Elderly, Geriatrics FAQ - Page 2

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Understanding Emotional Instability in Elderly: A Case Study of Grandma's Behavior

Grandma is emotionally unstable? Hello, Doctor: My grandmother is 98 years old. About a month ago, she mentioned feeling alternating hot and cold in the mornings, getting so hot that she needed a fan and wore short sleeves, then suddenly feeling cold and shivering. However, for t...


Dr. Liang Yinpan Reply:
Hello, My grandmother, who is 98 years old, has been experiencing emotional instability and mood swings. This could be caused by brain degeneration or pathology, with dementia being the most common condition. Please take her to a hospital for evaluation by a neurologist or psyc...

[Read More] Understanding Emotional Instability in Elderly: A Case Study of Grandma's Behavior


Understanding Eye Issues in Seniors with Hypertension: A Case Study

Hypertensive eye problems A 64-year-old elderly female with a history of hypertension and hyperlipidemia for 14 years has recently experienced intermittent conjunctival injection in her right eye, occurring approximately every two to three months, without affecting her vision. Th...


Dr. Liang Yinpan Reply:
Mr. Lu: Hello! The cause of the intermittent conjunctival injection in the patient's right eye needs to be evaluated by an ophthalmologist for differential diagnosis. If blood pressure is normal during episodes, there may be other underlying issues. Please seek treatment fro...

[Read More] Understanding Eye Issues in Seniors with Hypertension: A Case Study


Diet and Care Strategies for Elderly with Moderate Dementia and Multiple Health Issues

What should be the dietary and care considerations for a patient with moderate dementia combined with hypertension, hyperlipidemia, diabetes, asthma, and a history of right joint replacement surgery? Hello, doctor. Regarding the topic... My mother-in-law started living with us af...


Dr. Liang Yinpan Reply:
Dear Madam, Thank you for your hard work! The love and care you provide for your mother-in-law, who is suffering from moderate dementia, is something that can only be fully understood by those who are directly involved. I recommend that you consider having your mother-in-law rec...

[Read More] Diet and Care Strategies for Elderly with Moderate Dementia and Multiple Health Issues


Severe Sleepiness in Elderly: Understanding Causes and Next Steps

Severe somnolence? I would like to ask about my grandfather, who has been experiencing severe drowsiness for the past couple of months and is almost impossible to wake up. He was hospitalized for three weeks starting December 10th last year, during which he was somewhat more aler...


Dr. Liang Yinpan Reply:
Hello Deng Ting-Yu: Your grandfather is in the end stage of renal failure, most likely experiencing a state of lethargy due to uremia. Please take him to a large hospital for emergency care and nephrology treatment as soon as possible. Wishing your grandfather a speedy recovery. ...

[Read More] Severe Sleepiness in Elderly: Understanding Causes and Next Steps


Understanding Dementia and Delirium in Elderly Patients: A Caregiver's Guide

Dementia in the elderly with concomitant delirium? Hello, my grandmother is 78 years old. Five years ago, she collapsed suddenly due to lung cancer and exhibited seizure-like symptoms. After surgery (without chemotherapy), she suddenly displayed aggressive behavior towards others...


Dr. Liang Yinpan Reply:
Hello, Q: Grandma is suffering from severe dementia combined with delirium, and she should be taken to a psychiatrist for treatment. This is unrelated to her lung surgery five years ago; it is a result of rapid brain degeneration. Changhua Hospital cares about you; wishing Grandm...

[Read More] Understanding Dementia and Delirium in Elderly Patients: A Caregiver's Guide


Identifying the Type of Dementia: Symptoms and Stages Explained

Which type of dementia does it belong to? My grandfather is nearly 80 years old and has been experiencing a disrupted sleep-wake cycle in recent months, with increasing daytime sleepiness. He has also lost a significant amount of weight and takes a long time to eat, needing to ch...


Dr. Shen Zhengnan Reply:
If an elderly person's forgetfulness reaches a level that affects daily life, it may indicate dementia. Dementia is merely a clinical syndrome (a collection of symptoms) that requires further differentiation of its underlying causes. The two most common causes of dementia ar...

[Read More] Identifying the Type of Dementia: Symptoms and Stages Explained


Understanding Sudden Memory Loss in the Elderly: Causes and Solutions

Grandpa woke up in the morning and forgot everything? Yesterday everything was fine, but this morning at 5 AM, my grandmother tried to wake my grandfather, but he didn't respond. They discovered that he had wet the bed. When my mother and grandmother tried to help him change...


