Doctor insights on:
Wandering And Alzheimer's
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
Eventually, yes: Lbd is not the same as alzheimers. However, there also is no cure, and it is progressive - either slow or rapid. So, it is terminal but an average life expectancy after DX is 5-7 yrs. The worst of it is that the symptoms are quite difficult to manage and few families can avoid residential care. Here's a link: http://www.Lbda.Org/content/role-palliative-and-hospice-care-in-lbd. Hope you find help! ...Read moreSee 1 more doctor answer
Tremors in hands, weak legs, mem issues, cognitive decline, apathy, blurry vision, tach, headache, floaters...Could it be parkinsons? Dementia? Als?
How does memory impairment affect the ability of an elder dementia patient to use verbal language?
Not great: The verbal langauage declines as the dementia progresses. Any new verbal and non-verbal language will not process into the brain for learning purpose and carrying out function. So stick with the simple and familiar verbal langauage for now. There is an interested concept of conservation for dementia individuals called "landmark" or "elderspeak". ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Patient health issues cardiomyopathy, bradycardia, pacemaker-defibrillator, brain tumor, syncope episodes. Told no driving then y no DMV report?
NO DRIVING: Definitely no driving with your history. Last thing you need is an episode of syncopy and then an accident. ...Read more
Lewy Body risk: We don't have a clear answer for this yet. About 10% of cases are a familial variant and are directly inherited from one parent. The rest may be related to a combination of genes and environmental factors. But the main associated brain change (presence of clumps of alpha-synuclein protein) are also seen in other types of dementia, and so the underlying cause may be similar. ...Read moreSee 1 more doctor answer
See below: The safety needs of the patient need to be assessed based on the stages of dementia. This process is continuous. If patient is still at home, home visits should be made to ensure that there is enough food, medication is taken on time, the environment is safe. If person is at the nursing facility, usually facilities have protocols in place to ensure the safety of the patient. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
BUT, Rx available: Dopamine meds for physical parkinsonism: Azilect (mao-b selective inhibitor) & sinemet +/- Comtan (stalevo (carbidopa and levodopa and entacapone) is both together). Tailor rx watching for side effects. Avoid Dopamine agonists (requip xl/mirapex er/neupro)--too side effect prone for lewy body patients. For dementia: namenda, paired with Exelon patch or aricept. For psychosis: seroquel or even clozaril. For excess sleepiness: nuvigil. ...Read moreSee 3 more doctor answers
There are examples: of success; for example, cingulotomys for OCD. BUT, there are huge risks and while sometimes there are striking successes, there many more unremarkable results, or worse. There are emerging studies of brain implants and other formerly radical techniques, but this field is still in its infancy. I still favor non-invasive techniques like neurofeedback. You only have one brain, so be VERY caref ...Read more
Older family member has signs of mci also has poa over elderly parent. How difficult is it for parent with mild dementia to rescind poa and reassign?
Parkinsons & Lewy: Dementia with lewy bodies can be seen in patients with parkinson's disease, usually appearing about 2 or more yrs following the tremor onset. Alternatively, some patients seem to present first with the dementia and later the parkinsons signs. Both groups are younger than patients with alzheimer's disease, are far more often males, and may have some loose genetic susceptibilities. ...Read moreSee 3 more doctor answers
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 moreSee 1 more doctor answer