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Doctor insights on: Caring For An Elderly Parent

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Is there residential care for older people with mental health needs?

Is there residential care for older people with mental health needs?

Most nursing homes: Are quite capable of caring for older patients with mental health needs, but it would help to know what the problem is to give you a specific answer. ...Read more

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Any advice for dealing with an adult family member with vascular dementia?

Any advice for dealing with an adult family member with  vascular dementia?

Complex: Although behavioral issues may be similar to alzheimer's, here meds are a bit more involved. Need antiplatelet drug to prevent more strokes, and clopidogrel or Aggrenox may be useful. The best tested drugs for this kind of dementia are donepezil and galantamine (galantamine hydrobromide). ...Read more

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Who has the main responsibility to tell an adult daughter to see a psychiatrist for bipolar or other mental disorder? A mother or adult sister?

Who has the main responsibility to tell an adult daughter to see a psychiatrist for bipolar or other mental disorder? A mother or adult sister?

Anyone: It can often be hard to talk with others about mental health issues because it can be a sensitive topic. But, anyone close to an individual that has concerns about their well being should find a way to talk about it with them, particularly if there is a concern about their safety or well being. ...Read more

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What is best residential care for an elderly person with vascular dementia and difficulty walking?

What is best residential care for an elderly person with vascular dementia and difficulty walking?

It really depends: Safety is often a key issue-does the person have good awareness of hazards and good judgement. It is quite difficult for an older adult to live alone. The location and deficits from the stroke are important. An occupational therapist is the best person to actually asses functioning which is often more important than cognition. Asst living offers socialization and easy access to help if needed. ...Read more

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Who determines mental status for power of attorney or guardian of an elderly person?

Who determines mental status for power of attorney or guardian of an elderly person?

Legal question: It's a good idea to consult with your attorney regarding these legal questions. Courts of law determine whether a person is competent or not. This court's decision is usually informed by the report/testimony of a mental health professional (psychiatrist or psychologist) with expertise in competency evaluations. ...Read more

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Where can my elderly parent get financial assistance for an aide at home?

Where can my elderly parent get financial assistance for an aide at home?

Try your insurance: This may be a covered benefit depending on your insurance and your parents medical condtion. Likely, if it is it will be for a minimum amount of hours. But, it is a start. Social workers are good people to find this sort of information out. ...Read more

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Geriatrics: when looking for skilled nursing care center for a 90 year old frail but social parent, what are the most important considerations?

Geriatrics: when looking for skilled nursing care center for a 90 year old frail but social parent, what are the most important considerations?

Informed decision: Visit facility, ask about ratio of patients to nurses, cnas; look at rooms -- see if they're private, semi-private, etc. Compare nursing homes by rating-- medicare website is one of them: http://www.Medicare.Gov/quality-care-finder/#nursing-home-compare also, when a nursing home has been surveyed by a state oversight agency, it should have the results of survey readily available for you to look. ...Read more

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Is in-home hospice care or an adult retirement center better for an 80 year old?

Is in-home hospice care or an adult retirement center better for an 80 year old?

Also...: Most people wish to stay in the home during their last months to years of life. It can be challenging for families to provide hands-on care 24/7 and most can't due to work, family etc. Hospice care can be provided in the home or in the retirement center (rc) so the location doesn't matter as much as the "fit." also, the cost may be more for a rc than to hire a live-in caregiver. ...Read more

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Most trusted means to obtain a diagnoses for an adult with suspected aspergers?

Most trusted means to obtain a diagnoses for an adult with suspected aspergers?

Any reason to?: Nobody really knows what asperger's is, it's diagnosed by criteria that a mental health expert knows how to apply, there is no specific treatment, and these people (who enjoy many plusses) get the most benefit from being educated about other people, leaning to observe and interact more skillfully with others. With no magic bullet to cure, perhaps kindness and understanding's what are really needed. ...Read more

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Is there any provision for free residential care for elderly people with mental illness?

Is there any provision for free residential care for elderly people with mental illness?

Chck medicaid: Check with your sate medicaid program if this patient is eligible, some states have home aid service. ...Read more

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Should grandparents take over parenting for children whose biological parents cannot care for them? @drpam

Should grandparents take over parenting for children whose biological parents cannot care for them? @drpam

It depends: There are so many factors that may affect the decision. It depends on the health of the grandparents. If it happens, looking to get support from others in the family is very important. The age of the children may also be a factor. This is a long-term commitment. Many times the grandparents can be stressed. Making sure there is adequate financial support is also important. ...Read more

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Living with a teen age daughter who is suicidal and bilpolar?

Living with a teen age daughter who is suicidal and bilpolar?

Bipolar: Seek immediate psychiatric help. In fact she should be hospitalized in a psych unit where she can be closely monitored ...Read more

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Is it possible for an apathetic person who receives an organ transplant from an empathic donor to feel empathy?

Is it possible for an apathetic person who receives an organ transplant from an empathic donor to feel empathy?

No personality trxp: We are often asked about personality changes after organ transplantation. I have talked to hundreds of these patients and have never documented specific changes in personality traits. Personality is primarily housed in the brain which cannot be transplanted at this time. Certainly, people experience intense emotions around the time of transplant, but it is unlikely these are related to the organ. ...Read more

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Does a mother who sexually abused child needs to seek professional counseling?

Does a mother who sexually abused child needs to seek professional counseling?

Quite possibly: Some parents of children who have been sexually abused have felt overwhelming guilt and self-blame that they could not protect their child. Also, a child being sexually abused is more than enough to traumatize the parent. Any of these feelings and others can be worked through safely with a trusted psychologist/therapist. ...Read more

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What vitamins are best for keeping an elderly family member healthy?

What vitamins are best for keeping an elderly family member healthy?

All/none of them: It's a question of semantics. All vitamins are necessary regardless of age. Lack of various vitamins leads to specific diseases/conditions. For instance, osteoporosis is partly due to inadequate vitamin D. And some neuropathies are from lack of vitamin B12. Some anemias are due to lack of iron, folate and/or B12 (again!). Yet there are no studies showing any benefit from multipurpose multivitamin. ...Read more

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Does residential care for older people with mental health needs have a place in the future?

Does residential care for older people with mental health needs have a place in the future?

Absolutely.: Residential care should address the needs of the individual, regardless of the illness (whether it's mental health, pt, ot, etc). Specialized attention to treating anxiety, for example, in a geriatric population can greatly improve quality of life. And treating anxiety in these individuals is very different than treating anxiety in a younger population. ...Read more