Jennifer Serafin, N.P.

Caring.com Expert

About

Jennifer Serafin is a Geriatric Nurse Practitioner at the Jewish Home in San Francisco, where she provides primary care and management of acute illnesses. Jennifer also leads staff teaching sessions and is a member of many of the facility's committees: Pharmacy and Therapeutics, Infection Control, Policy and Procedure, and Formulary. Her nursing specialties include cardiology, urology, and gynecology. She is the past-president of the local chapter of the National Conference of Gerontologic Nurse Practitioners, a member of the California Association of Nurse Practitioners, and associate clinical professor for the Physiological Nursing Department at University of California, San Francisco.

Jennifer received her Bachelor of Science Degree in Nursing from the University of Maryland, and a Master of Science Degree as a Gerontological Nurse Practitioner, with a minor in teaching, from the University of California San Francisco.

Recently Published on Caring.com

Friday November 13, 2009
1. What can be done for the pain and swelling associated with deep vein thrombosis/pulmonary embolism?
  Answer - An acute deep vein thrombosis (DVT)can be quite painful, but pain usually resolves once the clot has gone away and the swelling goes down. During this acute phase, pain medications can be used to reduce discomfort.
Thursday November 12, 2009
1. What could be causing a tightness and itching on my face?
  Answer - There could be several things that cause this kind of problem, which sounds like an allergy to me. First, it can be a reaction to medication. Is there something new medication wise that you started 6 months ago? Or, it can be a reaction to creams or makeup that you are using...
Tuesday November 10, 2009
1. What could cause cloudy urine?
  Answer - Cloudy urine is often the sign of a urinary tract infection, or UTI. It can also be the sign of kidney stones and other urologic problems. Normally, urine is clear if there is no infection. However, when an infection develops cloudiness is one of the first signs, since it signals the development of bacteria and white blood cells (pus) in the urine...
Monday November 02, 2009
1. What climate is best for COPD?
  Answer - From what I know, there is no studies that show hot vs. cold climate has any effect on the course of COPD. The more important factor that you should consider would be air quality (pollution rates)of the area where you want to live, as areas with bad air quality would definitely cause breathing difficulty for a person with COPD...
Thursday October 29, 2009
1. Will he ever walk or talk again?
  Answer - Unfortunately, I cannot tell from your letter if your husband will be able to walk or care for himself again. You mention he had an aneurysm, but you do not say if he had surgery to repair it or if he had a ruptured aneurysm. With the surgical repair, it will take 6 months for him to recooperate...
Wednesday October 28, 2009
1. How can I find out what is going on with my body?
  Answer - It sounds like you have a number of concerns that need to be addressed. The first place to start would be to see your primary health care provider for a general check-up. For your digestive problems and pain, you may need to be refered to a specialist for additional testing, but your primary provider is a good place to start...
Tuesday October 20, 2009
1. What could cause loss of feeling in fingers?
  Answer - Loss of feeling in your fingers is usually caused by a nerve or circulation problem. The most common causes include carpal tunnel syndrome, radiculopathy, or Raynaud's syndrome (her fingers would turn blue if she had this). I recommend that she get checked out for this complaint by her health care...
Monday October 19, 2009
1. What are some solutions for nose bleeds?
  Answer - Usually, this occurs because your nose gets too dry from the heater. The tissue inside your nose likes to be moist; if it dries out too much, it gets irritated, and will easily bleed.
Saturday October 17, 2009
1. What is "white matter disease"?
  Answer - White matter is one of the components of the central nervous system. Its main purpose is to connect areas of the brain together, by carrying impulses on neurons. Think of them as cables that link parts of your brain. The reason it is called white matter is because there is a layer of fat that covers the neurons to protect them from harm...
2. What are the symptoms of allergic rhinitis?
  Answer - As a chronic allergy sufferer, this is a subject near and dear to my heart! Allergic rhinitis is commonly known as nasal allergies, which affects people of all ages. It is estimated that 20% of the adult population in the US has suffered from this problem at some time or another...
Thursday October 15, 2009
1. What can be done to help thick and curled over toenails?
  Answer - Thick toenails are quite a common problem as people get older. Let me reassure you that your thick toenails are probably caused by a common fungal infection, not something as serious as lung cancer. The best way to evaluate your toenail problem is to be seen by a podiatrist...
2. I have problem with ringing in my inner right ear. It keeps...
  Answer - Tinnitis, or ringing of the ear, is a very annoying problem. There are a number of things that can cause it, including ear problems or medications (like Aspirin. You should have your ear looked at by your health care provider to rule out an ear disorder (like infection or ear wax), as these can be easily treated...
