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    New unusual behavior from an Alz residents guardian/dtr including demanding of medications be stopped without clinical indicators or reason. Meds to stop are BP and anti anxiety. Res has h/o anxiety behaviors and threat to self or others if not on meds. Is this a form of neglect?
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    Bernard F. , Elder Law Attorney answers:
    There is not enough information here to form an opinion. I suggest you call my office for a free consultation. I am retired, but my office is in full operation.
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    Margaret M. , Nurse and Care Manager answers:
    Why does daughter want them discontinued? I can see removing the B/P medicine but why anti anxiety. I would think at this stage in life you would look at all measures to provide comfort and quality of life whatever it takes.

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    My mother is 95, has lived in AL for 4 years and now 6 mos in LTC. She is frequently refusing solid food and medications but will drink nutritional supplements. She weighs 96 lbs. In the past month she's been sleeping increasingly and often will not open her eyes or talk. She's combative and uncooperative at times. Her confusion is increasing and seems a bit paranoid like we're all against her or in collusion. She will open up and say that her life is futile, without meaning and lament that she's lost her independence and must be cared for. I am learning not to push her; if she doesn't want to eat or open her eyes, I leave her alone. She is totally miserable and it's very distressing to see her this way. She is legally blind and non ambulatory. Wondering what to do to try to improve her quality of life? Should I be considering hospice or palliative care? Thank you
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    Amy G. , Geriatric Care Manager answers:
    I would recommend a Palliative Care Consult, if that is available. However, if it is a "medical consult only", i.e., physician/nurse and no chaplain or social worker, I would recommend considering hiring a geriatric care manager to do an evaluation. If there is a geri-psych day program evaluation could be a consideration as well. She needs someone to evaluate more than her health needs and opportunity to talk with someone other than family. Good Luck.

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    I have pain in my breast, and my left side is hurting. Any ideas what this could be?
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    Paul P. , answers:
    For better prognosis, please seek medical attention.

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    Mom has had the flu for 3 weeks. She's about over her illness, but since the flu came, she cannot taste food. She now says that she has no appetite. Getting her to eat anything is a battle. Is no-taste a normal thing to experience after the flu? How do I get her to eat?
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    Inese S. , Geriatric Care Manager answers:
    Contact her doctor!!

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    My 85 year old husband has started hearing the same voice singing the same aria even when his hearing aid is off.
    He has some health issues (enlarged prostate, skin lesions/cancer) and takes Zocor and Proscar but is otherwise in good health.
    He didn't bump his head and doesn't know why he hears this music. He normally wears hearing aids but he hears this music regardless. Is this a sign of something?
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    William B. , Geriatric Care Manager answers:
    I advise you to check with your Pharmacist and the Dr. who ordered these meds. to see what possible side affects of the meds. he's taking. Also, ask his primary Dr. if he can do a mini-mental test to determine the onset of Dementia, or if he should undergo a Neurological exam.

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    Early in the morning, I found my 72 year old husband urinating on the bedroom rug. Now he cannot seem to stay awake. He is falling asleep at the kitchen counter. He refuses to go to the hospital. What should I do? How can I make him comply?
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    Denise V. , Geriatric Care Manager answers:
    It sounds like he might have a possible UTI infection, urinary tract infection. Keep him drinking alot of fluids and call your family doctor if he won't go to the ER. Perhaps the primary physician can prescribe something over the phone. If your husband has any form of dementia, this could be related to this as well. Call your doctor!!

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    What does it mean to get a diagnosis of Bilateral Frontal Lobe Athrophy? What does that mean? The patient in question, becomes confused, has a loss of appetite, is sensitive to sound and extremely sensitive to light? Has an unstable gait, too. Doctors have not been very helpful in my understanding this issue.
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    Carole L. , Geriatric Care Manager answers:
    It's misspelled. it's atrophy. Atrophy means shrinking. In this case shrinking of both sides of the front of the brain. The brain shrinks when cells die. Living cells are plumper than dead cells. Where the cells die in the brain makes a difference in what happens to the person on the way to death. Yes, it's progressive, and currently not curable,unfortunately. Google executive functions of the brain. Your answer lies there.

