Elderly, Geriatrics FAQ - Page 3

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Understanding Mental Health Issues in the Elderly: A Case Study

Mental disorders Hello, doctor! My mother passed away in July 2010. My father, who is now 75 years old, lives alone in a three-story house (the children live elsewhere). He has health issues, including hypertension and hearing loss, and he takes medication three times a day. In O...


Dr. Ouyang Wenzhen Reply:
Dear Sir/Madam, Thank you for using Taiwan e-Hospital! In your inquiry on Friday, March 18th, at 21:59, you mentioned that your father is 75 years old, lives alone, and is suspected to have "the nurses in the intensive care unit being harsh to him and wanting to kill him&qu...

[Read More] Understanding Mental Health Issues in the Elderly: A Case Study


Understanding Sudden Cold Sensations in Elderly: Causes and Remedies

Elderly individuals often experience sudden chills? Hello Dr. Liang: My father is now in his eighties, and I wonder if his sudden chills are due to the abrupt change in weather. These episodes come on very suddenly, causing him to shiver uncontrollably and tremble significantly, ...


Dr. Liang Yinpan Reply:
Hello Nini: When an elderly person suddenly experiences shivering, trembling, and shortness of breath, the first consideration should be whether it is caused by an infection leading to fever, which would result in a noticeable increase in body temperature. Secondly, as you mentio...

[Read More] Understanding Sudden Cold Sensations in Elderly: Causes and Remedies


Can Ginkgo Biloba Improve Memory in Seniors with Hypertension?

Does consuming ginkgo biloba help improve memory? Dr. Ouyang, my father is 84 years old and has experienced a decline in memory over the past six months. I have heard that ginkgo biloba may improve memory, but I am unsure if this is true. Could you please clarify? Thank you! (My ...


Dr. Ouyang Wenzhen Reply:
Hello: One of the pharmacological effects of Ginkgo biloba is its antiplatelet aggregation action. The Ministry of Health and Welfare in Taiwan has approved its (conventional medicine) indication for peripheral blood circulation disorders. There have been varying opinions on the ...

[Read More] Can Ginkgo Biloba Improve Memory in Seniors with Hypertension?


Dietary Recommendations for Dementia Patients Without Dentures: Soft vs. Semi-Liquid

For elderly patients with dementia who have had their dentures removed, a soft diet or a pureed diet should be considered? For elderly patients with dementia who have had their dentures removed due to the risk of swallowing, what type of diet should be applied: a soft diet or a p...


Dr. Ouyang Wenzhen Reply:
Mr. Chuang: Hello! 1. When a person with dementia (classified as having an intellectual disability or due to a mental disorder) has reached a state of "inability to express intent," "inability to recognize intent," or lacks the capacity for "intentional e...

[Read More] Dietary Recommendations for Dementia Patients Without Dentures: Soft vs. Semi-Liquid


Sudden Memory Loss in Elderly: Signs of Dementia and What to Do

Sudden memory loss in the elderly? Dear Dr. Shen, My father has been experiencing strange behavior over the past two weeks, asking the same question multiple times a day, which he has never done before. I would like to consult you on the following: 1. Is this a sign of dementia...


Dr. Shen Zhengnan Reply:
1. It could be a precursor or early symptom of dementia, but it may also be due to excessive worry or concern about something, leading to repetitive questioning. In addition to repetitive inquiries, early signs of dementia may include misplacing personal items, forgetting appoint...

[Read More] Sudden Memory Loss in Elderly: Signs of Dementia and What to Do


Managing Severe Osteoporosis in Elderly Patients: Alternatives to Surgery

Osteoporosis My mother is 82 years old and has severe osteoporosis, with weakened vertebrae. She is currently unable to sit or stand and can only lie down, experiencing excruciating pain even when trying to turn over. She is also unable to visit a doctor. Two years ago, she under...


Dr. Liang Yinpan Reply:
Concerned Daughter: Hello, osteoporosis is a condition where prevention is more important than treatment. It is advisable for women to undergo a bone density test around the age of 50 to understand their bone structure. Subsequently, they can take preventive or therapeutic measur...

[Read More] Managing Severe Osteoporosis in Elderly Patients: Alternatives to Surgery


Understanding Hoarding Behavior in Seniors: Seeking Help for a Loved One

Collecting scrap and bringing it home to pile up..? Hello Dr. Shen: I have a long-standing issue that I seek your professional opinion on. My mother-in-law is sixty years old and has a habit of collecting junk and hoarding it at home without organizing it, which has filled severa...


