Doctor insights on:
Elderly Definition Medical
What are the top ten phone/ipad apps (other than health tap of course!) that would benefit an elderly person taken care of by a non-medical health aide? Apps that could connect family members to stay up to date on (1) medications schedule and (2) weight/b
Try these. ..: Not sure about "top 10", but I do like: Elder 411 (for caretaker role), Elder 911 (for caretaker emergencies), WebMD Mobile (RX & other info) & iPharmacy Pro (RX info), iBiomed (track medical & RX info; can share data), Pain Care (track pain episodes, & care team-doctors, therapists, family), Kindle (read novel at doctor appts, Pocket First Aid & CPR ($3.99), Balance ($0.99; Alzheimer resource) ...Read more
Depends: Depends on the level of disability and kind of disease. For someone requiring assitance with dressing, bathing and mobility supplies may include adult incontinence products, a hospital bed, a walker/wheelchair, a tub bench. Disease specific products may include oxygen, a nebulizer, etc. ...Read more
Bacteria: I assume you are referring to vaginal discharge. If the woman is not sexually active, it is most likely bacterial vaginosis. Caused by changes in the acidity of the vagina and possibly bacteria introduced by aging changes poor hygiene, incontinence etc. If there is blood in the discharge it may look grayish as well. Either way, this should be checked by a medical practitioner. ...Read more
This is important: It is important to go to appointments with elderly parents. Many times elderly parents do not communicate well with doctors. They may not tell the doctor everything that is going on. They are of the generation that does not ask questions. Many of their problems are complicated and elderly parents don't understand, or don't tell their families what is going on. If you can't go then call doctor. ...Read more
If there is a raised jugular venous pressure (jvp) in an elderly person then what, typically, should be done about? Is it a particularly serious medical condition in an elderly person?
Elder with jvp.: Order person with multiple comirbidities and found to have jvp. Jvp signifies a volume status and in this patient may mean water retention specially in the setting of chf. However, one has to see if there is shortness of breath and or wt gain etc. Because this can dictate treatment or not. ...Read more
Are antipsychotics the only medical treatment for delusions in the elderly? Is there anything more natural I could try first?
Elderly delusions: Delusions in the elderly come from many sources -- including medical problems like dehydration, constipation, and urinary tract infections. Medications can also cause this. Treatment is to find & address these causes. The only "antipsychotic" herb I know -- rauwolfia serpentina -- can also cause low bp. Not safe in elderly people! Very low-dose antipsychotic meds may help safely, though. ...Read more
If an elderly person has agitated delirium for several hours then can this cause a stroke or any other adverse medical events?
Unlikely: It is unlikely this could cause a stroke, but getting very agitated could cause heart problems, and it is possible they could hurt themselves or someone else during an episode. There are medicines that may help reduce the agitation. Also, it's important to know what is causing the episodes. Do they have dementia? Are they on a new medication.? Acute illnesses can bring this on. See a doctor. ...Read more
I have a elderly 75 year old friend who refuse any type of medical attention. He has severe swelling of both ankles, his stool is so hard u can't flus?
Is it unusual for an elderly nonambulant pt to have multiple ulcers on his tongue Is there any potential medical significance e.g. route for infection?
Ulcers: I think you need to have it examined to see what the source of the ulcers are. They range from poor diet, teeth related, medication side effects to autoimmune problems. They may need to be cultured or biopsied. You are correct in that they may uncommonly be a route fro infection ...Read more
Should elderly patients be tested for cvid, if they have never-ending lung and sinus infections? Even if they have other medical issues, like ra?
Yes: There is some correlation with autoimmunity and cvid so yes elderly patients with frequent hard to control infections should be screened for cvid. ...Read more
Does medical marijuana, with high cannabidiol and low THC content, have negative interactions with lisinopril, hydrochlorothiazide, and a pacemaker that performs 87% of an elderly person's heart beat?
