Is there anything we can do—anything?. They cannot do an MRI because of his shaking. My grandfather has had Parkinson's and Alzheimer's for many years and was fine until one night when he fell and banged his head. Now he is in a rehab center and barely eats and sleeps. He has extreme shaking in his body. He is 82.
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They can evaluate and let you know if a neurologist is required. You would be able to see any bleeding for weeks on a CT scan after an event in most cases. Nevertheless, if you or others have noted a significant and sudden change in her behaviors or memory, she should see her physician ASAP. Medication changes are common causes of confusion, so be sure to check if the hospital changed any medications she is taking. Normally if someone had a bleed or hemorrhage in their brain, they would not only be more confused, but often would have one-sided weakness or numbness, facial droop, gait issues, or something that was worse on one side of the body from before.
Seroquel can often be increased to 50 or 75 mg at night. Other choices might include zolpidem or gabapentin. Is it possible she is talking in her sleep? Talk to her doctor about medication adjustments. Trazodone can often be used at 50 to 100 mg dose at night (even higher if helpful). I would consider changing only one medication at a time. Galantamine is not known to cause sleep issues, but it would not typically get rid of them either. If that is not working, her doctor could consider very low dose 0.25 mg lorazepam.
It will not matter so much that he has had brain injury from WWII and Alzheimer's disease as long as you choose a place that is comfortable with residents with behaviors associated with dementia. He seems very active and so look carefully at the activities program to see if it would be a good fit. Activities would be very important for his quality of life. I would look for a place that you have visited and feels right, probably one that is not too far away from you so you can visit.
He will not bathe, although he can still go to the bathroom by himself. He will sometimes drink a High Protein Boost and will eat a half bagel with cream cheese occasionally, sometimes a little ice cream. I moved in with him a few months ago and he has seemed to go downhill rapidly since I did this. My father is 89 years old and sleeps constantly. He is in the early stages of dementia, according to his doctor. I cannot get him to eat or drink anything. Any suggestions on how to get him to eat and bathe?. I wake him up to take his pills and give him a glass of water to drink. He will only drink about half of it, and only twice a day. It seems like he has given up and is trying to die now that he has realized that he can no longer be alone.
What is the best way to approach this? I don't know what to say to make it less scary to her and also to make sure she will move in there asap. Her condition has deteriorated enough that I can no longer provide a safe, secure environment for her, and keep my family sane as well. She has been living with my family (husband and 2 elementary age children) for a year and a half. She has times where she is higher functioning. We are considering a memory care facility (up to 80 residents) and I know she will fight like mad to avoid it. My mom is in the mid stage of dementia. Because she will have to be on Medicaid very soon, our living options are very limited.
Try to increase activities if possible—perhaps watching slapstick comedy that he can see visually, review family pictures, picture books of topics that may interest him, crafts and more. There are many medications that may help sleeping issues (mirtazapine, trazodone, zolpidem, gabapentin, melatonin). Valproate may help with sleep issues associated with excessive restlessness. Mirtazapine may improve appetite as well as help sleep. That is, try to keep his rise times and sleep times the same every day, including naps. Also the use of good sleep hygiene is very important. Quetiapine may help with sleep issues if the individual also has false beliefs or suspiciousness symptoms.
Shoulder or neck issues could cause hand problems as well. If only one side (one hand) is involved, an MRI scan of her brain may be recommended by her physician to look for focal brain conditions or strokes. If she has normal strength and sensation in that hand, it may be a type of apraxia. Parkinsonian conditions like corticobasal degeneration can cause severe one-sided apraxia.
Is he depressed? An antidepressant may help. He may be bored. At age 87 he will metabolize all medications more slowly. A senior center, daycare facility or just increasing pleasurable activities may help keep him interested and would tend to reduce his excessive sleepiness. Check for medications that can cause sleepiness. Make sure you l his doctor about his sleeping and appetite.
However, if he has significant memory loss, then he may forget after a short time that your stepmom had an overnight stay. Is it possible that he could continue to have overnight stays with your stepmom at her place even if he goes to assisted living? Perhaps the overnight stays have significant meaning to your stepmom and would be worth it. If there would be safety issues with overnight stays with your stepmom for her or for your father, then it would not be a good idea. If there is a known history of a patient being greatly bothered by an event, then you can use this information to avoid similar circumstances in the future. In general, I would not typically plan or not plan events just in case it may, in the future, confuse the patient. It entirely depends on your father and his current understanding and behavior issues.