Tuesday October 13, 2009
1. Could this be something to worry about?
  Answer - From reading your question, I do believe that you should be concerned about the symptoms you are having. The pain that you describe could be from worsening circulation from arterial blockages in your legs (especially since your last test was 2 years ago, and not normal), or it can be caused by a problem with your back (like spinal stenosis or radiculopathy)...
Monday October 05, 2009
1. Is there another solution for incontinence?
  Answer - In my practice, I have worked with incontinence in both women and men. What I have learned is that it is a very frustrating problem, and can really impact someone's quality of life. Although the drugs/ medications can be helpful, they are not always the best solution for someone's incontinence problem...
2. What are some good exercises for coordination?
  Answer - Your question is actually a very good one. Their have been studies on using Tai Chi to improve balance, and it has been proven to help reduce falls in older adults. There are many Tai Chi DVDs for sale that you can try (even look at your local library if you don't want to buy one)...
Monday September 28, 2009
1. Why do I get dizzy after jogging?
  Answer - In your question, you do not say if you have just started exercising, or if you have been exercising for a while and you just developed this new symptom. Therefore, I will try to break it down to make answering your question easier.
Friday September 25, 2009
1. Shower after heart surgery: when is it safe?
  Answer - Frankly, I am surprised that they did not tell you this information when your husband was discharged from the hospital. Usually, once you are discharged from the hospital, it is OK to shower using a mild soap, as long as the incisions look good. However, I would recommend you call your husband's surgeon and ask, as this would be the safest thing to do...
2. If medication is mixed with food, how long are they good?
  Answer - When crushing medication, you have to be very careful, especially when it is mixed with food. If you use applesauce, I would only let the medications (that you listed) sit for an hour maximum before I would try to give them again. If the elder refuses them the second time, then I would throw them out and retry again later with new crushed pills...
3. How can I help Mom eat and sleep?
  Answer - Your mother sounds like she has several issues. I will try to break them down individually, as this will make them easier to work on.
Tuesday September 22, 2009
1. What causes swelling in feet, ankles and hands?
  Answer - Swelling in the hands, feet, stomach is called anasarca. The most common causes of swelling in the body include hormone disorders (thyroid), protein deficiency, malnutrition, kidney diseases, liver disease, or medications. So far, you have had the basic tests for ruling out congestive heart failure and lung cancer as causes for your edema (fluid retention)...
2. What are the main causes of puffy eyes?
  Answer - Puffy eyes are caused by an accumulation of fluid under the eye. Common causes of this include:
Tuesday September 15, 2009
1. Do the effects of hypothyroidism include black nails?
  Answer - Black nails are not normally caused by hypothyroidism. However, medications (like Cytoxan) can cause this to happen. Also, certain other medical conditions, like fungal infections of the nail, can do this. Injuries to the nail itself can make your nails turn black...
2. Which doctor do I see for dizzy spells?
  Answer - Unfortunately, dizziness can have numerous causes, especially when it is ongoing. It is good that your MRI was normal, which rules out most serious neurological diseases. However, dizziness can also be caused by inner ear disorders, metabolic disorders, medication side effects, blood pressure problems, or anemia (just to name a few)...
Saturday September 12, 2009
1. Can smelly feet indicate a health problem?
  Answer - Chronically smelly feet can be caused by many problems, including hyperhydrosis (excess sweat), fungal infections, or stress, to name a few. Keep in mind that your feet have more sweat glands then anywhere else in the body, and they are usually trapped all day with no air ventilation in shoes...
2. What else can I try for poison oak?
  Answer - So sorry you are having such a miserable time with your skin! Having had skin conditions in my life, I sympathize with you. Reading through your letter, my first thought was that although poison oak is extremely unpleasant, it should not last for more than a month, especially after being treated with prednisone...
Thursday September 10, 2009
1. What is hypothyroidism, and what are the symptoms to watch...
  Answer - Hypothyroidism is an endocrine disorder in which your thyroid gland is underactive. This is a problem because your thyroid gland is responsible for producing other hormones that help regulate some of your body's functions. Hypothyroidism is easily diagnosed with a routine blood test. It is also easily treated by using thyroid hormone medication...
2. What is Lyme disease?
  Answer - Lyme disease is actually a bacterial disease that is caused by a tick bite. The bacteria live inside the tick, and when they bite you, you become infected too. Symptoms of lyme disease initially include a circular rash around the tick bite. This is a strange rash- it will look like a "bulls-eye", and disappear in a couple of days...
3. Why does my father get charley horses?
  Answer - Yes, it could be a sign of a circulation problem in his legs if it occurs when he is active/walking. For example, he will start walking and then develop cramps, that could show his arterial circulation is a problem. If this is the case, I would let his health care provider know.
