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Doctor insights on: Wandering And Alzheimer's

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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

Wandering (Definition)

1.Walk or move in a leisurely, casual, or aimless way. 2.Move slowly away from a fixed point or place: "please ...Read more


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Is contracting and living with Lewy bodies dementia (alzheimers) terminal?

Is contracting and living with Lewy bodies dementia (alzheimers) terminal?

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 more

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Who gets multi-infarct dementia?

Who gets multi-infarct dementia?

People who have: Circulatory problems in the brain are the people who get multi-infarct dementia. ...Read more

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Tremors in hands, weak legs, mem issues, cognitive decline, apathy, blurry vision, tach, headache, floaters...Could it be parkinsons? Dementia? Als?

Tremors in hands, weak legs, mem issues, cognitive decline, apathy, blurry vision, tach, headache, floaters...Could it be parkinsons? Dementia? Als?

See a neurologist: Only detailed history and neurological exam. Can determine. It could simply be anxiety neurosis but other conditions need to be ruled out first. ...Read more

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How does memory impairment affect the ability of an elder dementia patient to use verbal language?

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 more

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Dr. Alan Ali Dr. Ali
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Alzheimers disease, dementia, poor memory , mci -- what causes do they have in common?

Dr. Alan Ali Dr. Ali
4 doctors agreed:
Alzheimers disease, dementia, poor memory , mci -- what causes do they have in common?

Memory deficits: There is a chemical in the brain called acetylcholine which is deficient with aging, and that causes deficits in cognitive functions. ...Read more

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Can Alzheimer's patients develop temper tantrums?

Absolutely: Loss of self-monitoring and disinhibition of emotional control is a potent combination, often leading to temper tantrums, aggressivity, foul language. Any dementia with those features can have similar symptoms. ...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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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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What predisposes someone to Lewy body dementia?

What predisposes someone to Lewy body dementia?

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 more

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How multi-infarct dementia interfere safety needs?

How multi-infarct dementia interfere safety needs?

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 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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Is Lewy bodies dementia terminal?

Is Lewy bodies dementia  terminal?

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 more

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Can operating on someone's brain improve their mental health?

Can operating on someone's brain improve their mental health?

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

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Rapidly progressive dementia, prognosis in elderly, 83?

Undetermined: Dementia is a progressive disease. At this point in time medication can only slow it down, not stop it. If you are asking if the dementia will continue, it probably will at the same rate. ...Read more

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Who gets dementia with Lewy bodies?

Who gets dementia with Lewy bodies?

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 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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