Dr. Shen Zhengnan Reply:
Hello, there are several possible situations regarding the behavior of elderly individuals collecting scrap: 1. If this habit or related work existed during their youth, it may be a continuation of their original behavior into old age, which, due to a decline in cognitive abiliti...

[Read More] Understanding Hoarding Behavior in Seniors: Seeking Help for a Loved One


Caring for a Depressed Grandparent: Understanding Symptoms and Solutions

Could you please clarify your question, Dr. Shen? Dr. Shen: Ever since my grandfather passed away, my grandmother has completely changed; she has become very depressed and seems to be lost in her thoughts. She keeps thinking about various things, and seeing her like this makes me...


Dr. Shen Zhengnan Reply:
Hello, elderly individuals who have experienced a stroke or the loss of a spouse are prone to depression. It is advisable to provide them with companionship and reassurance. If the elderly person continues to exhibit depressive symptoms (such as persistent sadness, frequent compl...

[Read More] Caring for a Depressed Grandparent: Understanding Symptoms and Solutions


Understanding Dizziness in Elderly Patients: When to Seek Medical Help

Elderly individuals experiencing dizziness? Doctor: Hello! My father is 88 years old with a blood pressure of 145/105 and a blood sugar level of 97/210 (he has been taking antihypertensive medication and medication for high blood sugar from Miaoli Provincial Hospital for a long t...


Dr. Ouyang Wenzhen Reply:
Hello Tian Tian, your father has a history of stroke, as well as hypertension and diabetes, which indeed places him at high risk for recurrent stroke or vascular dementia. Currently, your father is experiencing dizziness, and the first consideration should be "orthostatic hy...

[Read More] Understanding Dizziness in Elderly Patients: When to Seek Medical Help


Caring for Elderly Family Members: Navigating Medical Support and Pain Relief

How to care for elderly individuals at home and assist them with medical appointments? Hello: Since general hospitals do not have a "geriatric" specialty, I am unsure how to seek medical help for the physical and mental conditions of my elderly family member, and how to...


Dr. Ouyang Wenzhen Reply:
Dear Rita, The field of geriatrics is not yet a common specialty in Taiwan. However, institutions such as National Cheng Kung University in Tainan and the Chiayi Veterans General Hospital have begun to establish specialized clinics for the elderly. Older adults often suffer from...

[Read More] Caring for Elderly Family Members: Navigating Medical Support and Pain Relief


Common Health Issues and Symptoms in the Elderly: What to Know

What are the common symptoms in the elderly? What are the most common diseases in the elderly? Or what symptoms are more frequently observed in older adults? Thank you!


Dr. Ouyang Wenzhen Reply:
Hello, I believe you are asking about the most common "mental illnesses in the elderly." The most prevalent mental disorders among older adults, in order of frequency, are depression in the elderly, dementia, delirium, and delusional disorder. Among these, the common sy...

[Read More] Common Health Issues and Symptoms in the Elderly: What to Know


Understanding Insomnia in the Elderly: Causes and Treatment Options

Insomnia in the elderly There is an elderly person at home who often complains about insomnia. He has been treated at your hospital for diabetes and has discussed this issue with his attending physician, who prescribed sedatives for him. However, he still cannot sleep. Later, sle...


Dr. Ouyang Wenzhen Reply:
Hello, may I ask how old your elder is this year? If they are quite elderly (for example, over 70 years old), the dosage of sleeping medication should be reduced by half, even if they are experiencing insomnia. If they have been taking sleeping medication for more than six months...

[Read More] Understanding Insomnia in the Elderly: Causes and Treatment Options


Understanding Suicidal Behavior in Elderly: A Guide for Caregivers

Suicidal behavior Hello Doctor: My 73-year-old mother was originally independent, healthy, and happy. However, after suffering from a severe cold in June of this year, her personality changed dramatically. She no longer enjoys dressing up, has altered her lifestyle, and has start...


Dr. Ouyang Wenzhen Reply:
Hello, Xiao Lan. 1. Your mother has exhibited suicidal behavior at least twice, and the risk of further suicide attempts or completion is significantly high. Based on your description, she is likely suffering from geriatric depression. It is also possible that she has dementia ...

[Read More] Understanding Suicidal Behavior in Elderly: A Guide for Caregivers


Understanding Depression in Elderly: Is It Just Aging or More?

Is it depression in the elderly or an issue related to aging? Hello Dr. Ouyang, my grandfather is nearly 90 years old this year. After my grandmother passed away over ten years ago, he has been living with my two aunts and often stays home alone. Therefore, we hired a female care...