Wednesday September 09, 2009
1. What is an i-pill drug?
  Answer - There are actually 2 things known as the "i-pill" drug. First, there is a emergency contraceptive pill sold in drug stores in India called the i-pill, but it is not available in the US. However, the i-pill I think you are referring to is made by a company called Philips, and currently it contains no drugs...
2. What has caused Mom's decline lower extremity mobility?
  Answer - Your gut instincts are right on. Usually, there are no simple answers to why older people have multiple falls. I have read through all the things that your mother has been through in the past 2 months, and she has been through alot. It also sounds like she has mulitple medical problems, including...
Tuesday September 08, 2009
1. What drug options do I have for arthritis?
  Answer - Unfortunately, you have developed chronic pain from your trio of arthritis syndromes. Polymyalgia Rheumatica (PMR) frequently causes pain and stiffness in the shoulders and hips. This syndrome will often improve with the use of prednisone alone, so this is probably not what is causing alot of your pain at this point...
Friday September 04, 2009
1. Is lower back pain a sign of something else?
  Answer - In the United States, back pain is the most common reason for people to come in to see their doctor. When back pain is severe, it can impact your quality of life, as you cannot do your normal activities. Severe lower back pain could signify arthritis, a disk problem, or a nerve problem in your spine...
Tuesday September 01, 2009
1. I am a 43 yoa woman that found out a year ago that I had a...
  Answer - Regarding mitral valve surgery, this is only an option if it is what is causing your fatigue and symptoms. Perhaps the doctors are wondering if something else is making you feel fatigued, such as lack of exercise. Severe heart valve problems usually cause heart failure symptoms- which is a buildup of fluid in your lungs and legs...
2. What could this rash in my genital area be?
  Answer - The rash sounds like it might be fungal, especially if it is itchy. However, since it has been a month, you are starting to bleed, and it the rash is worse/spreading, you really should have it seen by a health care professional to make sure it gets the proper treatment.
3. Could swollen lymph nodes be cancer?
  Answer - Cancer can cause swollen lymph nodes, but I doubt that this is what is causing your problems. It sounds like you had a sinus or ear infection that was causing your lymph nodes to swell. Sometimes, it takes awhile for the lymph nodes to return to normal, even after antibiotics, so see how it goes...
Thursday August 27, 2009
1. Which foods improve blood counts?
  Answer - If your blood count is low, there can be many things that cause that to happen. You can try eating a diet rich in iron (meats), but you should also add fruits and vegetables for folate and vitamin B12. However, improving your diet will only help if your low blood count is due to iron, B12, or folate deficiency...
2. What can I take for arthritis in my toes?
  Answer - Sorry about your painful feet! You can start treating your arthritis with over the counter pain medications like Tylenol or Ibuprofen. Take them as directed on the label, starting them in the morning, and see how that works for you. Don't take more than the label allows, as they can have side effects...
3. Does multiple myeloma mimic Alzheimer's?
  Answer - Multiple myeloma (MM) is cancer of the plasma cells, which has numerous effects on the body. It can cause changes in mental status, but this usually not a permanent thing. So, MM patients can be bad one day, then be completely normal a couple of days later...
4. How can I better my mother with Alzheimer's nutrition?
  Answer - As people with Alzheimer's progress throught the disease, appetite becomes an issue. It is often very difficult to get proper nutrients into someone who will not eat. You can try using supplements, like Boost or Ensure, as they have vitamins and protein added. Since she likes yogurt, you can try nutritional puddings, as they have the same consistency...
Tuesday August 25, 2009
1. What is a hernia??
  Answer - A hernia is an outpouching of your intestines that bulge through an opening in the abdominal muscles. They often look like a bump or lump under the skin of the abdomen. They are generally not a problem, unless they can become painful, which can occur if stool or gas gets stuck in the bulging loop. If this happens, they may need to be repaired surgically...
2. Do Chantix side effects include body fluid odor or bad breath?
  Answer - Chantix can cause mouth dryness, which can definitely contribute to bad breath. This side effect can be made better by chewing gum or sucking on sugarless candies. Regarding the change in your body fluid odor, it makes sense that since the medication is drying, that your body fluids would become more concentrated, therefore changing their odor...
Monday August 24, 2009
1. What causes low hemoglobin levels?
  Answer - Since her platelet count is low, several conditions can be to blame. The most common include anemias, idiopathic thrombocytic purpura, or HIV infection. A low hemoglobin can be caused by many health problems, from liver or kidney diseases to cancer.