2 difficulties with: This question. Pacemakers do not "perform" heart beats. They only emit tiny electrical shocks to heart muscle when heart contraction not electrically detected within time limit set in pacemaker programming. Electronic pacemaker initiated heart beats are always weaker because less well coordinated. No clinical research trial data exists to answer 1st questions; though zero basis to believe healthy. ...Read more
Perineum: Care of the perineal area should focus on maintaining a clean and dry skin with prompt attention to fecal and urine contamination. Usually soap and water should suffice for cleaning. Application of a barrier ontment is sometimes necessary in elders with incontinence. Incontinence pads or diapers are not a good answer. ...Read more
Deterioration: Vision and hearing deteriorate with age. Bones get weaker. Balance and gait (walking) can worsen. Kidneys might not work as well, the list is extensive! It is important to get regular followup with a doctor especially as you get older. Get your eyes/hearing checked. Make sure you get your immunizations and any age-appropriate cancer screenings. Take calcium and vitamin d to strength bones, etc. ...Read more
Depends: On alot of things. Whenever we offer a medical intervention, we review their functional and cognitive status to determine if there ould be a significant benefit for this individaul no matter how old. The very old are susceptible to delirum and a multitude of hospital acquired complications if not monitored closely. Any functional decline will take many times longer to improve then to lose, etc. ...Read more
Incontinence: There are several types of incontinence: stress, urge & overflow come to mind. Stress is more common in women while overflow is in men (think big prostate). Infection is common cause as is dementia (they don't know better or can't find toilet). Functional incontinence is someone who can't get to toilet in time. This is not same as urge. Think of someone who just had joint replacement. ...Read more
Definitions?: Define "long-term", "elderly", & "dangerous". W/o knowing specifics, like what Omeprazole was prescribed for, what symptoms you're having, & your past medical history, it's hard to advise you. Use HealthTap Prime or TTYD to go over the benefits it brings. Theoretically, it can have effects 10-20 yrs after starting, but it's a newer drug so many risks not known. Could increase risk of infx & other ...Read more
MMSE, MoCA, CDT etc: There are many mental exams available for use in elderly. Much depends upon available time as well as familiarity. Alzheimer's drugs are often approved based upon CIBIC-Plus & ADAS-cog but these are not used in regular practice b/c too time consuming. MMSE is copywritten. MoCA & SLUMS are freely available. Clock Drawing Test is useful even if illiterate though maybe not in future generations! ...Read more
Varies. . .: I'm sorry that you have to ask this question b/c presumably you're about to lose someone close to you. Hopefully, hospice care has been engaged. Answer depends upon time frame, eg days to weeks to months. Check out https://www. Caring. Com/articles/signs-of-death & http://hospicefoundation. Org/End-of-Life-Support-and-Resources/Coping-with-Terminal-Illness/Signs-of-Approaching-Death for 10 signs. ...Read more
Less calories: As we age, we typically become less active, although ideally we'd actually strive to maintain our previous activity level. But for the average joe (sephine), our metabolism slows down. As such we don't need as many calories as we once consumed. On the other hand, we still need to consume plenty of water & fiber. Dash diet & mediterranean diet are both excellent choices regardless of age. ...Read more
Teaching an elderly: Tough call.Get a more detailed answer ›
Falls, infn dementia: Biggest health risks for elderly are falls which can lead to disability and functional dependence, infections which can present atypically and lead to severe illness if not diagnosed early, dementia which leads to functional dependence, caregiver burden and co-morbidities such as diabetes and heart disease which can lead to complications if not appropriately managed. ...Read more
Interests: Continuing to be a productive person that contributes to society is important for successful aging. Encourage the senior to continue with their interests or develop new ones. It is never too late to learn something new- take up an instrument, take college classes on line, volunteer in your community. There is always a way for one to give back and feel involved in a meaningful way. ...Read more
Definitely NO!: This depends entirely on the cause of decline. For example, my 83 yo mother experienced a sudden dramatic decline in health in january. She was diagnosed with polymyalgia rheumatica & with appropriate treatment is now doing quite well. Not all causes are as readily treated. A thorough medical evaluation needs to be done to find the cause- it could be as simple as B12 deficiency or be irreversible. ...Read more