If he is anxious or depressed, an antidepressant may help these symptoms. Any medication should be given at least 45 minutes prior to when his symptoms usually occur to try to prevent or reduce these symptoms. He may have some elements of Sundowning syndrome, which is common in many dementia conditions. Please talk to his doctor to see what they recommend. Sometimes a mild medication to help him sleep, like trazodone, may take the edge off. If he is packing or wanting to leave and excessively restless, valproate may be helpful. If some of his behaviors involve suspiciousness or false beliefs or paranoia, antipsychotic medication like quetiapine or ziprasidone may be helpful. Keeping the house lit with lights prior to bedtime may reduce sundowning. Music may help.
Also, lorazepam can cause cognitive issues and so ask your doctor to see if you can avoid those types of medications. One of those medications works very well in combination with the Namenda. There are also many clinical trials looking at new potential treatments for Alzheimer's disease that you may qualify for. Note that there are some warnings about higher than 10 mg escitalopram if you are over age 60 related to heart concerns; these concerns do not seem to be seen with some other antidepressants like sertraline. I suggest 200 units daily. Physical and mental exercise seem to possibly slow down the cognitive decline with Alzheimer's disease. It is to your advantage that you are trying to be aggressive to keep your brain and body healthy. In addition to the Namenda for your cognitive loss, have your doctors consider the use of a cholinesterase inhibitor (such as donepezil, rivastigmine or galantamine). Go to http://www.clinicaltrials.gov for a listing of current clinical trials. There is some literature that suggests vitamin E for its antioxidant effects can help slow down the course. Most will have part of the study group be on a placebo and the others on the active treatment.
Patients with Parkinson's disease dementia or vascular dementia develop many problems with motor control. Nutritional supplements may keep the weight up as well. Some medications have liquid or solution formulations that can be switched to and then placed in liquids. Sometimes this can extend to trouble figuring out how to chew or swallow at the end stage. If the patient is still able to swallow, then try placing the crushed medications in foods, puddings and ice cream, that have strong flavors that may camouflage the taste of the crushed pills. There are medications that may help with appetite if she is losing weight.
If only something to stop my father from shaking would he be able to carry out some day-to-day tasks. My father has been diagnosed with dementia and Parkinson's. Surely this is wrong. He does not take medication for neither because he has angina and was told by the doctor that they cannot prescribe anything.
It may be helpful to ask her doctor if he/she would also recommend this place to your mother as a place than can help with her brain condition. Since I do not know your mother very well, this may be hard. However, I would consider ling her that TEMPORARILY she will be staying at a new place where they will be providing activity therapy to help with her brain, that you will be coming to check in on her frequently and that you will be getting assessments of how the therapy is going. Many times they will adapt very well after a honeymoon adjustment period.
With the sleeping pills he only sleeps a few hours. He's deaf, and he cannot feed himself or get out of a chair. My 86 year old father has Alzheimer's and is immobile. The same thing happens when he's awake—after about five minutes, he believes he is awake for a long time. What should we do to help him?. This happens repeatedly, so he is awake all night. He believes that he sleeps for a long time, but in actually, he sleeps around 5 minutes.
At night, usually all night, she yells and calls out my deceased family members' names very loudly, as well as reliving past episodes of her life like "Frankie, shut off the stove before the food burns!!" as well as the occasional "Police help!" and two-sided conversations with imaginary people. Her nighttime drug protocol now is Trazadone 37 mg, also Seroquel 25 mg and Namenda 2.5 mg at about 8 PM when we put her to bed and later melatonin 10 mg at 10 PM. Could there by any success with Galantamine for reduction of hallucinations or sleeping issues? She does not sleep during the day and has no other medical conditions besides glaucoma. I take care of my 91 year old mother who has advanced Lewy Body Dementia, where she is hallucinating days and nights and is quite delusional. The medicine is not really effective for any decent length of peaceful, restful sleep (six hours would be wonderful). She does not recognize me or where she is, and is very repetitive with basic questions.
