An experience

Today I was sent to see a patient on ITU. Apparently all other volunteers have fainted who have been on there.
As i walked in the heat hit me. I went over to the patients bed and he looked very ill. The wall had coffee and vomit stains on it and the floor was muddy. The bed was very low, with floral sheets and a rusty frame to it. The frame almost looked like scafolding, tied with rope.Hmm. I picked up his notes and starting reading through. Aspiration Pnemonia, two severe strokes with a GCS of 6/15 apparently improving to 4/15 in 2 days...ummmmmm you mean detioriating. I looked up confuessed and looked round the ward. There was a patient going to the toilet with no curtian drawed. I looked back down at the notes. Right ok.. The man had obviously lost alot of weight and was dehydrated. I had been sent to do passive movements. At least they were kind of thinking along the lines of palitive care. His GCS had that day dropped to 2/15. As i looked down i saw a nasal phalangeal tube in his nose attached with a plaster. Hmm.. As I put on my latex gloves (which I'm allergic to - nice) I started to carry out the passive movements. I could tell this patient didn't have long to live.He wouldn't be alive in England. Who decides when life ends? As i walked away I felt tears in my eyes.
I went to wash my hands. No water. Perfect. I Was glad I had put on my itchy gloves.