2. If you're refused medical care, what’s next?
  Answer - I understand that you have concern for your neighbor's health, but I think that there is more going on here than what she is telling you. For her to have 2 different doctors refuse to help her says alot. In the medical profession, you need to have a really good reason to terminate a patient relationship, or you can be fined for patient abandonment...
Wednesday August 19, 2009
1. Will dialysis help someone with end-stage CHF?
  Answer - Your question is a very good one. I believe that even though your friend is considered in the end of her life, there are still things that can be done to make her comfortable. Dialysis will help her kidneys, which you mentioned are not working well. It may help remove some of the excess fluid she has in her lungs, which would make her breathing easier...
2. Is it possible for a hip to break without falling?
  Answer - Regarding hip fractures in the elderly, the majority of them occur from falls. I would have to agree with your uncle's doctor here. If he is an experienced orthopedist, he knows that hip fractures from a fall would appear totally different from a spontaneous fracture from walking.
3. Could my hip be brokeN?
  Answer - Usually, if you break your hip, you would be unable to bear weight (you couldn't walk) without being in severe pain. It is more likely that you just banged yourself up from this fall, and that is why your pain comes and goes. You should feel better in a couple of weeks.
Monday August 10, 2009
1. Can a leaky heart valve cause heart failure?
  Answer - When your heart valves do not close well, this allows blood to leak backwards, which can contribute to heart failure. The severity of heart failure will depend on which valves are not working properly, and how severe the leaks are. The best way to determine this is to have an echocardiogram, which...
Friday August 07, 2009
1. What's the typical pulmonary hypertension life expectancy?
  Answer - The life expectancy for someone with (secondary) pulmonary hypertension is favorable if they get the proper treatment. Pulmonary hypertension develops because a person has some underlying medical problem that somehow effected the blood vessels in the lungs, causing the blood pressure in those vessels to rise...
2. Can I take Motrin with blood pressure meds?
  Answer - The safest answer is probably no. I usually don't like to use Motrin in older persons, as it can cause bleeding. I believe the best thing to do is discuss this with her health care provider, as they would know best what to recommend for her pain.
3. Can I find out if a doctor is board certified?
  Answer - I do not know of one free website that you could use. Doctors are licensed to practice under their state board, so you could always go to your state board's website to see what they can tell you. You could also call them to make sure your physician is licensed to practice in your state...
Tuesday August 04, 2009
1. Does ascorbic acid have any affect on blood sugar levels?
  Answer - Ascorbic acid, commonly known as Vitamin C, is of particular interest in diabetes, since many diabetics have low ascorbic acid levels in their blood. Studies are currently being done to see if there is a benefit to taking high dose supplements of Vitamin C...
Monday July 27, 2009
1. Can a medical oxygen tank be shared by two patients?
  Answer - Most nursing homes have their own policies regarding the use of oxygen tanks. As long as the facility is following their policy and procedure, I think that reuse of the tank would be allowed. The reusable metal cylinders that the oxygen comes in are reused all the time, as they are constantly refilled...
2. Can bladder infection medications have caused memory loss?
  Answer - Medications can always have side effects. If you were on an antibiotic for an infection, sometimes people can get a body rash. This is actually the sign of an antibiotic allergy.
Thursday July 23, 2009
1. How can I be sure I'm getting the right medical tests?
  Answer - I agree with your concerns. You sound like you have something going on with you but no one has really figured it out yet. Sometimes, people have medical conditions that are tough to figure out. It doesn't mean that you are not getting the right tests, it just means the normal stuff we would be looking...
Tuesday July 21, 2009
1. Could post hysterectomy sex pain be cancer?
  Answer - From reading your letter, I can tell that you are worried. You do not mention in your letter why you had a hysterectomy at 24 years of age. You also do not say if they took your ovaries as well (which would mean that you need to be on hormone replacement therapy)...
2. Can odd reactions be UTI symptoms?
  Answer - A bad UTI can cause the dizziness, fever, and body aches that you describe. However, the red rash on your leg sounds like something else. Sure, you could have been bitten by something, but painful red rashes on one side of the body could be shingles, a drug reaction, or a skin infection...
3. What can be done for severe ear pain?
  Answer - First off, it sounds like you are really suffering. I wonder if you have been seen by an ENT (ear nose and throat) specialist, as it sounds like your ear pain is severe and needs attention soon. This specialist can investigate why you get so many ear infections, and work with your diabetes...
4. What could cause chronic neck pain?
  Answer - Most likely you have a muscle spasm from tension in your neck and shoulders, as your pain tends to come and go. Someone with an injury or serious problem with the cervical spine (neck) would not get better and would have the pain daily. Tension in your neck and shoulders is very painful and can very much effect your quality of life...