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    My mother is 83 years old. She has just been hospitalized with a leg blood clot. How serious a matter is this?
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    Stacey E. , answers:
    I want to preface my answer by saying I'm not a medical professional and all I know is from being around people who have had them. Blood clots are very serious because if left untreated they could potentially go to the lungs/heart and be fatal. The doctor would have done a Doppler test to confirm the diagnosis- essentially an ultrasound that checks the amount of blockage in the area. She's probably on a blood thinner now and may need to stay in them depending on the cause of the clot which the doctor will determine. It's a circulation issue. If she is in the hospital for 3 nights she would qualify to get rehab via Medicare in an inpatient facility. The 1st 20 days are free so if she's weak it may be a benefit to her to get some rehab. Her doctor is the best person to be asking these questions. Hope she feels better soon!

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    My husband's mother may have had a stroke recently. Her face is flushed in on one side and she can't hold a cup. She's also forgetting things. My husband talked to her today and she asked him a question and he answered her and not a minute later, she asked the same question again.
    She is 60 year's old and hasn't been to the doctor because she doesn't have health insurance.
    What are the risks if she doesn't go to the doctor to determine if she did have a stroke and based on what I've said, does it sound like she did have a stroke? She is also bipolar and I believe she also has high blood pressure.
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    Lisa M. , answers:
    A stroke is a serious medical condition and it needs to be addressed with a medical professional. Keep in mind strokes can reoccur within a week and even a month later so please beware that it can be fatal. Clots are often thrown because she has hypertension (high Blood Pressure) but when it is let go it damages the vessel walls and the blood pools and thickens in the vessel tear and when it breaks loose that is what can cause a stroke. I highly recommend you have her see a medical professional. The symptoms with mentioned sound to me like a stroke. Best Wishes!

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    My friend, a person who has had a stroke, will be triggered by something and will run away for several days and you cannot reason with them before they run away. Is this a common thing? Is there a name for this syndrome or is this something that will never be controlled?
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    Laurel F. , Nurse and Care Manager answers:
    This is a serious safety issue, and more complex than what I would feel comfortable replying without knowing more about this persons living situation. If you fear for this person's safety to himself, or others, please call your local Adult Protective Services office--you should be able to get the number online, or calling your local health department or non-emergency police number. You must give your name, but your friend will not be told who contacted the department to investigate.

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    I am 86 years old and very healthy. I don't take any medicine. Can I fast one day a week?
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    Jordan R. , answers:
    This is not a scientific answer, and I would recommend consulting with your physician, but I do know that my grandfather who is 98, does fast 1 day a year on Yom Kippur. Surely, a day a week, is different, but still, thought I would put that out there.

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    I am an 82 year old widow in excellent health. Doctors say my heart is one of a 40 year old. My mother and father died at 90, yet my twin sons both died at 49 from high blood pressure. What is my life expectancy?
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    Celeste R. , Geriatric Care Manager answers:
    You can't! But the good news is, you could live for another 10-20 years, so enjoy!
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    Roberta S. , Elder Law Attorney answers:
    I am not a doctor, just an attorney. It sounds like you could live to 100. Good luck!

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    An elderly lady is using tab diapers and has red spots on her buttocks. She sits in a wet diaper all day. What can I do to help her? The rash seems to be spreading.
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    Angela T. , Nurse and Care Manager answers:
    Your friend or loved one has most likely developed a yeast infection that is spreading. The 3 things that cause yeast to grow are #1.Heat (body temperature) #2. Moisture and #3. Darkness. She needs to have frequent diaper changes so she stays dry and you can use an OTC anti-fungal cream for "jock itch." The cream does not need to be applied thickly BUT does need to be rubbed in well and should be applied using gloves with each change. A daily shower would help, too, with some time after the shower for air drying before applying the cream and putting on the diaper. If it does not look better in 2-3 days them go to the MD for a stronger cream.

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    I have been told not to give my father aspirin if he has a heart attack, as he is on Warfarin. What can I give him? He is 89 and generally healthy. I cannot remember what the doctor told me to give him in place of aspirin? I think it was a common brand like Tylenol.
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    Linda F. , Geriatric Care Manager answers:
    Only your father’s physician should instruct you on this process. Each person is different and you should not take advice from anyone who does not know your father’s medical history. Physicians can differ on their instructions for persons taking blood thinners – so the instructions should come from the treating cardiologist. Never assume - always ask those who know your father’s medications, diagnosis and treatment plan.

