluid in their legs because of a bad heart, they might receive diuretics.

"With comfort measures, there are no unnecessary tests except those needed to relieve a patient's symptoms," said Simpson, chief nursing officer at Seasons Hospice in Illinois.

Hospice care has some technical differences. It's for patients who are not expected to live more than six months who sign a waiver officially saying they want only non-life-prolonging treatment of symptoms by a team of caregivers, and it may be covered by Medicare. Comfort care is more of a verbal understanding between doctor and patient, Simpson said.

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Barbara Bush in failing health . CBS This Morning. Time running out in Thailand cave rescue. Despite her fiery side, White House staff knew her to be one of the friendliest, and easiest First Ladies to work with.

Former first lady Barbara Bush is receiving "comfort care" at her family' s home in Houston after deciding she wanted no further medical treatment for unspecified health problems. Here is what is known : COMFORT CARE.

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COPD

Chronic obstructive pulmonary disease is a progressive lung disease that causes inflamed airways, which become smaller and impede a person's ability to get air out of their lungs, said Dr. Kyle Hogarth, a pulmonologist and associate professor in pulmonary and critical care at the University of Chicago Medicine.

Hogarth said because of the damage to the lungs, airways collapse easily, which is why patients have difficulty exhaling.

It's usually a combination of many things, including airway obstruction and emphysema, he said. People who are frequently diagnosed with bronchitis, especially in the winter, might have undiagnosed COPD, he said.

COPD usually is caused by smoking, though it can develop in nonsmokers, especially those exposed to second-hand smoke.

It also can indirectly affect the heart, which must work harder to pump blood through the lungs.

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CONGESTIVE HEART FAILURE

Heart failure is one of the top reasons older people are hospitalized, and a leading cause of death. It develops when the heart muscle weakens over time and can no longer pump effectively, sometimes because of damage from a heart attack. Fluid can back up into the lungs and leave people gasping for breath.

Many people have both heart and lung problems, Hogarth said.

Melania Trump takes White House staffers who knew Barbara Bush to funeral .
First lady Melania Trump brought two White House staff members who were close to the Bush family as her guests to former first lady Barbara Bush's funeral on Saturday in Houston. Trump was accompanied by former White House head maître d' George Hainey and current White House usher Buddy Carter, the first lady's office said."She knew they were very close to the Bush family and wanted them to be able to pay their respects," spokeswTrump was accompanied by former White House head maître d' George Hainey and current White House usher Buddy Carter, the first lady's office said.

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