Medications may help his appetite. Be sure to have his doctor look at his medications and get a metabolic panel on him to evaluate for other causes of poor appetite. Milkshakes with protein powder and ice cream can be considered. You are doing the right thing in adding ice cream and Boost or similar supplements. Anything that he likes to eat that has high protein or high calories would be good. Increasing pleasurable activities may also help. An antidepressant should be considered if you feel his mood is low.
I take care of her 5 days a week. Is this normal?. My question is why can't my grandmother l the difference between something feeling cool and something being wet? I will hand her a pair of panties or a jacket that feel cool to the touch and she thinks it's soaking wet. My grandmother is 77 and has dementia.
I crush her meds and put them in applesauce. What can I do to help her continue to eat and receive meds?. I take care of a patient with Parkinson's disease and muscular dementia. It worked for a while, but now she is spitting everything out after a bite or two. She is spitting out her food and medicine.
However, both sensations can be similar. In the patient with dementia, there is damage to parts of the brain and this distinction may be harder to make for them. I would consider having her touch the clothes before putting them on so she can l they are not wet. The normal functioning brain is able to differentiate cold from wet. But warn her that they will feel cool or perhaps wet when she puts them on, but that she now knows they are not wet.
She is confusing her medications and forgetting when and if she has eaten. She is now often confused, can no longer do her own banking, has very little short-term memory and sometimes makes no sense when she speaks. She recently had a psychoneurological evaluation, which I was told was "inconclusive." I am now wondering if the Sinemet she is taking is somehow causing all the cognitive issues?. Her mental health, however, has significantly declined since the diagnosis. She is very mobile and has only a slight hand tremor. My 72 year old mother was diagnosed with Parkinson's 18 months ago after experiencing mobility issues and a fall.
Ramelteon (Rozerem) 8 mg nightly often helps the circadian sleep wake cycle dysfunction common in those with PDD. Parkinsonian conditions also often disrupt the circadian rhythm (sleep and wake cycles). If he has cognitive changes and cannot perform his usual activities of daily living because of thinking problems, then he fits criteria for dementia. Over the counter melatonin is another choice. His sleep disturbance may be related to REM sleep behavior disorder, often but not only seen in dementia with Lewy bodies. If you wish further information regarding the best behavioral treatments for these conditions, you may wish to purchase my book, "Long-Term Management of Dementia" (Informa Press) through Amazon or click on the icon next to my picture. Both nortriptyline and Ambien can cause confusion at times. Parkinson’s disease and dementia with Lewy bodies are distinct neurodegenerative conditions that can also cause these same clinical features. Seroquel at night might help both with sleep and hallucinations. He may have vascular or stroke related dementia given his medical history. Trazodone nightly can safely be used for sleep issues. Parkinsonism, or tremors, stiffness and slowness, can be due to strokes.
Two years ago he received a pacemaker, defibrillator and new valve. What can we do?. He eats a bit, doesn't like to go out and thinks 15 minutes is hours when he does go out. Recently he just sleeps. He's taken care of by my 85 year old mom. My dad is 87.
Sinemet may increase the likelihood for false beliefs, paranoia or hallucinations. Those individuals often may have issues with visual spatial processing, fluctuating symptoms, increasing sleepiness in the day or more closing their eyes, visual hallucinations and/or talking or thrashing out in their sleep. Patients with Parkinsonism can have gradual cognitive decline due to a neurodegenerative condition. The most common ones are dementia with Lewy bodies or Parkinson's disease dementia. Cholinesterase inhibitors may help these individuals. These must be sorted out by her doctor. If the Sinemet was never very helpful, it may be useful to lower the dose after a discussion with her doctor. As you point out, medications can cause cognitive issues. Infections (urinary and others) strokes, and metabolic conditions may cause cognitive issues as well. Since her hand tremors are slight, dementia with Lewy bodies may be more likely.
I also ride horses. I am 66 years old. The medications they put me on are Namenda 10 mg twice daily, escitalopram 20mg once daily and Lorazepam 0.5mg once daily. I walk two miles a day and am in good physical condition. Is there anything I can do to slow down the memory loss and stay ahead of the game? I am also diagnosed with depression. My mother and grandmother both had Alzheimer's. I recently had an MRI and the diagnosis was the beginning of memory loss or dementia.