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    Can someone who has had a stroke still drink coffee and wine? My father 75 year old father just had his first stroke about two weeks ago. He was a wine and coffee drinker before (maybe 2 glasses/cups of each once a week) and he wants to know if he can continue his weekly ritual.
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    Debbie S. , Geriatric Care Manager answers:
    Defer to his primary care physician, as medications can create adverse effects with other stimulants.
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    Barbara B. , Geriatric Care Manager answers:
    It would be best if this question would be asked of your father's physician(s). The answer depends on numerous issues related to health in general, and cognition. Generally, someone with vascular disease, particularly if they have dementia should not consume caffeinated beverages, as this causes vascular constriction. Decaffeinated coffee should be fine. If your father has no dementia, and if he drinks wine in moderation (no more than a glass a day), there should be no problem. Again, it would be appropriate for your father to ask his physician. Thanks for your inquiry.

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    Should an 80 year old man who has low blood pressure, and needs kidney dialysis, have an endoscopy? Is this safe? Other than his kidney issues, he seems quite well.
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    Arlene S. , Geriatric Care Manager answers:
    I am not a doctor. I am a Licensed Certified Social Worker. Your question is best answer by your doctor who understands your medical issues.
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    Sealani W. , answers:
    The first question is: why does he need an endoscopy? Is there a blockage, hemorraghing, suspected cancer - there needs to be an excellent valid reason to do one. His body is already in a compromised state by virtue of being on a machine to perform the function that his body use to. Anytime we bring in anything invasive into the body, we have some risk of infection or damage. If they are going to proceed with a life extending procedure as a result of the endocscopy, is that what he wants?

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    My 89 year old dad is in pretty good physical health, but his mental health seems to be declining. We are very worried because he is still driving to the grocery store down the street. Mom plays bridge almost every day and is becoming afraid to leave him alone. She is willing to move into a nursing home with him, although doesn't know if this is the right move. The stress is getting to her.
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    Diana G. , Geriatric Care Manager answers:
    I suggest contacting your dad's doctor to advise of the changes that have been observed, and the concerns of the family. Many seniors of that age hold the physician in a position of upmost respect, and may listen to his assessment more than what the family is telling him. There are certainly many other options to a nursing home--companionship in the home while your mom is out of the house, or a retirement/assisted living facility. Moving to a nursing home prematurely is setting people up for depression, certainly for your mom who is still independent and involved in the community. There are numerous, more independent, and less costly options to consider. An in-home assessment by a geriatric care manager would provide another perspective. The care manager can discuss the options available --for in-home care, driving evaluation and/or transportation alternatives, residential housing communities and their costs, support services, etc.

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    My husband has lost 20 lbs.since his stroke. He says he tastes nothing when he eats. Will this ever change? Does it get worse? What can I do to help him eat and maintain a healthy weight?
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    Mary G. , Nurse and Care Manager answers:
    The sense of taste does occur with certain strokes. Some people will see an improvement within 6 months of having the stroke but it may take as long as 2 years. Beyond 2 years, improvement is less likely. Try using different herbs and spices with foods but avoid using too much salt. Your husband may want to try a liquid nutritional supplement such as Boost or Ensure but if he is taking a blood thinner such as Coumadin (Warfarin), he should first ask his physician if this is safe. Sometimes the physician can prescribe an appetite enhancer such as Megace to help. I would recommend discussing this with his neurologist or primary care physician for his advice. He may want your husband to see a Registered Dietitian.

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    My mom is 87 years old and now can't eat or drink normally. She had surgery and then had a breathing tube in her throat for one and a half months. If she is given anything orally, fluid goes into her lung. Is there a cureor treatment to the food aspiration? She does swallow tests but cannot pass. She feels that she is not being fed. even though she is being fed through a feeding tube. I feel so bad cause she wants something to eat. She went from hospital to nursing/rehab place. Today, when we visited her, she said, as a nurse was getting her back into bed, 'maybe if I'm sitting up they will give me something to eat.' It breaks my heart to know she wants to eat and can't. Is the surgery and the tracheal tube the cause of the aspiration of food? Or is this something that happens with old age? What can be done to help her?
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    Celeste R. , Geriatric Care Manager answers:
    If your mother cannot pass swallowing tests, it means she is an aspiration risk; and should be fed only thru her feeding tube. There will obviously be a period of adjustment, but if she is fed orally, and aspirates, it could be fatal for her.

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    I purchased Sliminex. The label on the bottle states "should not be taken by those under 12 years old or the elderly". What age do you think is included in elderly? Is 50+ elderly? Is 60+ elderly? What do they mean by elderly?
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    Candice B. , Nurse and Care Manager answers:
    As we age we metabolize or break down drugs slower. My recommendation is at any age to ask your doctor if any of the ingredients in Sliminex will interfere with your current medications or health issues.