Dr. Shen Zhengnan Reply:
Hello, if an elderly person suddenly experiences memory decline and behavioral confusion overnight, the most common cause is delirium, which is an acute confusional state. The cognitive function of elderly individuals is not as robust as in their younger years, especially for tho...

[Read More] Understanding Sudden Memory Loss in the Elderly: Causes and Solutions


Addressing Abnormal Behaviors in Elderly Patients with Parkinson's Disease

Abnormal behavior in the elderly Hello Dr. Shen, My father is 79 years old and has been diagnosed with Parkinson's disease for about 10 years. In recent years, the effectiveness of his medication has decreased, and his mobility has become increasingly impaired. His cognitiv...


Dr. Shen Zhengnan Reply:
Hello, Ms. Xiao Guai. After a period of illness, Parkinson's disease patients, especially the elderly, have about a 20% chance of developing dementia. Based on your description, the changes in your father's orientation and behavioral control indeed warrant consideration...

[Read More] Addressing Abnormal Behaviors in Elderly Patients with Parkinson's Disease


Understanding Grandmother's Mental Health: Coping with Anxiety and Depression

Grandmother's psychological issues? Hello, doctor. My grandmother has been experiencing symptoms of depression, panic, and anxiety. She has needed family companionship for many years, which has been a significant concern for us. I live in a single-parent household, and my fa...


Dr. Lin Jiannan Reply:
Dear Sir/Madam, Thank you for your inquiry and for your message. Since Dr. Lin has left our hospital to start a private practice, I am responding to your questions on his behalf. Based on your description, it is clear that you are concerned about your grandmother's conditio...

[Read More] Understanding Grandmother's Mental Health: Coping with Anxiety and Depression


Understanding Frequent Bowel Movements in Elderly Patients: Causes and Care

Frequent urination in the elderly? Hello Dr. Liang, I would like to inquire about an elderly person (80 years old) who has a very low food intake, averaging about ten bowel movements a day, but actually has very little stool. They often feel bloated in the lower abdomen, but the ...


Dr. Liang Yinpan Reply:
Hello, regarding elderly patients in their eighties with multiple chronic diseases, they are prone to complications such as dyspepsia, which may present as abdominal bloating or abnormal bowel movements. If there is excessive accumulation of fecal matter in the colon, it can lead...

[Read More] Understanding Frequent Bowel Movements in Elderly Patients: Causes and Care


Understanding Weakness in the Elderly: Causes and When to Seek Help

Elderly lower limb weakness? Hello, Dr. Liang. I have an elder at home who is 66 years old. Recently, she has expressed that her left leg feels loose, as if the flesh is not firmly attached to the bone. The right leg does not have this sensation. Additionally, she often experienc...


Dr. Liang Yinpan Reply:
Dear Ms. Zhong, The loose feeling in your elder's left leg muscle is a symptom of nerve damage affecting the muscles responsible for contraction in that leg. Additionally, the tingling sensation in the fingertips of the left hand is also indicative of neuropathy. It is advi...

[Read More] Understanding Weakness in the Elderly: Causes and When to Seek Help


Managing Respiratory Challenges in Elderly Patients: A Case Study

Tracheostomy in the elderly? Grandma is already 82 years old and is currently in the hospital due to unexplained swelling of the esophagus, which is compressing her airway and causing difficulty in breathing. She has been placed on a ventilator and has received antibiotics, stayi...


Dr. Liang Yinpan Reply:
Grandma is currently relying on a ventilator to maintain her breathing. If she cannot be weaned off in the short term, the general physician would recommend a tracheostomy. However, even after the tracheostomy, it does not guarantee that she will be able to be weaned off the vent...

[Read More] Managing Respiratory Challenges in Elderly Patients: A Case Study


Understanding Foot Pain and Swelling in Seniors: Causes and Solutions

Elderly patients experiencing foot pain and swelling? My father is currently 65 years old and has recently been experiencing foot pain, particularly in the knee and ankle areas. On days when he walks a lot, by the afternoon, the sole of his right foot and ankle become swollen, an...


Dr. Liang Yinpan Reply:
The most common causes of knee and ankle swelling and pain in a 65-year-old elderly person are osteoarthritis, followed by gouty arthritis caused by hyperuricemia. Plantar fasciitis can cause tenderness in the posterior ankle and the sole of the foot. It is recommended that you t...

[Read More] Understanding Foot Pain and Swelling in Seniors: Causes and Solutions


Understanding Blood in Urine and Cognitive Decline in Elderly Patients

Hematuria in the elderly? My father had a mild stroke about three years ago and has diabetes, which he manages with blood sugar control. Recently, we have noticed (1) a significant decline in his memory and cognitive function, (2) occasional hematuria without pain, and (3) a bloo...


