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Doctor insights on: What Are The Most Common Medications For The 90 Yr Old Residents In Nursing Home

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My 92 yr old aunt is in a nursing home should she get her flu shot early? Sometimes the nursing home is so slow at giving out the shot.

My  92 yr old aunt is in a nursing home
should she get her flu shot early?
Sometimes the nursing home is so slow at giving out the shot.

Sooner the better: The vaccine has been available through my office for 8 weeks & my staff & i were immunized immediately. There is ample reason to get it as soon as it is available. ...Read more

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My 96 year old grandfather is losing control and becoming very unruly and irrational. What can we do if nursing home is no longer an option?

My 96 year old grandfather is losing control and becoming very unruly and irrational. What can we do if nursing home is no longer an option?

Geriatric eval: The underlying etilogy of the behavioral changes should be determined if possible. See a geriatrician or good internist. There are no meds approved for behavioral problems in dementia, but environmental changes mybe needed and teaching the family as well. Is there depression? Older adults often present atypically with agitation/irritability. Maximizing sensory deficits are important as well. ...Read more

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I have deterating disc deasease followed up with, RA in my back, I am 57 yrs old and work in a nursing home, could this be consistered, a disability case, ?

I have deterating disc deasease followed up with, RA in my back, I am 57 yrs old and work in a nursing home, could this be consistered, a disability case, ?

It possible: Since you work in nursing home and you have to be to respond to the need of your patient as far as lifting a, carrying and heavy duty. Those activates could worsen your condition, this could be the base for disability. ...Read more

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What must I look for when moving an older parent to a nursing home?

Talk to the staff: I would discuss this with the staff at the home and her doctor. ...Read more

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What does it mean if i don't like the medication given to my mother in a nursing home?

Communication: First put down your thoughts about why you don't like the medication-side effects? Then make an appt with the doctor and discuss your concerns and ask for alternatives. ...Read more

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Have you regretted putting your mom or dad in an old age nursing home?

Have you regretted putting your mom or dad in an old age nursing home?

Not if they get care: If you can't provide for their care yourself, a care center is the next best option. Make sure that they get good care there. Visit them often, and if you are able take them out on pass and let them go places and do other things. You should not feel regret if you know they are receiving good care and stay active with activities. ...Read more

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At 92 now in nursing home. Most here are healthy but old so dnr. Many who looked good the week before die suddenly. Porcelain dolls or bad care?

At 92 now in nursing home. Most here are healthy but old so dnr. Many who looked good the week before die suddenly. Porcelain dolls or bad care?

NH patients: Nursing home patients are chronically sick patients who may have terminal illnesses. It does not necessarily mean bad care. ...Read more

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Nursing home doctor doubled dose of BP med in am. Could that cause someone to topple out of chair? On new dose 24hr later 105/53. Cut down to old one?

Nursing home doctor doubled dose of BP med in am. Could that cause someone to topple out of chair? On new dose 24hr later 105/53. Cut down to old one?

2 low 2 go: Most likely, you are precisely correct. 105/53 may be ok for youngsters but once your arteries get stiff, they don't adapt well to sudden drops of blood pressure, even to "normal levels" as defined in younger populations. Older people should be cautiously treated when adjusting blood pressure medication. Dose adjustment is appropriate but confer with your md before taking unilateral action. ...Read more

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A 98 year old alert in nursing home, not seeking treatment, what progression should I expect?

A 98 year old alert in nursing home, not seeking treatment, what progression should I expect?

Depends: On the problem he is not accepting treatment for. There are conservative approachs to managing an elders symptoms without being aggressive with treatment, this is called palliative care- focusing on symptom management only. He may also be appropriate for hospice care, reserved for thsoe with less then 6 months left to live and also focusing on symptoms and qulaity of life. ...Read more

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How can I find a nursing home for my 95 year-old mother?

How can I find a nursing home for my 95 year-old mother?

Nursing home: Decide on your list of priorities. Quality, staffing, cleanliness, cost, physician, nurse practitioner, is hospice available, activities, types of rooms, etc. Ask for a tour of the facility. Go online to cms.Gov to look for a comparison of the quality measures for the facilities that you are considering. Talk directly with residents and their children about their experiences. ...Read more

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My mom just returned to the nursing home from the hosp! She now has Mercer in her nose! Is my 9yr old @risk! he does have asthma & is prone to infecti?

My mom just returned to the nursing home from the hosp! She now has Mercer in her nose! Is my 9yr old @risk! he does have asthma & is prone to infecti?

No: I believe you meant MRSA, by Mercer, staph bacteria colonizes many noses and surfaces of skin, usually it is a weak pathogen, i.e. Agent causing disease, the concern is when it enters blood stream through a surgical wound or deep venous catheter, don't worry ...Read more

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My 87year old mother recentlyly past away. She was in a nursing home and developed what i was told was a kennedy ulcer and that it would not heal. ?

My 87year old mother recentlyly past away. She was in a nursing home and developed what i was told was a kennedy ulcer and that it would not heal. ?

Kennedy Terminal : Ulcer. A kennedy ulcer is a pressure ulcer (usually on the sacrum) which evolves as a person is dying. They usually don't resolve. ...Read more

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Geriatrics md: how can nursing home refuse to share care plan with woman's child citing hipaa even before she moves in? Older nonmedical sib has poa.

Geriatrics md: how can nursing home refuse to share care plan with woman's child citing hipaa even before she moves in? Older nonmedical sib has poa.

HIPAA strictly: Demands that medical personnel do not discuss medical care issues with anyone but the person designated by the patient. It appears it is not you. Don't get mad at the nursing home, your beloved government came up with the rule. If they are ever found in contempt, the home is fined and potentially taken out of business. So there's that! ...Read more

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My 87 year old mom has dementia. They want to put feeding tube in because she is inspirating food. Lives in nursing home, doesn't talk. Should we?

My 87 year old mom has dementia. They want to put feeding tube in because she is inspirating food. Lives in nursing home, doesn't talk.  Should we?

Agree w/ Dr.Chastine: This is a very difficult decision and made more difficult by misinformation (feeding tubes prevent aspiration) and pressure family may feel from doctors and nurses. Often people who mean well, will try and pursuade you based on their biases and values. Decreased food intake is part of the progression of dementia. The best question is what would your mom have wanted if she knew this would happen? ...Read more

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When do you know its time for a dementia patient to go to a nursing home? Mother is 85 years old..Lives alone in apartment..Forgetful, but otherwise good health..Apartment is extremely clean and tidy, makes her own meals, walks independently. Siblings w

When do you know its time for a dementia  patient to go to a nursing home? Mother is 85 years old..Lives alone in apartment..Forgetful, but otherwise good health..Apartment is extremely clean and tidy, makes her own meals, walks independently.  Siblings w

The : The basic reason for a person to live permanently at a nursing home is if they can not function without assistance. Can the person handle every day tasks of living such as brushing their teeth, washing themself, dressing themself? Does the person engage in unsafe behaviors such as forgetting to turn off the oven? Does the person have a medical condition that would make it unsafe to live alone such as falling often or seizures? Is the person depressed and isolating themself? I think that it is excellent that your mother continues to interact with others and that she maintains her own home and makes her own meals. Many elderly people who have difficulty with some of those activities of daily living, may still elect to live independently in their own home but might have some meals delivered or might have maid service. Sometimes relatives want their elders to be placed in nursing homes so that they will not worry about them. I think it is very important to ask the person what their desire is. ...Read more

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