5. What are the effects of Parvo in humans?
  Answer - Parvo is a virus that can produce pain, rashes, and itching in humans. It generally effects the immune system, and commonly will go away on its own. However, some people who already have immune system problems do develop severe infections with fevers and anemia, but this is rare...
Wednesday July 08, 2009
1. What does a change in my eye prescription mean?
  Answer - Although I am not an optometrist, I will try to make my explanation of this as simple as I can. First, lets go over the plus/minus before the number. Plus means the glasses magnify, minus means they minimize. The numbers are called "sphere powers", which indicate the amount of focal length your contact lens will correct for...
2. Why do I have teary eyes?
  Answer - Oddly enough, teary eyes are usually caused by dry eyes, as your eyes will try to overcompensate for their dryness by producing more tears. You can try some over the counter eye drops to moisten your eyes to see if that helps.
Tuesday July 07, 2009
1. How serious is blood after a bowel movement?
  Answer - I am happy to hear that you scheduled an appointment with your doctor. Blood after a bowel movement is never "normal"- it is a sign that something is going on. Any bleeding from the rectal area should be checked out by a health care professional.
2. What could cause frequent dry heaving?
  Answer - Dry heaving, indigestion, and acid reflux is usually a condition called GERD, also known as gastroesophageal reflux disease (acid reflux). It is quite a common medical problem. You can walk down the aisle of any drug store across the U.S. and see tons of medications to treat acid reflux...
3. Does Parkinson's cause buring feet and foot pain?
  Answer - Tingling in your feet can be caused by neuropathy (nerve problems), vascular disease (circulation problems), or diabetes. Since you have Parkinson's disease, it is most likely a nerve issue. I would tell your health care professional about this pain, as there are medications to help with it...
4. Is polycythemia vera ruba blood cancer?
  Answer - Polycythemia vera ruba is not cancer, but rather a blood disease. It may have a genetic cause, but medical research is still looking into this. Basically, the bone marrow is overstimulated, and produces too many red blood cells. Sometimes people with this disease can have double the amount of red blood cells that are normal...
Wednesday July 01, 2009
1. What causes white fingernail spots?
  Answer - White spots on fingernails are usually the result of trauma to the nailbed. In other words, you hit your finger on something, and then the next day, a white spot will appear on your nail. The white spot will eventually grow out, but it can take awhile for that to happen. Nails grow slowly, so it can take weeks for something like this to go away...
Tuesday June 30, 2009
1. How else can I control insulin resistance?
  Answer - Reading your letter, it sounds like you are really taking care of yourself. Your eating right, exercising, and limiting your carbohydrates. However, one thing you cannot control or change is your genes. Insulin resistance (diabetes) does have a genetic basis...
Friday June 26, 2009
1. Does exercise increase lung capacity?
  Answer - I would recommend that you see a pulmonologist because of the results of your pulmonary function tests. While aerobic exercise can help improve lung function in healthy persons, you may need other medications to help improve your lung function. The pulmonologist may also have recommendations on how to exercise safely given your lung issues...
Tuesday June 23, 2009
1. What could breast lumps be?
  Answer - I am glad to hear that your friend has scheduled a visit to get theses lumps checked. Since you do not mention her age, or if the lumps are painful or not, it is difficult for me to tell what they are from your question. If they are painful or tender, an abcess or mastitis is more likely. They could be cysts, fibromas, or lipomas if they are not painful...
Thursday June 18, 2009
1. Do I tell Mom that my sister has a terminal illness?
  Answer - This is a really hard position for you to be in, so I really feel for you. I have had patients who have had their children get sick, pass away, or have other problems. It is always tough for a parent to hear this no matter how old their children are.
Thursday June 11, 2009
1. What are signs of kidney problems?
  Answer - People with kidney problems usually notice a change in your urine production (less or more), change in urine color, or change in urine odor. Also, if the pain you describe actually comes from a kidney, you will develop tenderness on your flank- the spot on either side of your spine below the ribcage on your back...
2. Will walking get worse after a stroke?
  Answer - Usually, people improve their walking with rehab and exercise after a stroke. His issues with walking may be due to other health problems, like arthritis or dementia. He may just need an assistive device, like a walker or a cane. It is also entirely possible that he had another stroke that has made his walking worse again...
Tuesday June 09, 2009
1. Does emphysema cause leg pain?
  Answer - You need to get checked out immediately. You should call your doctor ASAP to schedule an appointment, as several things in your letter concern me. You are only 57, but ...
Monday June 08, 2009
1. Are hallucinations after surgery normal?
  Answer - It sounds like your husband had some delirium from the anesthesia. When people undergo a complicated surgery, sometimes they get confused, agitated, or delirious afterwards. While, it is interesting that he thinks he went to Russia, it seems like he absolutely believes that this really happened. This is a delusional thought...
