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Doctor insights on: Alzheimers Patient Put Retirement

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Patient safety in elderly populations; how do nurses communicate with the Alzheimer's folks?

Patient safety in elderly populations; how do nurses communicate with the Alzheimer's folks?

Patience/compassion: It is hard to watch a viable adult dwindle in to memory loss as with alzheimer's. Most people who communicate with them have patience, understanding, and can read body language and facial cues. Caregivers remember what these patients liked and how to help them and communicate that to nurses. Art, music, and old pictures reach the long term memories of these patients and that helps. ...Read more

Dr. Donald Royall
145 doctors shared insights

Retirement (Definition)

Generally, women who are pregnant may continue to work during their pregnancy. Some women are able to work right up until they are ready to deliver, while others may need to cut back on their work schedule or stop completely before their due date. Whether you can work during your pregnancy or not depends on your health, the health of the baby, and the type of ...Read more


Dr. Tony Su Dr. Su
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How does hospice work? Who decides when to put a patient in hospice care?

Dr. Tony Su Dr. Su
6 doctors agreed:
How does hospice work?  Who decides when to put a patient in hospice care?

You decide when : Hospice focuses on treating symptoms and proving comfort care in patient who are terminally ill or have failed to respond to treatment or have declined aggressive interventions such as use of a ventilator, dialysis, or feeding tubes. Many conditions qualify including cancer, heart failure, emphysema, cirrhosis, aids, kidney failure, dementia, stroke. You or your family determine when it's time. ...Read more

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Can a md. Deny medicare-paid hospice end-stage dementia patient physical therapy if patient's family requests it to maintain movement with new law?

Can a md. Deny medicare-paid hospice end-stage dementia patient  physical therapy  if patient's family requests it to maintain movement with new law?

Hmmm . . . : Could there maybe be a disagreement between this physician and your family about what's in the patient's best interests? This is a deep discussion that involves much thought and consideration, and which deserves scheduled time with your relative's doctor to go over treatment plans, prognosis, etc. Maybe such a discussion can resolve these issues? Doctors want to help, not hurt or harm. ...Read more

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Mom, Lewy body dementia, end stage ovarian cancer, hospice will not treat dementia, (moving faster) meds make dementia worse, hospice can not take care?

Mom, Lewy body dementia, end stage ovarian cancer, hospice will not treat dementia, (moving faster) meds make dementia worse, hospice can not take care?

Hospice have : Differing rules and regulations regarding acceptance of patients. It's difficult for u to plead your case against a big institution. Other options for u is to apply for fmla for urself to help with your mom's care or privately hire an LPN or cna for this purpose. God bless u and ur mom! ...Read more

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Geriatrics md: how can nursing home refuse to share care plan with woman's child citing hipaa even before she moves in? Older nonmedical sib has poa.

Geriatrics md: how can nursing home refuse to share care plan with woman's child citing hipaa even before she moves in? Older nonmedical sib has poa.

HIPAA strictly: Demands that medical personnel do not discuss medical care issues with anyone but the person designated by the patient. It appears it is not you. Don't get mad at the nursing home, your beloved government came up with the rule. If they are ever found in contempt, the home is fined and potentially taken out of business. So there's that! ...Read more

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Who gave permission for psychiatrists to put demented people in psychiatric hospitals?

Who gave permission for psychiatrists to put demented people in psychiatric hospitals?

Hospitalization: Sometimes people with dementia need to be in the hospital -- especially when they have an acute change in their mental status. Many medical conditions need to be ruled out, and treated as needed. Families often bring their elderly family members to er's, asking for help. This may best be provided on medical psychiatric units, where staff is skilled and comfortable working with such people. ...Read more

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Use of restraints on elderly patients--are those considered elder abuse?

Use of restraints on elderly patients--are those considered elder abuse?

Usually safety issue: Preferable to use restraints than have an elder fall out of bed or chair or go wandering off and find themselves in dangerous situations. Most hospitals and nursing homes do not have enough staff to have one on one caretakers all the time. Restraints are thus often necessary for economic reasons. Abuse would be the use of restraints purely as a punishment. ...Read more

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How might forgetfulness from multi-infarct dementia interfere with elder safety needs?

