Memory Loss and Mood Changes After Stroke in Seniors

Q: Memory Loss and Mood Changes After Stroke in Seniors

Mr. <br>Eric： Your father-in-law is suffering from schizophrenia secondary to a stroke. <br>Please take him to a geriatric psychiatry department for treatment. <br>May God bless your father-in-law with a speedy recovery! Changhua Hospital, Geriatrics Department, Liang Yin-Pan, 20

Memory and temper issues after a stroke?

My father-in-law had a stroke two years ago, which resulted in memory decline and increased irritability.
Recently, he has been repeatedly losing his temper over a land dispute.
I would like to ask the doctor whether the following situations are expected outcomes after a stroke:
1.
In April, my father-in-law believed someone was encroaching on his land, so he applied for a land assessment.
He attended the assessment in person and marked the boundaries with stakes, allowing for a clear demarcation.

2.
However, after the assessment, he returned home and again believed that someone was encroaching on his land, leading to arguments with family members about needing to conduct another assessment.
Despite family attempts to calm him down, he felt they were not considering his concerns and went out to drink with friends.

3.
On May 1st, I took the title deed and personally brought him to his land, pointing out the stakes he had placed during the assessment.
At the site, he believed the person he thought was encroaching on his land was present.
I asked him about the clearly marked stakes, and he acknowledged that the person was not encroaching.
I also asked if he had any further issues, and he seemed satisfied, saying there were no major problems and everything was clear.

4.
On May 3rd, I received a call from my mother-in-law saying that my father-in-law wants to have the land assessed again, claiming that the person is encroaching on his land.
Doctor, is this repetitive behavior due to the stroke? Does he need medication management, or is there another approach required? P.S.
He drinks about two cans of beer or a small glass of liquor every afternoon and evening.
Thank you, doctor.

eric, 40~49 year old female. Ask Date: 2017/05/03

Dr. Liang Yinpan reply Geriatrics

Mr.
Eric: Your father-in-law is suffering from schizophrenia secondary to a stroke.
Please take him to a geriatric psychiatry department for treatment.
May God bless your father-in-law with a speedy recovery! Changhua Hospital, Geriatrics Department, Liang Yin-Pan, 2017-05-09.

Reply Date: 2017/05/03

More Info

Understanding memory loss and mood changes after a stroke, especially in seniors, is crucial for both caregivers and healthcare providers. Your father-in-law's situation illustrates some common post-stroke challenges, particularly regarding cognitive function and emotional regulation.

After a stroke, it is not uncommon for individuals to experience memory loss, mood swings, and changes in behavior. These changes can stem from various factors, including physical damage to the brain, emotional responses to the stroke, and the stress of adjusting to new limitations. In your father-in-law's case, his repeated concerns about land disputes and his volatile reactions may be indicative of cognitive impairment, which can manifest as confusion, difficulty processing information, and impaired judgment.

1. Memory Loss and Cognitive Changes: Memory loss after a stroke can vary in severity. Some individuals may experience short-term memory issues, while others may have more significant difficulties with both short-term and long-term memory. The repetitive nature of your father-in-law's concerns about land ownership suggests a potential issue with his ability to retain new information or to understand that a situation has already been resolved. This is often referred to as "perseveration," where a person gets stuck on a particular thought or action.

2. Emotional Changes: Emotional lability is another common post-stroke symptom. Individuals may exhibit increased irritability, frustration, or even aggression, particularly when they feel misunderstood or when their needs are not being met. The fact that your father-in-law is becoming agitated over the land dispute and feels that his family is not supportive indicates a possible emotional response to his cognitive challenges. Alcohol consumption, as you mentioned, can exacerbate these mood swings and may impair his judgment further.

3. Need for Intervention: Given the repetitive nature of your father-in-law's concerns and his emotional volatility, it may be beneficial to seek professional help. A neurologist or geriatric psychiatrist can assess his cognitive function and emotional state. They may recommend cognitive rehabilitation strategies to help him manage his memory issues and emotional responses. Additionally, medication may be considered to help stabilize his mood and reduce anxiety or agitation.

4. Family Support and Communication: It is essential for family members to remain patient and supportive. Engaging in clear, calm communication can help alleviate some of the stress he may feel. It might be helpful to establish a routine or a system for addressing his concerns about the land, perhaps by documenting discussions and resolutions to provide him with reassurance.

5. Alcohol Consumption: The alcohol consumption you mentioned is concerning, as it can interfere with recovery and exacerbate cognitive and emotional issues. It may be beneficial to discuss this with a healthcare provider, as reducing or eliminating alcohol intake could significantly improve his overall well-being.

In summary, your father-in-law's situation reflects common post-stroke challenges, including memory loss and emotional changes. It is crucial to seek professional evaluation and support to address these issues effectively. Engaging in cognitive rehabilitation, considering medication for mood stabilization, and fostering a supportive family environment can all contribute to improving his quality of life.

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