Doctor insights on:
Pneumonia Recovery Time Elderly
Good: The chances of getting lung infections increases with age and underlying diseases, but is far more common in those over the age of 60. Pneumococcal pneumonia used to be called the "old man's friend" because it would produce death in elderly individuals with chronic diseases that were debilitating. ...Read more
If they lie down.: If they lie down for a long time, especially on his/her back. ...Read more
Generally: It depends on the virus - there are outbreaks where the old and very young appear to have been spared for unclear reasons while those in the prime of life are most affected (e.g. The h1n1 outbreak). In most cases, however, the very young and elderly are more vulnerable due to either a fading immune system or an immature one. ...Read more
All of them: Elderly get all the same diseases as the young ones. Sometimes immunity wanes and vaccines get forgotten so they are prone to many of the same illnesses as unvaccinated children. Most contagious disease though is mild and viral (not amounting to a pneumonia) and there is no vaccine for that. ...Read more
Nosocomial pneumonia most commonly are Gram negative bacteria, MRSA, fungal organisms such as Candida. Sputum cultures and sensitivities determine which antibiotics are most appropriate.
But because the culture takes about 48-72 hrs, initial regimens include a second or third generation Cephalosporin or a Quinolone. Institutions where there is prevalence of MRSA, Vancomycin is added.
Should an elderly wiman sleep in a room with temp below 50 degrees when she is having respiroty problems, just got over pneumonia.
Yes: It is more dangerous in that more severe illness and even death is statistically more common in the very young or the elderly. In both age groups pneumonia is still usually readily treatable with appropriate antibiotics and support. The highest risk of serious illness occurs not just with age, but with the existence of some other underlying disease. (cancer, heart disease, hiv, etc.). ...Read more
Depends: This depends on many factors - what bug, how strong is the person's immune system, how quicky treatment was started, how many organs are involved, etc. Sometimes even severe cases of sepsis can be treated successfully with complete recovery. Other times we are not as lucky. ...Read more
For an elderly with dementia, to further avoid aspiration pneumonia should we replace the peg tube for a pej one. Is that an option? Consequences? Thx
Yes it is an option: If she is having aspiration while receiving feedings via a peg tube, conversion to j- tube should diminish aspiration from gastric reflux (assuming there is no obstruction distally in the GI tract). If the aspiration is from swallowing, conversion will not help. If her dementia is profound, it may be helpful to discuss both medical and life goals with her physician or ethics board. ...Read more
This is a hypothetical scenario If an elderly pt is hypotensive eg BP in recent days 116/59, 107/59, 104/69, 112/69, 102/62 & 106/70 & is in pain could regular hydromorphione lower BP too much or affect other vital signs if pt has pneumonia & sepsis?
Every year I have my 96 yr-old mother vaccinated against influenza. However, it is always possible that she could contract influenza before then. Can influenza be sufficient to kill an elderly person by itself or is it only if it leads to pneumonia?
Dangers of influenza: Certainly influenza can kill - actually 90% of the mortality is in those patients older than 65. That's because as we age, the body gets weaker (in all respects, including the immune system-we call this immunosenescence). The 'flu' can lead to a heart attack (from viral sepsis), primary or secondary pneumonia as you reference, plus other complications including stroke. Get HIGH DOSE vaccine 4 mom. ...Read more
How appropriate is a regimen of augmentin (amoxicillin and clavulanate) and azithro for rx of nosocomial pneumonia in elderly male not responding to moxifloxacin?
Not- if right dx: I would first step back and ask how the diagnosis of nosocomial pneumoina was made? There is specific criteria for the diagnosis since it implies the presence of multidrug-resisistant bacteria, for which amoxicillin-clavulanate and azithro is less effective. The combination stated seems more appropriate for coverage of community acquired/aspiration/atypical pneumonia ...Read more
Elderly mother survived pneumonia, "c diff", 2 consecutive uti's, and fecal impaction, resulting delirium. Can she come back to herself?
Came back to life: You don't say how old your mother is, or how many other medical problems she may have. With mother's day looming please enjoy her present "back to this life" status. ...Read more
Variable: Every patient will recover at their own pace after a total knee replacement. Your recovery will be influenced by multiple variables, including your pre-op condition, severity of your arthritis, stiffness of your knee, the type of surgical approach used, and your motivation and active participation in your recovery process. Some "elderly" patients are still very healthy and recovery quickly. ...Read more
Yes. . . and No.: Zinc is an important co-factor in our immune system's functioning. One study has shown that maintaining normal zinc levels led to decreased duration of pneumonia, and decreased duration of antibiotics needed to treat the pneumonia. This does not mean that zinc supplementation will necessarily help with pneumonia recovery; but it does suggest that maintaining normal zinc levels in the body will. ...Read more
At what ANC level would you cancel chemo for dlbcl patient? Will ongoing pneumonia hinder neutropenia recovery, or does neutropenia worsens pneumonia?
It is not just: A numbers game. One has to take the entire clinical picture with infectious, disease related, and overall condition to make a plan. To treat with low WBC and active infection would be extremely dangerous. ...Read more
Hi there, I had pneumonia, while 25 week pregnant, and had to be ventilated for 9 days, in icu, I made a great recovery but am concerned of lung scari?
Is pneumonia in one lung very serious? Can it be transmitted? How long should full recovery take?
1 lung is the usual: The most common forms of pneumonia in an 18 year old usually only affect one lung and most of the time, recovery is complete. Yes, pneumonia is contagious, but usually not as contagious as a cold or the flu. It depends upon type of bacteria or virus that is causing the pneumonia, but it most cases you should feel significantly better within 24-36 hours after you start the proper treatment. ...Read more
Yes: Yes there is certainly a chance for recovery. In fact most patients with sepsis recover. The real chance of recovery depends on all kinds of details, including any underlying medical problems, kinds of organ failure, etc and should be discussed with the doctors involved in the care of the patient. ...Read more
I was diagnosed with walking pneumonia with acid reflux, sinusitis, & laryngitis. What kind of recovery period am I looking at?
Depends on details: Your question suggests laryngopharyngeal reflux (lpr) aka extra-esophageal reflux disease (eerd). Generally, high dose ppis are ineffective; medications/ppis do not stop reflux. First, you must recover from pneumonia. Then, you should consult with a minimally invasive surgeon to discuss more definitive treatment options http://goo. Gl/0rrqv. ...Read more
If someone in their 70's has kidney failure, double pneumonia and liver and heart trouble as well as colitis and dehydration, recovery possible?
Will to live: It is possible to recover. Okay to talk to your docs about your recovery. It will be a team effort and the patient's desire/will to recover is the most important factor. Don't give up. ...Read more
Yes you can: Yes you canGet a more detailed answer ›
I had a very bad case of septic pneumonia 6 mos ago. It was the first time I've ever had it. Will I be more likely to get pneumonia again?
Pneumonia for 3rd time in Feb. Cough lasted 4mo., ended and recently started w/ no other symptoms. I'm 20 & smoke so I'm worried it may be something else?
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