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    My mom is 89 yrs old. She has been having diarrea issues more as she ages. Is this because of a weakening immune system as she ages? Is this something we should be concerned about? Is there a specialist we should see?
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    Rose Z. , Family Counselor Mediator answers:
    I am not a health care provider, but I am a caregiver for my own mom. My suggestion is to have your mom's medications reviewed by a pharmacist as well as her doctor. Many recent prescriptions affect the stomach and in combination, the side effects can be extreme. I have also found that the use of Probiotics, such as Activia yogurt, helps this situation as well.

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    Why does my mother pick continuously pick at her body and everything else? My elderly mother sits, and all day long, she picks her scabs, lint, the furniture, and everything else. Is this anxiety-driven? Is there a treatment for this?
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    Diane S. , Geriatric Care Manager answers:
    It could be anxiety or other possible causes. I agree--she needs a physician visit as soon as possible.
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    Joel G. , Geriatric Care Manager answers:
    This behavior could be related to any number of conditions. Get your mother to a qualified geriatric physician as soon as possible.

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    my grandfather stop eating he say food taste funny and smell funny he has lost so much weight i tried everything from ensures etc...he will only eat a spoon or to and he is very weak now
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    Luise W. , Family Counselor Mediator answers:
    Has your grandfather seen a doctor recently? Many illnesses can cause lack of appetite and weakness. He may have something as simple as a urinary tract infection or something more serious. He needs lab tests of his blood and urine. Some medications can cause food to taste bad. Losing weight could be a sign of diabetes or cancer or other diseases or may just be from not eating. Does your grandfather seem depressed to you? Please take him to see a doctor as soon as possible. Once possible physical illness is treated, other issues can be addressed.
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    Reva F. , Geriatric Care Manager answers:
    Has your grandfather been checked out by a doctor? In Older people sometimes the taste buds are not as strong. Also does he have any other health issues" What is his cognitive status. Do you think he might be depressed? I would start with a medical exam and you should try to go with hi.

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    My Grandmother recently stopped eating as much as she used to. She is also not swallowing like she used to. We are giving her Ensure and trying to puree things she likes, using thick-it. She is also taking Megace...What more can we do for her?
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    Mandy M. , Geriatric Care Manager answers:
    She should be evaluated by a speech pathologist to make sure she is able to safely swallow; if she is afraid of choking, she will not eat. If there is no physiological reason for not eating, try and make eating a more social experience people usuallly eat more when they are with others who are eating.

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    What is causing her to Feel as though her insides are falling? She is also experiencing numerous bowel movements after each time she eats?
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    Kitty W. , Geriatric Care Manager answers:
    With this situation she should see her primary physician.

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    My grandmother says she has pain in her left leg. She says it been hurting for three days. What could this be? What does this mean?
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    N. Wallace K. , Geriatric Care Manager answers:
    Since there is no date for this post, I do not think anyone can answer your question specifically.

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    My Dad has cancer and has been ill for some time- now the end is near and i dont know what to say to him. What can I say?
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    Reva H. , Geriatric Care Manager answers:
    Talk about your life with him and do a family review. It will have both of you reach some closure.

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    My mother, who is 80-years-old, has progressive lung disease. How can I help to build my mothers stamina, rebuild her energy, and boost her muscle mass?
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    Susan L E. , Geriatric Care Manager answers:
    Is your mother under the care of a pulmonary MD? You might want to have a physical therapy evaluation and a nutrition evaluation.

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    My father lives with me the last 2 months. He is being taken care of by me. I don't know how much longer he will be with us. Is there an assistance program that would pay me for taking care of my father?
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    Harold P. , Elder Law Attorney answers:
    None that I know of if your father is not in need of nursing home care or assisted living and also meets the financial and medical requirements of Medicaid.

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    My mother recently had trouble getting out of a parking space. She had even told me that she had hit a wall or two parking. When do I begin discussing, with her, taking away her car keys? Are there any objective measures for when my mom should stop driving?
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    Paul R. , Geriatrician MD answers:
    I think that the first thing that you should do is to ascertain is whether your Mom is physically able to drive. By physically, I mean to evaluate if she is in any way visually impaired. I am an Opthalmologist and I would suggest that you consult a local Ophthalmologist. If you would like a referral please message me at the site. At her age, there is the possiblity that she could have numerous eye diseases, such as macular degeneration or a cataract. Taking care of these problems could greatly improve her qualityof life. In addition, a chat with her personal physician could disclose cognitive or neurological deficits.

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