We’ll use the term stable somewhat frequently, especially with individual disease states, but try to avoid pigeonholing patients into grave, critical and serious. I hope you can take some solice in the fact that so many people are feeling the way you are at this exact moment, and we all want to remember our loved ones together. But even those who do have medical training can go numb, our minds stop working in those first minutes. Guarded prognosis means there is a small chance that your cat may be cured or live. Does this mean I offer the same prognosis for a tiny Chihuahua as I would for a Great Dane if both were diagnosed with a 2cm oral melanoma tumor? Generalizations are valuable to an extent, but they cannot predict individual response. They predict the likely course of the cancer, and ultimately, your pet's prognosis, or final outcome. For dogs being treated with chemotherapy, those who have a B-cell phenotype tend to have a longer lifespan than dogs with a T-cell phenotype. They predict the likely course of the cancer, and ultimately, your pet's prognosis, or final outcome. Easily create a Forum Website with Website Toolbox. Unfortunately, many times prognostic factors fail to provide clinically relevant information. The last one I really have trouble with is the issue of “how many years do I have left?” I’ve been out of medical school for 16 years and I’m still baffled about how this prediction is made. Many features may not work properly without it. In an ICU/CCU, it means (not always) that they could be on a ventilator, dialysis machine, bypass machine, or any number of machines to keep them alive. YouTube, It's normal for a new rescue dog to be guarded when you first bring her home. Some owners will therefore base their decision to pursue treatment based solely on the result of the phenotype testing. The cobblestone type of rectal tumor is a wide-ba… Source(s): vet tech for 10 years. They have a questionable outlook. “critical” means that their injuries are so severe, they could die at any moment. Guarded prognosis, serious condition mean the same. Thanks guys. I’m also humble enough to remember that every animal is a uniquely created organism with unpredictable responses and outcomes, and that treating the individual is far more important than treatments based solely on statistics and probabilities. Hi all, wondering if anyone could tell me what it means to have a guarded prognosis? I have met several intensive care unit personnel who have used the term, but they could not define it or tell me where the definition might be found. My patients are more than a simple set of descriptive values or categorical characteristics. Remember: Using others' images on the web without their permission may be bad manners, or worse, copyright infringement. Uncategorized what does guarded prognosis mean. Veterinary patients exist on an enormous spectrum of shapes and dimensions, therefore tumor size must be interpreted in light of patient size. At first glance, one might assume dogs with nosebleeds have more aggressive tumors, or are sicker from their disease. Your prognosis is your outlook or your chance of recovery from breast cancer. Large images may take a few minutes to appear. However, I am clear that most of those dogs are euthanized because of the physical issues caused by the nosebleed itself, rather than because of outward signs of pain, illness, or other concerns. If a dog is experiencing any serious respiratory symptoms or decline in their health, this is often a sign that the cancer is severe or it … I'm so sorry for your loss. Feeding Kittens 101: What to Feed, How Much, and How Often. I know it is tough to second-guess the decisions because I too have done this. Someone who's guarded is careful, restrained, and maybe a little bit wary. When their quality of life declines, owners may consider euthanasia to end their suffering. If your URL is correct, you'll see an image preview here. I am so sorry for your loss of Emily, and hate to see people go through the guilt and questioning of what they did. Understanding Veterinary Lingo: What is a 'Prognostic Factor'? Most studies investigating various cancers in pets include an analysis of specific prognostic factors in some capacity. guarded. His ultrasound showed tumors in his lungs, heart, liver and spleen. My instructor wasn't there and the unit was busy so it wasn't a good time to ask the nurses. I have witnessed many animals survive much longer than many have predicted. A Guarded Prognosis. Many people think of a guarded prognosis as another way to say that the patient is in poor or serious condition. Many dogs will improve following oral anti-fungal medication. A triple bypass is more serious than a double, and a quadruple is near death. When the pancreas … For example, immunophenotype is a prognostic factor for dogs with lymphoma. When a patient has a guarded prognosis, he or she has an acute illness. Please enable JavaScript in your browser settings. Sometimes you need someone else to be the voice of reason. New and better treatments are helping people diagnosed with breast cancer live longer than ever before. Most of us are 1) in total shock and terror when we hear that, and 2) most of us don't have medical expertise. When we focus too much on specific prognostic factors, we lose sight of the bigger picture. No owner wants to hear these words because they are usually followed by “Should we continue treatment?” I hope you are not in this situation now but you will need to consider quality of life, expense, and the odds. Nothing anyone can say will take away this pain, but being new to this message board, so many comforting words have really helped me. A particular characteristic determined to be a statistically significant prognostic factor in one study can be refuted with additional study.
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