Pneumonia treatment elderly patients

Common Questions and Answers about Pneumonia treatment elderly patients

pneumonia

Foods must be thickened or pureed. The treatment is to get an aide to feed him properly. Bacterial pneumonia secondary to aspiration of food into the trachea is a leading cause of mortality in stroke disabled elderly in nursing homes.
We are also spreading our wings a little and reaching outside the hospital, to the extent that we can, to make sure patients are getting the ongoing treatment they need." Still, industry officials say they have misgivings about being held liable for circumstances beyond their control. They also complain that facilities serving low-income people, including many major teaching hospitals, are much more likely to be fined, raising questions of fairness.
This new box warning via FDA is something i've been aware of for some time in patients using ciprofloxaxin, levaquin (levofloxacin), Moxifloxacin (Avelox), ofloxacin (floxin), gatifloxacin (tequin), and i'm glad it'll be highlighted on labeling, showing it's increasing incidence: risk of tendinitis and tendon rupture is further increased in those over age 60, in kidney, heart, and lung transplant recipients, and with use of concomitant steroid therapy.
These are some observations regarding treatment for swallowing disorders.
No offense, but little kids are reservoirs of respiratory infections. Cancer patients tend to have other resistant bacteria also, unfortunately. Patients are put on one level of antibiotics, those don't work, so they try more aggressive antibiotics or combinations thereof. Normal bacterial flora are wiped out, the patient has low white counts and can't fight off the infection, so other bacteria overgrow. It's not a pretty scenario, unfortunately.
Laparoscopic cholecystectomy allows for a reduced hospital stay, easier recovery, earlier return to normal activities, smaller scar and better patient satisfaction. In elderly patients with comorbid conditions (who don't have acute cholecystitis) who present high surgical risks oral bile acid therapy with ursodeoxycholic acid (Actigall) is an option.
Laparoscopic cholecystectomy allows for a reduced hospital stay, easier recovery, earlier return to normal activities, smaller scar and better patient satisfaction. In elderly patients with comorbid conditions (who don't have acute cholecystitis) who present high surgical risks oral bile acid therapy with ursodeoxycholic acid (Actigall) is an option.
Ive just spent the last week in hospital with pneumonia. It was hell on wheels, literally. Our public hospital system is flooded with the very elderly whose families cant afford or find placement for them in retirement villages or aged care, and they lierally scream and moan and argue all night and day. In the end I was asking for earplugs, not drugs. I would not be exaggerating by saying it was one of the worst experiences I have ever had in my life.
The risk of stroke and death is low with open heart surgery but it does go up a little with age, but moreso when there are other medical problems with the patient (kidney disease, diabetes, etc.) Elderly patients that are otherwise healthy usually do very well with valve replacement surgery.
You watch Grey’s Anatomy and you know the names of many of the oral and i.v. medications they give to their patients including correct dosage, side effects, and reasons for needing that med. . .because you’ve had to take most of them. 3. You collapse or faint at least 5 times a day and laugh when you hit the ground rather than panic. 4. Your family calls you for advice on medical conditions and medications as if you were a pharmacist or doctor, and you usually have an answer for them. 5.
org/health_chats/register/2 Can you tell the difference between the common cold and the flu? How about bacterial infections such as bronchitis or pneumonia? According to the CDC, flu activity is just starting to pick up in the U.S. and could continue into April or May. As an Urgent Care physician at Palo Alto Medical Foundation, I see dozens of these viral and bacterial illnesses every day and I'll be available to answer your questions live at March 17, 2009 3:00PM EST.
Conditions that increase the risk of bacterial infection including the complication of pneumonia include the elderly or those with heart and lung disease. Another helpful reference includes the American College of Physicians, Annals of Internal Medicine, 20 March 2001, Volume 134, Number 6. http://www.annals.org/cgi/content/abstract/134/6/479 When do I need antibiotics for sinusitis, as an adult? Doc! My face hurts on one side and colored mucous is coming out!
This usually resolves after a few days. Treatment is usually with symptomatic and supportive treatment. Drink plenty of fluids and take over-the-counter pin reliever for the headache. Other differentials include allergic reaction, irritation, or skin conditions such as eczema or dermatitis. Direct clinical examination is essential for the diagnosis of any rash. Take care and do keep us posted.
The committee was surprised to see that most Americans are meeting their needs for both of the nutrients, except for adolescent girls who may not be getting enough calcium and some elderly people who don't get enough of either, says Catharine Ross, professor of nutrition at Pennsylvania State University and chairwoman of the panel that prepared the report. The Institute of Medicine (IOM) is set up by Congress to advise on a variety of health issues.
