question-icon

Suggest treatment for dementia in an elderly person

default
Posted on Tue, 28 Nov 2017
Question: My husband, 83, has had dementia (primary progressive aphasia) for 13 years. After bout w/pheumonia almost six months ago, I was advised to keep him in bed. Although he hasn't developed pressure sores/skin problems, he quickly became much stiffer than before in spite of our efforts to do passive ROM exercises daily. We requested a physical therapist for consultation. She and his neurologist agreed that we if we could get him up, we should. Hospice would only allow the P/T one visit to train 2 of our 4 caregivers in proper technique. I was not permitted to hire a P/T privately (offered to do so). The P/T and neurologist recommended the muscle relaxant baclofen. He had a reaction after one dose (has had reactions to plavix, toprol, and other drugs. Now Hospice is suggesting a low dose of methadone. Hospice N/P has seen him and should realize that he is NOT in constant pain (only when moving his legs in certain ways). The hospice dr has NEVER seen him. The pain doesn't interfere w/sleeping and eating. He has been on a bi-Pap machine for over 10 years for 2 kinds of "severe" sleep apnea, and his neurologist told me that his breathing complications would probably be his cause of death. I'm angry that Hospice would even suggest methadone. I want to withdraw from Hospice immediately. Am I overreacting? If so what questions do I need to ask Hospice? Thanks.
doctor
Answered by Dr. Prof. Kunal Saha (2 hours later)
Brief Answer:
Methadone is ok but other things do not seem in place

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through your query and understand your concerns. I do not think that you are overreacting. However, you should insist the hospice to allow an external review by a doctor of your choice and also to allow PT. Unless they comply and if you can find a different hospice that is reasonable otherwise, it would perhaps be wise to get him shifted.

Let me know if I could help further.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4438 Questions

premium_optimized

The User accepted the expert's answer

Share on
Suggest treatment for dementia in an elderly person

Brief Answer: Methadone is ok but other things do not seem in place Detailed Answer: Thanks for asking on HealthcareMagic. I have gone carefully through your query and understand your concerns. I do not think that you are overreacting. However, you should insist the hospice to allow an external review by a doctor of your choice and also to allow PT. Unless they comply and if you can find a different hospice that is reasonable otherwise, it would perhaps be wise to get him shifted. Let me know if I could help further. Regards