Doctor insights on:
Caring For An Elderly Parent
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 moreSee 1 more doctor answer
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
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?
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 moreSee 1 more doctor answer
Regarding caregiving: how physically demanding is the job of caring for a frail elder with hip fracture?
Labor intense: Consider the case of a child learnng to walk.Many similarities. ...Read more
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
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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
Chck medicaid: Check with your sate medicaid program if this patient is eligible, some states have home aid service. ...Read more
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 moreSee 1 more doctor answer
What is an effective way for me to deal with the behavior of 2 adult sisters who are visiting as caregivers for their mother, for one months time?
What aspect of: behavior is the problem? Please clarify and re-ask. ...Read more
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
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
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
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
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