Dr. Ouyang Wenzhen Reply:
It is not unusual for a 90-year-old person to have sexual desire and engage in sexual activity; however, attention should be paid to their cognitive abilities, judgment, and physical capacity. 1. In terms of cognitive judgment, it is crucial to consider whether the individual h...

[Read More] Understanding Depression in Elderly: Is It Just Aging or More?


Understanding Memory Decline in Seniors: When to Seek Help

Memory decline in the elderly? Hello Dr. Ouyang, my mother is currently 67 years old. Over the past two years, she seems to be showing signs of memory decline. She often forgets things that others or family members have just told her, and recently she has expressed that she frequ...


Dr. Ouyang Wenzhen Reply:
Hello: 1. If memory decline is significant enough to affect daily functioning, such as forgetting to turn off the water more than three times a week, or causing major incidents like getting lost and unable to find home or restroom, or if there are accompanying emotional and behav...

[Read More] Understanding Memory Decline in Seniors: When to Seek Help


Safe Candy Options for Seniors: What to Choose for Your Elderly Loved Ones

What types of candies are suitable for elderly individuals? My grandmother loves to eat candy, but she is quite old (over 70), and I'm worried she might choke on it, especially since sometimes she falls asleep while sucking on it. What type of candy would be safer for her? H...


Dr. Ouyang Wenzhen Reply:
Hello! Actually, sleeping with candy in your mouth is dangerous for both children and the elderly. This is because, during sleep, the reflex actions of breathing and swallowing saliva still occur, but these reflexes may not function as completely in the elderly or young children,...

[Read More] Safe Candy Options for Seniors: What to Choose for Your Elderly Loved Ones


Understanding Depression and Memory Issues in Elderly Stroke Patients

Geriatric depression and dementia? Dear Dr. Wen-Cheng, My grandfather had a stroke two weeks ago and was discharged this week after the blood clot dissolved. However, he is still having difficulty with his speech and often wanders around. We have had to go to the police station ...


Dr. Ouyang Wenzhen Reply:
Dear "yenhsi," Your grandfather has exhibited inappropriate behavior following his stroke, which is likely due to bleeding during the stroke that has affected the brain nerves in that area. This may not be depression but rather "organic brain syndrome," and ...

[Read More] Understanding Depression and Memory Issues in Elderly Stroke Patients


Is It Dementia? Understanding Sudden Memory Loss in the Elderly

Is it Alzheimer's disease? Dear Doctor, my grandmother is 87 years old. At the beginning of this month, one night she suddenly exhibited signs of inappropriate laughter, appeared very fatigued, had an unsteady gait, and was unable to recognize family members or her surroundi...


Dr. Ouyang Wenzhen Reply:
Hello, 1. Your grandmother is 87 years old, and the likelihood of developing dementia is quite high. According to studies from abroad, over 20% of individuals aged 80 and above have dementia. 2. The most common types of dementia are Alzheimer's disease (accounting for 50...

[Read More] Is It Dementia? Understanding Sudden Memory Loss in the Elderly


Health Risks of Dehydration in Seniors: Concerns and Solutions

What health issues can arise from elderly individuals not drinking enough water? Hello, my grandmother is 95 years old and usually only eats congee for her three meals (due to poor dental health). Occasionally, she eats some fruit. Additionally, she does not drink plain water eve...


Dr. Ouyang Wenzhen Reply:
Hello, Mr. Yeh. 1. Elderly individuals often drink insufficient water, which can lead to dehydration and an elevated concentration of metabolic waste in the blood. Blood tests may reveal abnormalities in kidney function tests (BUN/creatinine > 20). 2. If dehydration become...

[Read More] Health Risks of Dehydration in Seniors: Concerns and Solutions


Understanding Excessive Sleepiness in Elderly: Causes and Solutions

Elderly individuals experiencing excessive sleepiness? Dear Dr. Ouyang, My father is 78 years old and recently, possibly due to the cold weather or other reasons, he has been frequently sleeping deeply and not waking up, missing both breakfast and lunch. He has previously been e...


Dr. Ouyang Wenzhen Reply:
Hello, Liu Zu-Jie. It is true that a significant proportion of individuals with dementia (currently referred to as cognitive impairment) experience sleep issues, including insomnia, hypersomnia, and problems with circadian rhythms. Your father’s hypersomnia may require further in...

[Read More] Understanding Excessive Sleepiness in Elderly: Causes and Solutions


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