Thursday June 04, 2009
1. How does asthma and emphysema develop?
  Answer - Unfortunately, you have found out that just because you are a non-smoker doesn't mean you will not get lung disease. Asthma is one of the major causes of obstructive lung disease, also known as emphysema. The course of asthma often starts in childhood and/ or young adulthood, when it will cause trouble...
Wednesday June 03, 2009
1. Am I in danger of contracting h1n1 (swine flu) after recent surgery?
  Answer - Did your husband's doctor test him for swine flu? Are his symptoms severe? Hopefully, he will have a mild case and recover without any problems. Be sure that he gets plently of fluids so he does not get dehydrated.
Monday June 01, 2009
1. Is there such a thing as "thin skin"?
  Answer - As people grow older, their skin tends to become more fragile, and they lose the nice layer of fat that lies right under the skin, which used to protect them from bumps and bruises. Regarding your mother's skin issue, it is very common for this bruising to happen as people age...
Friday May 29, 2009
1. Why does Mom have so many UTIs?
  Answer - As women age, the bladder and perineal area go through changes, making UTI's more likely. There are many reasons for this, which include loss of estrogen and changes in the bacteria that live on the skin. I am glad that she is drinking well,. Frequent toileting, which you sound like your doing, can be helpful...
2. How can we get Grandpa to have more sanitary habits?
  Answer - This sounds like a really tough situation. First, I want to say that taking care of one older person is difficult enough, but taking care of two- that can be too much. You sound stressed, and this situation is not going well even though you are trying your best.
Wednesday May 27, 2009
1. What could be causing my muscle pain?
  Answer - Many health problems can cause muscle pain and achiness. Common causes of generalized muscle pain include autoimmune diseases, electrolyte imbalances, depression, medication side effects, and viral infections. Since you have had this problem for more than one month, and it has not gone away on its...
Tuesday May 26, 2009
1. Should I be worried about lung nodules?
  Answer - I know that moving is stressful, but you really need to get established with a new doctor. The new doctor will probably want to look through your old health records when they meet you, so anything (old tests, notes, medication lists) that you can bring to your appointment would be helpful...
2. Could these also be symptoms of IBS?
  Answer - Reading your letter, you may have some scarring in your right abdomen from your previous surgery. These scars are called adhesions, and they can be a problem. For instance, the scarring can be extensive and cause problems with your digestion, because things cannot move through the bowels well...
3. What could be the cause of an ache in my armpit?
  Answer - There can be many things that cause an aching in your armpit, but the most interesting symptom you have is the numbness down your arm. This is usually a sign of nerve damage, so I am wondering if you have seen a neurologist for this problem. Have you ever injured your shoulder? Have you had any imaging tests of the area, like a XRay or CT scan...
4. Do testicular lumps mean cancer?
  Answer - Lumps are not always cancer, but this is a concerning finding. Many times, testicular lumps are found by a partner, so it is good that you noticed it. I would ask your boyfriend if he has ever noticed this lump before, or if he ever had it checked by someone...
5. Is Tinnitus Retraining Therapy successful?
  Answer - Since there are many things that can cause tinnitis, it is often hard to treat. You sound like you tried many things, but nothing has really worked for you. Some suggestions:
Thursday May 21, 2009
1. Is my father hallucinating from his medication?
  Answer - I think that you are right, that something is going on with your father. When you talk about hallucinations, that makes me think he is delirious. Delirium in older people can have numerous causes. These can include infections, medication changes, illness, or depression...
2. What could cause discoloration of skin?
  Answer - This is actually a common problem, and one that is easy to treat. This condition is called intertrigo, a skin infection from yeast. It occurs under the breasts (and other skin folds), since yeast love to live where it is moist and warm.
Tuesday May 19, 2009
1. How do I get my sedentary mom, who spends all her time sitting or laying down, to be more active?
  Answer - Ideas for helping your sedentary parent be active.
Monday May 18, 2009
1. How can I get lumps under my skin removed?
  Answer - You do not say how large the lumps on your stomach are. If they are very large, soft, and pop in/ out when you move, they could be hernias. Hernias are loops of your bowels that project out due to weakening of the abdominal muscles. The good news is that hernias usually are treatable with surgery...
2. What are the best soaps for skin when bathing a senior citizen?
  Answer - Skin on older people is very dry and can be easily irritated. Dial is very strong and perfumed, so it is very drying and can be very irritating to the skin. Also, I know that Ivory is supposed to be "pure" and not perfumed, but it is a very harsh soap. It will also really dry out the skin.