How might forgetfulness from multi-infarct dementia interfere with elder safety needs?

Particularly if : Short term memory is effected, the older person may not remember they left the stove on, or may not remember they need to use a walker. ...Read more

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In ca, if a patient's advanced directive says dnr, but the patient verbally states desire for resuscitation at hospital admission. What will happen?

In ca, if a patient's advanced directive says dnr, but the patient verbally states desire for resuscitation at hospital admission. What will happen?

Most recent is right: An advanced directive is just a statement of someone's wishes in the event of a serious illness. Wishes can change. The most recent and clear statement of intent is the one that counts. But it can't be some relative interpreting the patient's intent for them. The reason you need advanced directives is if the situation arises where a dnr is needed, the patient is usually too out of it to change it. ...Read more

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When should an alzheimer's patient be put in a retirement home?

When should an alzheimer's patient be put in a retirement home?

Caregiver burnout: When a caregiver can no longer maintain the level of care for the person with dementia, it may be time to look for alternative housing. This may mean a day care two to three time's a week up to nursing home care, depending on the severity of the dementia. Studies show that when the caregiver's health declines, physically or mental stress, the person they are caring for also declines. ...Read more

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Where can I find information about seniors medicare and social security benefits?

Where can I find information about seniors medicare and social security benefits?

Medicare information: Call medicare, they will actuallly answer the phone and can be very helpful. You can also go on line to medicare.Gov for information. ...Read more

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How many patient lost their lives due to early discharged from icu / hdu? Is it a policy of hospital for patient re-admission & double earning?

How many patient lost their lives due to early discharged from icu / hdu? Is it a  policy of hospital for patient re-admission & double earning?

Inappropriate: This is not appropriate care, no; however, this question is more of a troll question, and i doubt you seriously expect any sort of medical advice for an answer. If you have legal issues with malpractice, you need to seek a lawyer; this forum is not appropriate for it. ...Read more

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Does a mentally disabled patient's family & doctors have the right to make decisions on their behalf?

Does a mentally disabled patient's family & doctors have the right to make decisions on their behalf?

Guardianship: If they have been found legally incompetent to make these determinations then a guardian is appointed, who acts on the individual's behalf. Sometimes this is a family member and at times can be someone appointed by the court. Usually this occurs because the individual does not recognize the illness. Only in an emergency can the doctors act without the okay of the patient or legal guardian. ...Read more

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How does aide behave towards the misbehavior of elderly patient?

How does aide behave towards the misbehavior of elderly patient?

Professionally: All health professionals, aids, doctors, nurses, techs, etc., deal with patients who misbehave. Each and every one of us has to maintain our professional demeanor and conduct our selves as professionals, even when our patients behave very, very badly. ...Read more

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"disabled" person-has to pay $1250 as" share of cost", what can he do , to get extensive dental work , done? Hi, professional person, 14 years ago had a "major stroke"--"-share of cost" is very high! only income comes, via social security disability, an

"disabled" person-has to pay $1250 as" share of cost", what can he do , to get extensive dental work , done? Hi, 
professional person, 14 years ago had a "major stroke"--"-share of cost" is very high!  only income comes, via social security disability, an

I : I don't know if this will be helfpul, but here is a list of dental groups in anaheim that provide free or low cost dental services. Community dental services inc anaheim - (714) 828-1211 anaheim, ca - 92801 dds inc anaheim - (714)491-9264 anaheim, ca - 92801 grand dental - (714) 828-3028 anaheim, ca - 92801 western dental services inc anaheim - (714)635-6000 anaheim, ca - 92802 n a dental corporation - (714)491-0082 anaheim, ca - 92801 california smile dental group anaheim - (714)826-9000 anaheim, ca - 92804 consumer health inc - newport dental center - (714)491-8441 anaheim, ca - 92806 anaheim community dentistry - (714)635-0855 anaheim, ca - 92806 state college dental group - (714)772-5005 anaheim, ca - 92806 jacks, scott, dds inc - (877)567-6453 anaheim, ca - 92806 altamed medical & dental group: anaheim lincoln - 714-780-5690 anaheim, ca - 92801 good luck. ...Read more

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Where to find information on patient safety for elders?

