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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?
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
Yes and no: If there is an illness that runs in your family you should speak to your doctor about it. There are many many types of dementia. Some of them are genetically passed on while others aren't. The most common type of dementia is alzheimers disease and there are 2 forms. The early onset form is highly heritable. Alcoholic dementia is not inherited though a propensity for alcohol dependence can be. ...Read moreSee 2 more doctor answers
May be challenging: We do accept that subjective cognitive impairment may be a valid complaint of an impending dementia. But many medications can cause cognitive clouding, especially in older folks, and thyroid problems, vitamin deficiency, and elevated homocysteine could be issue. Small strokes and early onset of alzheimers perhaps. Neuropsych testing is best approach, but start with your doc. ...Read moreSee 2 more doctor answers
Early dementia: Behavioral and psychological symptoms (bps) are common in the older population and may be an indication of early dementia. Van der linde rm et al 2012 found that wandering and persecution were independently associated with progression to dementia. Early co morbid conditions include obsessive compulsive disorders with evolving paranoid symptoms such as fear of stealing behaviors. ...Read moreSee 1 more doctor answer
Neurological: Dementia is a clinical term that means a progressive impairment of thinking abilities (often but not always memory) that interferes with the person's abilities to perform their usual daily activities. Many types of disorders can cause dementia. Some, such as low thyroid, low vitamin B12 or severe depression are treatable. Others such as alzheimer's disease have some treatments but cannot be cured. ...Read moreSee 2 more doctor answers