org/health_chats/register/17 Due to the swine flu, the US has declared a public health emergency. We're early in the outbreak of this new virus, with most all patients in the US having mild illness who have recovered without treatment. Only 1 of the 20 cases have been hospitalized. Since the US strain is a genetic match to the Mexico strain, officials are concerned about the potential of deaths in America from swine flu.
The two concerns are firstly that Haldol (like all other antipsychotics) can cause tardive dyskinesia and as that is clinically related to Parkinson's this is an express concern with people with Parkinson's. Also there is a concern with the use of antipsychotics in general with people who are elderly and have dementia (this is listed on the medication websites). However as dementia in Parkinson's (or any other form of dementia) can cause agitation sometimes it is misdiagnosed as psychosis.
One treatment that is overly used in the elderly stroke patient is high-dose vitamin C. While it is true that Vitamin C goes after free radicals, it is also a powerful diuretic and high doses are contraindicated in any patient with a dehydration issue --- which includes most stroke patients with swallowing disorders. There is more nonsense written about evaluation of swallowing disorders, and I sometimes think an ouiji board might provide a better result.
MY GI insised that i have both flu shot and pneumonia shot b4 treatment. he saidwe have enough to deal with during tx. that anything we shoul any other risk while on tx. I know the flu in Colorado is very volitail, but it can't hurtr and might help. Just my .002 cents worth but it sounds like good advice to me.
I have been doing a lot of research on Sho-saiko-to after Thanbey posted the information on the clinical trial. This seems like it may be a "serious" alternative to the current treatment - NOT in terms of eliminating the virus, but in terms of reducing fibrosis and decreasing risk of liver cancer.
You can hire caregivers and there are Physical Therepists out there that will work with elderly stroke patients..you have to really talk them into it. You will hear a lot about Medicare Guidelines, which tell you they cannot continue PT unless the patient shows progress, but too many of the Physical Therepists are willing to "write off" stroke patients. It is not fair, but you can find a compassionate one, we did.
They have also been shown to help speed the recovery or even the prevention of pneumonia. Again, there is still much to be learned. The OP's situation is indeed very alarming, however I don't read anything that says the Zocor was responsible, just conjecture that it may be based on some Internet research. Zocor which is merely simvastatin is very safe and the incidence of side effects very low, but some will be affected differently than others.
I think docs are really unaware of chronic infections and how they behave. My elderly neighbor had pneumonia and was in the hospital a day or so. They gave him some powerful abx, but then stopped the meds and sent him home. He was mad. He said, I still have it, I can feel it! But they refused to give him any more abx telling him he'd had enough already. They said he just needed to go home and he'd recover. We'll, it took him a month and he did not feel well for most of it.
With my 101 year old patient it is not abnormal to take an hour and fifteen minutes for each meal. Rushing meals is an invitation to aspiration pneumonia. I often wonder how many nursing home patients end up on tube feeding through a surgical opening simply because the staff don't have the time, energy, or inclination to properly mouth feed. Getting that bolus of food down into the tummy can take a long, long time.
Both Neurologists did ask similar questions about his treatment and medications like I did but as far as participating in his treatment or acting as an advocate, it seems they shift the follow-up back to the PCP. For my father and mother, I as their son, am their only advocate. You and Mrs. Aristotle are right, it is the PCP who should be the advocate. Right now, I am very exhausted.
while only 40% of Child A patients have varices, they are present in 85% of Child C patients. Patients with primary biliary cirrhosis may develop varices and variceal hemorrhage early in the course of the disease even in the absence of established cirrhosis. It has also been shown that 16% of patients with hepatitis C and bridging fibrosis have esophageal varices.
Once he was stabilized he then spent 2 months in Hospital, nearly all in ICU, enduring 7 plasmapheresis procedures, fighting pneumonia, contracting chicken pox, having blood transfusions, recovering from a stomach operation performed to repair a bleeding ulcer, and of course he was on a ventilator until a tracheostomy was done plus a feeding tube through his upper abdomen; his weight bottoming out at 118 lbs.
It's very important that you are on the correct medication for the gerd to prevent damage to your lungs,trachea and esophagus.and aspiration pneumonia The acidity of gerd can cause a form of copd. The restrictive breathing you are feeling can also be a cause of the gerd and the inflammation of the airways.Have you had a PH study or upper G.I. to determine the severity of your gerd?
Since you said that you welcome comments from other patients, all I can tell you is that paying attention to the free T3 and NOT the TSH made a huge difference in my treatment with combined T3/T4 treatment. When I was treated by the TSH and thus left in that terrible range, I had MANY lingering symptoms like yours--symptoms of those listed as CFS, hypotension, low tolerance for any activity, body aches!!
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