Where to find information on patient safety for elders?

Internet: While the internet has its drawbacks, it also has its advantages. If you can be more specific about what you mean buy "patient safety" it can help refine the search. I do suggest looking at www.Mercola.Com as a beginning place for information and expand out. Most states have a council on aging so the dept of health website may also have some useful information. ...Read more

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Do social workers follow the patient confidentiality code?

Do social workers follow the patient confidentiality code?

All health care DO: All providers, including social workers are required to respect patient confidentiality, just like dentists, physicians, nurses, and pas. In the case of suspected child abuse for example, it is normall legally required for the provider to alert the authorities (child protection services). There are other situations that would require alerting authorities such as elder abuse and death threats. ...Read more

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Should america's health care system switch to keeping patient records online?

Should america's health care system switch to keeping patient records online?

Sticky issue: This is a huge question. On one hand, online records can be transmitted quickly when medically needed. This could save a life. On the other hand, this quick transmission can also allow breaches of privacy that are potentially painful, embarrassing, and invasive. Balancing these things is precarious! electronic records seems to be where we're going, so we need safeguards to do it well. ...Read more

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Is cognitive dysfunction an early stage of alzheimer’s?

Is cognitive dysfunction an early stage of alzheimer’s?

Many reasons: Mild cognitive impairment is often the initial manifestation of Alzheimer's but cognitive problems can be seen with vitamin deficiencies, thyroid problems, HIV and syphilis infections, and medication adverse effects. Alcohol and recreational drugs can also do this. ...Read more

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When should an alzheimer's patient be put in a retirement home?

Caregiver burnout: When a caregiver can no longer maintain the level of care for the person with dementia, it may be time to look for alternative housing. This may mean a day care two to three time's a week up to nursing home care, depending on the severity of the dementia. Studies show that when the caregiver's health declines, physically or mental stress, the person they are caring for also declines. ...Read more

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Can Valium help calm alzheimer's patients?

Can Valium help calm alzheimer's patients?

Rx for Alzheimer's: Normally, valium and ativan (lorazepam) are not very helpful for people with Alzheimers. These medicines, which are sometimes used to relieve anxiety, may have paradoxical effects in people with dementia. They may cause them to feel excessively sleepy or irritable. Most providers who handle people with these illnesses use antipsychotics in gentle doses. Quetiapine is an example. ...Read more

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How do I caregive for an alzheimer's patient?

Depending how sick: Early alzheimer's is difficult to diagnose because pts. Are still very independent. It is important to supervise them often and as time passes by more and more close observation to the point that they will require 24/7 observation. Somebody needs to verify their bills are paid, they don't forget appointments or dates, they don't fall or get sick, check they eat & take meds. , shower or wash. ...Read more

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Is nattokinase helpful to alzheimer's patients?

Is nattokinase helpful to alzheimer's patients?

NO: Nattokinase is said to be of value for vascular and cardiac issues. Suppose if a patient had a dementia due to small strokes in addition or instead of alzheimer's approach might be considered, but this preparation does not seem to provide any real benefit for the true alzheimer's patient. ...Read more

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What is the life expectancy for an alzheimer's patient?

May vary: Often said to be roughly 10-15 yrs after diagnosis, but could be shorter period of time depending on age of diagnosis, and co-morbidities. The alzheimer's meds on the market do not seem to change life expectancy. ...Read more

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Is anxiety common in patient's with alzheimer's disease?

Is anxiety common in patient's with alzheimer's disease?

Common: I've seen anxiety as a common symptom of ad. It never has the depth that anxiety has in younger patients i.e. To explore psychosocial factors and give simple medication treatments. It is most likely a CNS connection but look at vascular and other organ systems for imbalance. Some older people are more affected by the somatic. Consider depresson and psychotic features. Treat symptoms, low doses. ...Read more

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I care foran alzheimer's patient who tends to wander off and gets lost. What can I do?

I care foran alzheimer's patient who tends to wander off and gets lost. What can I do?

