21 hours ago, connda said:

Think of it this way.

In First World countries, you can pay someone to "do everything, feed, give drinks, tell the doctor whats wrong, change colostomy bags & nappies etc" - and therefore completely sanitize the dying process and make it someone other than the "Family's" problem.
The "Family" can just stay drunk and gossip about the dying's life while someone lower on the social spectrum takes care of the dirty-work.

Unless they can't.

And to be really, really honest?  Here in Thailand, most middle class people can afford to hire someone (for 10K a month) to do all of that.  To be a caregiver.  And you could probably find a good caregiver too as an expat

Instead?  Complain.  "Thailand Medical Bad."

Thailand isn't First World.  Nope. It is not.
Culturally until recently, family would take care of all of that "messy and dirty" work of caring for dying family members until the last moment.  And even then?  Many die at home. 

Imho the biggest issue here in Thailand is the lack of Palliative Care for Joe Sixpack and Sonchai TaMaDa.  There is a real lack of compassion when it come to alleviating pain in terminal patients. Well - unless you have ฿฿฿฿Cha-Ching฿฿฿฿
If pain can be addressed, then dying is just a matter of marking time.

There are palliative care centers in many government hospitals that will ensure adequate pain control.   Have to request to see the palliative care doctors.

 

the nursing care remains family responsibility though.

48 minutes ago, Sheryl said:

There are palliative care centers in many government hospitals that will ensure adequate pain control.   Have to request to see the palliative care doctors.

 

the nursing care remains family responsibility though.

We have a friend who is a male nurse at our local Community Hospital. Same as in UK, he visits three times per day and provides such as electric undulating pressure relieving mattresses for the dying. He attended my mother-in-law whilst she was dying last year. When off-duty he came around to our house and kipped down on the floor with the family and friends watching over. In addition, a doctor visited once daily. Something you don't get from the UK National Health Service.