Delirium, prevention and long-term outcomes

For more than 30 years, Dr. Sharon K. Inouye has dedicated herself to the identification and prevention of delirium in the hospital. She created the Confusion Assessment Method (CAM), the most widely used method for identification of delirium worldwide. In her last video, Dr. Inouye described the features of delirium. She now discusses preventative strategies and long-term outcomes.

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The Life of a Caregiver: Ojay

I wanted feedback on GeriatricswithAloha.com. A caregiver named Ojay provided that. In the process, I immediately felt that caregivers like Ojay, and patients like his parents,  are the reason I’m working on GeriatricswithAloha. This is the first of a two part video about Ojay. This video talks about how he came to be a caregiver and his daily routine. It was a privilege to get a glimpse of his life.

Fever in a Frail Older Patient | Always a Warning Sign

Tom is the main caregiver for his mom, Beth. He is worried that she’s sick. He calls the doctor: “Hi Doctor, I’m worried about my mom. She just doesn’t seem herself. She doesn’t want to get out of bed. She looks weak. She recognizes me but she isn’t talking. She’s not eating either.” Does she have a fever? “I’m not sure, she feels kinda warm.” How do you know when a frail older person has become sick? In this and future posts I will talk about the importance of They are called “vital” signs for […]

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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Hospital at Home, Bringing the Hospital to the Home

The hospital can be a dangerous place, especially for older patients. Decades ago, I met a physician named Dr. Bruce Leff. He asked the question: Can we bring the hospital to the home? There’s a reason he asked that question. He has a great explanation.

I say it over and over again: There's no one more important than the caregiver in the daily life of a frail person.

Warmest Aloha,


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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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Rest and Revel

Dr. Warren Wong

The Holidays are almost over. After a challenging and exhausting year, I am pausing to rest. I hope you do too.

Just recently I reconnected with a friend from high school Alyson Kuhn. She is co-author of a wonderful book I Hear You. Alyson and her co-author, gerontologist Jane Mahakian, provide insights on conversing with a person with Alzheimer’s. We thought it would be great to interview Alyson and wanted to get a post out before Christmas. We decided, however, to take a bit more time and not rush at the end of a long year.

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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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