Good Manners Do Not Equal Capacity

I have a patient who has fairly advanced dementia. She has trouble speaking, but she still knows what day it is. When people come to visit, she recognizes them and makes appropriate comments, though usually in very short sentences. She can still play bridge, though...
Heat Tips for Elders

Heat Tips for Elders

Elderly people (that is, people aged 65 years and older) are more prone to heat stress than younger people for several reasons: Elderly people do not adjust as well as young people to sudden changes in temperature. They are more likely to have a chronic medical...
Agitation: Behavioral Intervention Is Always Best

Agitation: Behavioral Intervention Is Always Best

We overmedicate our elders with dementia and agitation. When they are bored, and get restless or come asking questions for the 30th time, all too many people just treat them for “anxiety.” When they get extremely angry at us, or won’t sleep at night, or are slow to...

Truth Can Be A Tricky Concept

Recently, a caregiver came to me with this story, “A grandmother of a friend was discharged from one hospital to another hospital in the same town. This lady ‘lies through her teeth.’ Then, she forgets what she told her healthcare providers. The lady told me she...