Thursday May 14, 2009
1. Does the Poly-MVA supplement show any good results?
  Answer - Poly MVA is a supplement made up of minerals, vitamins, and fatty acids. As far as I know, there have been no research studies that show Poly MVA as a beneficial cancer treatment. That being said, I also believe there is no real harm in taking it either, as it is just vitamins. If you think you would like to try it, go ahead...
Tuesday May 12, 2009
1. What activities should I avoid with congestive heart failure?
  Answer - As with any other chronic disease, you should do your best to take care of yourself. I would avoid salt, as too much salt will make you retain fluid. Eat a healthy diet. You should also listen to your doctor when starting to exercise, as you should start out slowly. You should try to get enough sleep and reduce your stress...
2. How is pain in a paralyzed limb treated?
  Answer - You do not say why her leg is paralyzed. If it from a stroke, many people get nerve pain in their affected limbs. There are conditions called neuropathies that cause a burning pain in the foot, which also is caused by nerves. There are medications that help these types of pain, which include neurontin...
Friday May 08, 2009
1. Could my father die during angioplasty?
  Answer - Both of the procedures you listed can be done with sedation, which do not require anethesia. Therefore they are less risky then a full surgical procedure. Of course, there is a risk of death with any invasive procedure, but the cardiologist would be able to give you more detail about that, so please talk with them about it...
2. What could cause my feeling faint?
  Answer - Feeling like passing out, especially when you lie down, is concerning. Common reasons for this feeling are anemia, heart problems, neurological problems, or blood pressure changes.
Thursday May 07, 2009
1. How long can MIL live in her current state disregarding doctor's orders?
  Answer - Due to her chronic conditions, and the fact that her diabetes is not well controlled, her life expectancy is not long at this point. It sounds as though it will only be a matter of time before her kidneys fail, and then she will need dialysis, which is not easy...
2. Could a defibrillator cause my heart to race?
  Answer - Rapid heart beats have many causes, so I wouldn't worry too much at this point. Have they checked your device recently? Is it due to be checked soon? If you do not have an appointment soon with your cardiologist, I would call the office and tell them about your symptoms...
Tuesday May 05, 2009
1. Is constant throat clearing a symptom of something more serious?
  Answer - Constant clearing of the throat is usually a sign of post-nasal drip from allergies. What happens is that your sinuses get clogged, then the drainage drips down the back of your throat, causing you to feel like you have to constantly clear your throat...
2. How can I convince my spouse to see a doctor?
  Answer - This is a tough problem! Some men just do not want to see a doctor, and there are numerous reasons why this could be happening with your husband. Maybe he is afraid to hear that something is wrong. Maybe he doesn't want to be told he will have to use a cane or walker. Or, he may be distrustful of the health care system itself...
Monday April 27, 2009
1. Can substance abuse like morphine addiction cause early...
  Answer - Studies have shown that substance abusers do have issues with short term memory, fact recall, and mental agility. Abuse of pain pills over a long period of time can lead to memory loss. If you are addicted to pain pills, you should let your health care provider know so that can help you get treatment...
2. What causes swollen feet?
  Answer - Many things can cause swelling of the feet. This swelling can be mild or extreme, depending on the degree of the problem causing it.
Wednesday April 22, 2009
1. If my father is uncircumcised, should I retract the foreskin when bathing him?
  Answer - Sounds like you are doing everything right. You are correct that when cleansing someone who is uncircumsized, you should retract the foreskin. Do this gently, and carefully wash the area. Then, be sure the place the foreskin back over the penis when you are done.
Monday April 20, 2009
1. Will regular blood tests help diagnose other diseases that may be disguised by my pulmonary sarcoidosis?
  Answer - Pulmonary sarcoidosis usually affects the lungs only, which would not make diagnosing other diseases problematic, as they should have different symptoms. Sarcoidosis can sometimes affect other body systems, but it is usually limited to the liver or thyroid...
2. Why won't this persistent cough go away?
  Answer - I hope that you are being seen by a health care professional for this cough! If not, then go see one right away. If you have seen someone already and they haven't helped you, I would add that they need to send you to a pulmonologist (lung doctor) to see if anymore testing can be done to determine why you are coughing...
Saturday April 18, 2009
1. Are blood transfusions necessary after surgery for a broken hip?
  Answer - Blood transfusions may be necessary after any surgery, as many times people become anemic from the blood lost during the surgical procedure. Furthermore, since the surgery itself is such a stress to the person's system, it may take awhile for someone to recover from a post- operative anemia...