Is it best she not even start any overnight stays?. My stepmom is thinking about doing a few overnight stays with my dad who is getting ready to be moved to assisted living. My dad has dementia and I'm concerned that if these overnight stays have to be stopped it will confuse him even more.
He still sets off metal detectors due to the shrapnel in his body and he is profoundly deaf. It explained a lot of his past behavior to our family. We've had Dad at home with my brother and my mother for years. He was sent back to the US and was in hospitals for years. When the VA finally decided to test him for Alzheimer's, they discovered he had lost much of his frontal lobe way back in 1943. Would an Alzheimer's unit be adequate or do we need something different considering the additional factors? I should say Dad is in outstanding health and until recently played 18 holes of golf three times a week and 36 on Saturdays. It's a huge struggle and it's time to find a capable place where he would feel safe. My Father, now 94, was severely injured in the Philippines during WWII.
He has had diabetes for 15 years and a recent amputation, as well as 6 small strokes. He wants to get out of bed 10 times a night, then sleeps a lot during the day. He has dementia—I’m not sure at what stage it is, but is recently hallucinating and saying weird things at night. My father is 67 years old and had a quadruple bypass 6 years ago. My mother is in denial and says he can do more for himself than he does. My question is how can we know if he has Parkinson's or dementia? We aren’t sure how to care for him. He takes ambient and nortriptyline at night and has body tremors as well.
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He does have trouble walking, but uses a walker. He forgets how to use the bathroom, he does not even know where it is. Please advise. Should I play music or is it sundowner's syndrome? We hope to get him on some meds soon, and he is scheduled to get a scan on his brain soon. His wife has been gone nearly 5 months in a rehab, and I know that is a factor. My father was recently diagnosed mid-level Alzheimer's. But at night, usually after 8 pm, once it is time for him to get ready for bed, he starts getting totally confused. He still exercises, is 88 years old and lives with me at our home. He is unsure how to get into bed, and I can l he does not really know what is going on, but he knows me. He is very confused and agitated. He is having trouble speaking at times, and his doctor is aware of his issues.
There are many patients with Parkinson's disease and dementia who also have angina and are able to take medications for their memory loss or for their tremors. I would suggest getting a second opinion from a neurologist. These medications can be very helpful in some individuals to help with their day-to-day functioning.
If the fall did cause some type of brain bleed is it to late to go through the motions of a CAT scan etc since it has been wo weeks? I keep pushing to take her to a neurologist. She lives with my brother-in-law and he did not think that we needed to take her to the ER and he blamed her actions on the recent hospital visit. She has COPD and could walk well and was functioning quite well with a cane. Her short term memory has gotten worse out of nowhere. My 83 year old mother-in-law recently was in the hospital for pneumonia. When we arrived at the house that next day she was extremely confused, agitated and her shaking was remarkably worse. She has had slight hand tremors for the past couple of years. When she came home from the hospital she fell going to the bathroom and hit her head and we do not know how long she was unconscious. She seems to be deteriorating at a fast rate.
Megestrol, mirtazapine, or valproate may all help with appetite issues. A CT scan could usually diagnose any bleeding. A CT scan is not so much affected by someone shaking in the scanner like an MRI scan would be. Valproate may help with sleep issues associated with excessive restlessness. Mirtazapine may improve appetite as well as help sleep. His physicians can try to sort out the causes of his symptoms. Individuals with Parkinsonism and progressive cognitive loss may have Alzheimer's disease plus Parkinson's disease or may have another neurodegenerative disorder like dementia with Lewy bodies. There are many medications that may help sleeping issues (mirtazapine, trazodone, zolpidem, gabapentin, melatonin). Quetiapine may help with sleep issues if the individual also has false beliefs or suspiciousness symptoms. Head trauma can cause concussions or even bleeding in the brain (subdural hematoma, subarachnoid bleeding, or bleeding in the brain itself). In regards to his shaking, there may be treatments, depending on the cause. Other medications he is on may also cause shaking, appetite loss, and decreased sleep.
What could the reason be?. My mother, near 60, is suddenly having problems while drinking or eating. Whenever she tries to bring something to her mouth, her hand just gets disoriented and goes to the side.Can ambien cause early dementia?