Dr. Liang Yinpan Reply:
Ms. Luo: Hello! It can be difficult for the elderly to express their discomfort clearly. The possible causes of your father's painless hematuria include: 1. Infection 2. Stones 3. Kidney disease 4. Tumor. I recommend visiting a urologist for a detailed examination to identif...

[Read More] Understanding Blood in Urine and Cognitive Decline in Elderly Patients


Understanding Excessive Sweating in Dementia Patients: Causes and Solutions

Profuse sweating all over the body? Hello, I have an elderly family member with dementia who is currently being fed through a nasogastric tube. Recently, they experienced shortness of breath due to phlegm, and their heart rate dropped to around 45, which required admission to the...


Dr. Liang Yinpan Reply:
Teresa: Hello, for elderly patients with dementia who are unable to get out of bed or turn over by themselves, experiencing sweating and body tremors, the possible causes and management principles are as follows: 1. Fever: Measure the body temperature; if there is a fever, seek m...

[Read More] Understanding Excessive Sweating in Dementia Patients: Causes and Solutions


Understanding Unilateral Leg Edema in Elderly Patients: When to Seek Medical Attention

Unilateral lower limb edema? Hello Dr. Liang: My mother is 80 years old and has thyroid nodules. She has been on antithyroid medication for many years. Last night, we suddenly noticed significant swelling in the dorsum of her right lower leg, without any pain, and the appearance ...


Dr. Liang Yinpan Reply:
Hello, Aimi: Your mother has suddenly developed significant swelling on the dorsum of her right lower limb, without any pain, and the appearance is similar to her normal skin color. This could be due to localized pressure causing poor venous return. She can lie on her left side a...

[Read More] Understanding Unilateral Leg Edema in Elderly Patients: When to Seek Medical Attention


Managing Appetite Loss in Elderly with Chronic Health Issues

The patient has not been eating much for 2-3 days? An 88-year-old patient with hypertension, diabetes, and benign prostatic hyperplasia who is wheelchair-bound and experiencing a lack of appetite and energy may require a comprehensive approach. Here are some suggestions: 1. **Co...


Dr. Ouyang Wenzhen Reply:
Dear netizens: Hello! An 88-year-old wheelchair-bound elderly person with hypertension, diabetes, and benign prostatic hyperplasia may experience loss of appetite and lethargy due to various reasons. The main considerations can be categorized into three areas: 1. Medical, 2. Neur...

[Read More] Managing Appetite Loss in Elderly with Chronic Health Issues


Understanding Sleep Issues in Elderly Patients: A Case Study

Sleep Issues in the Elderly Dear Dr. Lin, Hello, my father is 82 years old. Recently, he caught a cold, and two days ago, he started experiencing involuntary shaking of his hands and feet while sleeping, as well as talking in his sleep. Since my father values health and has not ...


Dr. Lin Jiannan Reply:
In your letter, you mentioned that your father has recently experienced "involuntary shaking of his limbs while sleeping, as well as sleep talking." These symptoms may indicate primary sleep-related disorders that are more common in some elderly individuals, or they cou...

[Read More] Understanding Sleep Issues in Elderly Patients: A Case Study


Managing Nutritional Needs for Elderly with Reduced Appetite

Dad's appetite has significantly decreased? Dr. Liang: My father is 92 years old and has symptoms of hypertension, heart disease, and asthma, for which he is on regular medication. He currently has limited mobility (he can walk slowly but can no longer go down stairs). His a...


Dr. Liang Yinpan Reply:
Dear Mr. Johson, Your father is 92 years old and suffers from chronic conditions such as hypertension, heart disease, and asthma, and has been bedridden for an extended period. This has significantly diminished his physical strength, chewing, and swallowing abilities. Recently, ...

[Read More] Managing Nutritional Needs for Elderly with Reduced Appetite


Understanding Memory Loss and Heart Disease in Elderly Patients

Elderly Issues Hello doctor, my father is 84 years old. He often forgets things and forgets what he has done. He has heart disease and experiences daily headaches. Could you please explain if he might have dementia?


Dr. Shen Zhengnan Reply:
Hello, to assess the context, frequency, severity, and related emotional stress regarding forgetfulness, we consider dementia (Alzheimer's disease) related memory loss. Typically, memory loss in dementia will: 1. Become increasingly frequent, changing from once every three d...

[Read More] Understanding Memory Loss and Heart Disease in Elderly Patients


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