Functional analysis: Reduce hazards--throw rugs, cords, install night lights, gates at stairwells. Provide a place to wander safely. Install alarms & locks--pressure-sensitive mats, warning bells on doors, child proof covers on doorknobs or second lock out of line of sight. Disguise exits--curtains, stop sign, mirror, or large poster. Have them wear a gps device or emergency bracelet. Remove triggers-hat, coat, keys. ...Read more

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I care for an alzheimer's patient who tends to wander off and gets lost. What can I do?

Prevent it: There are various ways to prevent wandering. Try engaging the person and distracting him/her if he/she wants to go out. Lock the door, or mask the exit. You will get more information at http://www.Alz.Org/care/alzheimers-dementia-wandering.Asp#tips. ...Read more

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Placment safe for alzheimer's patient?

Placment safe for alzheimer's patient?

It depends: Safe placement depends on severity of alzheimer's disease. If the patient may engage in dangerous behaviors, e.g., using appliances incorrectly, wandering, he/she may need a supervised environment in an assisted living or nursing home. ...Read more

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What kinds of treatments are availble for alzheimer's patients?

What kinds of treatments are availble for alzheimer's patients?

State of the art: Early alzheimer's might benefit from medical foods, which include axona and cerefolin-nac. Also, aricept, Exelon pill/patch, galantamine, (galantamine hydrobromide) and Namenda may be useful. None a cure, merely symptomatic support and modest control. ...Read more

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How long can a terminally ill alzheimer's patient live without food or drink?

Death comes quickly: If you include fluids then the time of their death will be faster...Maybe even up to seven days or so. I am sorry you are having to deal with this. But, starvation is a non-painful way to die when one is at this extreme of life. ...Read more

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At what stage of Alzheimer's should a patient remain in the hospital for care?

Never: Hospital is not a good place for people with alzheimer's disease. They should try to avoid going there and get treatment where they are, either at home or in a long term institution. ...Read more

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How do doctors tell an alzheimer's patient suffered a stroke, and estimate the time?

By MRI or CAT scan: Mri or cat scans will show if there was a stroke and possibly how old it is. However, the history is more precise regarding the time of the stroke. ...Read more

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Is there any medicine that prevent alzheimer patient from frequent walking and roaming ?

Is there any medicine that prevent alzheimer patient from frequent walking and roaming ?

Couple choices: Rivastigmine and Namenda (memantine) may help agitation, but might also consider Seroquel or Risperdal. A local neurologist could help institute these drugs. Other choices may be considered. ...Read more

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Patient safety in elderly populations; how do nurses communicate with the Alzheimer's folks?

Patience/compassion: It is hard to watch a viable adult dwindle in to memory loss as with alzheimer's. Most people who communicate with them have patience, understanding, and can read body language and facial cues. Caregivers remember what these patients liked and how to help them and communicate that to nurses. Art, music, and old pictures reach the long term memories of these patients and that helps. ...Read more

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Could you tell me what happens if an alzheimer's disease patient is also diagnosed with cancer?

It depends: It depends on the severity of alzheimer's disease. It it is advanced, it may be better not to do an operation or chemotherapy because that may not prolong patient's life and would cause him/her lot of discomfort. If the patient would still understand the treatment's side-effects, it is possible to treat him/her as somebody who does not have alzheimer's disease. ...Read more

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What happens if an alzheimer's patient is also diagnosed with cancer? Would either affect the other?

What happens if an alzheimer's patient is also diagnosed with cancer? Would either affect the other?

Usually Not: However, if there is cancer in the brain it could make symptoms of alzheimer's worse. Additionally, alzheimer's make make it difficult for a patient to understand the cancer they face and go through curative treatments that can be difficult on a person so it might make more sense to simply treat the symptoms of a cancer rather than try to cure it in a patient with advanced alzheimers. ...Read more

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Which vitamins are most highly recommended for Alzheimer's patients?

Not clearcut: There is a medical food called cerefolin which contains biologically active folate and b-12, plus n-acetyl-cysteine, and is approved for mild cognitve impairment. A dutch study suggested that a mix of vitamin c and vitamin e might help, but that was not conclusive. Doubt any of these approaches could be harmful, but not fully clear if worth the time and money. ...Read more

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