Doctor insights on:
Activities For Senior Citizens With Dementia
Apps for seniors: The Lumosity APP has merit. Scrabble/crossword puzzle apps (there are quite a few) as well as APPs that can teach you a new language will be of benefit and without any side effects. Keeping your mind active at all ages is essential to reduce your risk of dementia as well as help even those with dementia. ...Read more
How do you deal with a senior parent who may be suffering from dementia and insists people from her past (who have long passed away) are still around.?
Don't argue: Arguing with patients with dementia can be frustrating for both caregivers and patients themselves. It is better to go along with the story, and redirect whenever possible. You could end up agitating the patient and making the situation worse. Remember, it's the disease that is doing this to your parent, and not them! ...Read moreSee 3 more doctor answers
What's better for a senior after a stroke and dementia, a peg or pej tube. Which one is more likely to have less regurgitation and aspiration pneumoni?
With HELP: This an important area of concern; and will only get greater. Diminished capacity + powerful compounds is truly dangerous. The caregiver should be the acting adult. Maintain dignity of your patient by clear explanation to both, after both have been invited into the exam room. Neither leave the pt. Out nor be less than complete as you say & write necessary info. On your stationery (4 contact, etc). ...Read moreSee 2 more doctor answers
What's better for senior to have installed after stroke. Cannot eat and has dementia and is bedridden. Less regurgitation, and aspiration pneumonia?
Quality of life...: Sometime a feeding tube is used but with advanced dementia, feeding tube often causes more harm than good. It is not easy, but significant illnesses reduces hunger and so one often does not feel hungry. Use of feeding tube thus equals forced feeding which is not a good thing. Have a family meeting; discuss the wish of the person and respect it. It is not easy. Good luck. ...Read moreSee 1 more doctor answer
Is it reversible?: Tests consider reversible bs irreversible causes of dementia. Look at thyroid function tests, B12 levels, RPR to rule out syphillis. These are metabolic causes.Then ctscan or MRI to r:/o tumor, multiinfarct dementia(mid).If mid, ekg to r/o atrial fibrillation. Newer tests include pet scans and other new x-ray imaging studied. It is common to find small vessel ischemia. ...Read moreSee 1 more doctor answer
Can you tell me an examples of types of activities you do with a person who you have worked with and experience dementia?
Use your mind/body: At all stages of dementia strengthening brain connections (called synapses) is the goal. We do not have proven therapies in humans with dementia that can do this. However, any type of physical or mental exercize will help you feel better at any stage of dementia. Aroma therapy, pet therapy, music therapy are but a few modalities I recommend. Contact with 'happy people' and engage them. ...Read more
Should my 80 yr old father with significant back pain but normal activity have spinal fusion, since he has dementia w/little short term memory?
Spinal fusion is a: big surgery, so many factors need to be taken into consideration before undergoing such procedure. Can he withstand general anesthesia? Does he have too much dementia to understand instructions for recovery afterwards? Did he have good mobility before the surgery? Has he had other spinal surgeries before? How is his cardiac and pulmonary health? etc.. Thanks for trusting in HealthTap. ...Read more
Yes and no: If there is an illness that runs in your family you should speak to your doctor about it. There are many many types of dementia. Some of them are genetically passed on while others aren't. The most common type of dementia is alzheimers disease and there are 2 forms. The early onset form is highly heritable. Alcoholic dementia is not inherited though a propensity for alcohol dependence can be. ...Read moreSee 2 more doctor answers
May be challenging: We do accept that subjective cognitive impairment may be a valid complaint of an impending dementia. But many medications can cause cognitive clouding, especially in older folks, and thyroid problems, vitamin deficiency, and elevated homocysteine could be issue. Small strokes and early onset of alzheimers perhaps. Neuropsych testing is best approach, but start with your doc. ...Read moreSee 3 more doctor answers
Early dementia: Behavioral and psychological symptoms (bps) are common in the older population and may be an indication of early dementia. Van der linde rm et al 2012 found that wandering and persecution were independently associated with progression to dementia. Early co morbid conditions include obsessive compulsive disorders with evolving paranoid symptoms such as fear of stealing behaviors. ...Read moreSee 1 more doctor answer
Neurological: Dementia is a clinical term that means a progressive impairment of thinking abilities (often but not always memory) that interferes with the person's abilities to perform their usual daily activities. Many types of disorders can cause dementia. Some, such as low thyroid, low vitamin B12 or severe depression are treatable. Others such as alzheimer's disease have some treatments but cannot be cured. ...Read moreSee 2 more doctor answers
Incontinence: As dementia worsens, not only does their cognition decline but their body muscles weaken so it becomes more difficult to get out of bed/chair and walk to the bathroom. There's usually a progression from having a difficult time in getting to the bathroom in time, to using a bedside commode, then to diapers. All dementia patients progress to complete incontinence of bowel and bladder at some point. ...Read moreSee 1 more doctor answer
Answer below: Alzheimers (60% - 65%), less common are vascular dementia, lewy body dementia, picks disease (frontotemporal), alcoholic, B12 deficiency, hiv, dementia pugilistica (head trauma), a few rare prion diseases such as jacob kruetzfeld (spongioform encephalopathy), and mixed. Some reversible encephalopathies are occasionally classified as dementias, but not true dementias. ...Read moreSee 1 more doctor answer
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