Is Mom in the Hospital? Remember the 8 Ds

Dr. Warren Wong

The hospital is a hard place for older patients. In a previous post, I described three awful things that happen too often. I was frequently asked to help care for frail older patients in the hospital. Based on these experiences, I came up with 8D's.

When you have an older loved one in the hospital, think of these 8 Ds:

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Mom’s Hospitalized – Time to Cross our Fingers

In our last post, Dr. Bruce Leff talked about Hospital at Home. When someone becomes acutely ill or injured, hospital care is needed to treat the problem.  But hospitalization causes its own problems.  One of Dr. Leff’s patients described the hospital as a “crappy hotel.” I’ll describe three things that make the hospital feel like a crappy hotel.1. Who’s in charge? 3 different doctors in 2 days???When a patient is hospitalized at night, the nighttime doctor examines the patient and writes the orders. The next morning, the doctor goes home. Another provider assumes care. However, […]

Managing Diabetes Better in Older Patients – What does that mean?

Diabetes is one of the most common conditions managed by doctors. Diabetes results in increased risk for cardiovascular, kidney, eye diseases, infections, and amputations. Is Diabetes well managed in older adults? From a geriatrician’s perspective, management could be much better. The reason why might be unexpected. Many older adults are over treated, not under treated, with serious consequences.

I’m not sure I should go back on hospice. What do you think?

Most of my patients who passed away received hospice care at home. Hospice provides the best care possible at end of life. The hospice team focuses on physical, emotional, social, and spiritual wellbeing. Comfort and dignity are provided to both the patient and loved ones.

I am a strong advocate for hospice care. But, for many patients the choice to enroll in hospice is a difficult one. A recent patient told me why she dropped out of hospice:

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My goal was always to help my mother feel in charge

My friend Alyson Kuhn is co-author of the book I Hear You, about talking and listening to people with Alzheimer’s.  Alyson and her co-author, gerontologist Jane Mahakian, provide great insights about how to avoid “talking down” to someone living with dementia.
 
There is no greater gift to a person than conversing with love and respect. In today's video, Alyson presents a “social solution” to entice her mother to eat lunch.

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A Special Relationship Between the Older Adult and the Caregiver

In a previous post, my friend Shannon talked about gracefully and thankfully accepting a caregiver at a certain stage in life.  Today’s post is Part 2 of our discussion. Shannon talks about the relationship “rules” that both the caregiver and the client need to keep in mind to make the relationship a strong one.

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What is Causing this Person’s Weight Loss?

In my last post I talked about a patient who had some bleeding in her brain. That was the obvious diagnosis. However, I'm frustrated because an important diagnosis was missed. It was immediately obvious that she was severely underweight. I looked through her chart carefully. Her weight had gone from 89 pounds to 74 pounds in a little bit over a year. No one had mentioned this.

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