2. What are causes of low blood count, red and white?
  Answer - Signs of both a low white and red blood cell count include cancers (like leukemia), hyperthyroidism, bone marrow disorders, aplastic anemia, myelodysplastic syndromes, severe infections, or medication side effects. If both counts are low, you should be seen by a hematologist to find out what is going on to make your numbers low...
Wednesday April 15, 2009
1. Is a symptom of congestive heart failure coughing blood?
  Answer - Coughing up blood (hemoptosis) is usually not associated with CHF. More than likely, people will cough up blood if they are really coughing hard and are taking too much blood thinner medication. Blood can also come from the lungs, but it is usually darker in color (like rust). Also, you may also be right that the blood could be coming from the nose...
2. Should I apply ice or heat for a knee that is still swollen?
  Answer - You should call your health care provider and be seen as soon as possible. They may need to do an Xray to be sure you did not fracture your kneecap, as swelling for this long could be a sign that you have something more serious going on.
Thursday April 09, 2009
1. What does "pacing" in regards to a pacemaker mean?
  Answer - Pacemakers are really wonderful devices. They closely monitor the heart, and when the heart does not keep up to a certain number of heartbeats, it will send a tiny electrical charge to make your heart beat for you (pacing). Common reasons pacemakers are used are when a person's heart beats very slowly...
Wednesday April 08, 2009
1. What causes pain in foot?
  Answer - Painful feet are usually caused by bone problems, diabetic neuropathy, or poor circulation. I think the best thing for you to do would be to schedule an appointment with a podiatrist to get a full evaluation. They will find out what your particular issue is, and help try to reduce your discomfort.
2. What will help relieve itchy skin in elderly mother?
  Answer - Itchy skin is a tough problem, and one that I am familiar with myself. Here are my suggestions:
3. What causes a low white blood cell count?
  Answer - A low white blood count (below 4000) could have many causes. The most common would be medication side effects (like chemotherapy), heavy metal exposure, infections, bone marrow disorders, or an immune system disorder.
4. What does having a "Low LD Serum" mean?
  Answer - LD stands for Lactic Acid Dehydrogenase, which is an enzyme found in many tissues of the body (kidney, heart, muscle, brain, liver). Since it is widely distributed, this is a non-specific test used to determine if a heart attack may have happened. SInce your levels are low, this would mean that there is no heart damage...
Monday April 06, 2009
1. Why does my brother still have alcohol detox symptoms after bypass surgery?
  Answer - Alcohol detox symptoms can vary from person to person. The severity of the withdrawal depends on the severity of abuse, the person's age, and genetics. Withdrawal can be severe, especially if delirium tremens develops. Some people can even have seizures.
2. Do hot spots on a cat scan mean you have cancer?
  Answer - In general, CT scans are screening tests. Just because spots show up on your CT scan, it doesn't mean you have cancer. To diagnose cancer in those "hot spots", we would have to have the spots biopsied, and the results would have to show cancerous growth...
3. How can I get my husband to have a rectal exam?
  Answer - This is a tough situation. As you already know, your husband has got to go see a proctologist. There are many things that cause rectal pain, and he needs to be examined to see what is going on back there. Since he is so uncomfortable, it is surprising he will not see someone. Usually, pain is a strong motivator for people to seek help...
Friday April 03, 2009
1. What could cause occasional electrolyte imbalances?
  Answer - This is a difficult question to answer, as I cannot examine your mother or see the actual lab results that you talk about in your question. That being said, the symptoms you describe your mother having can be brought on by low sodium. For the most part, low potassium and low sodium are usually caused...
2. What can be causing the severe pain in my bladder?
  Answer - In reading your question, I agree with you. I do not know how having severe pain in your bladder is related at all to reflux.
Thursday April 02, 2009
1. Are brain aneurysms hereditary?
  Answer - The likelihood of you having a brain aneurysm if one of your family members has one is rare, unless the aneurysm is caused by a hereditary disorder like polycystic kidney disease. Current recommendations state that if two or more family members (first degree relatives) have a aneurysm, then other family members should get screened with an MRI...
Wednesday April 01, 2009
1. Why can't I seem to get any help with my medical issues?
  Answer - Sorry about your tough situation! It sounds as though you are really suffering. Please know that there are many people out there who are fed up with our current health care system. Even our President understands that our health care system needs to be fixed.
2. Does sleep deprivation affect the brain?
  Answer - The brain will not function well when sleep deprived, but it should not "shut down" completely. Research shows that lack of sleep causes mental, physical, and emotional health to suffer. Therefore, you will have more trouble concentrating and doing simple tasks when sleep deprived. Having had insomnia myself, it is a terrible feeling not to sleep well...
Tuesday March 31, 2009
1. Can you please tell me about Myelodysplastic Syndromes (MDS)?
  Answer - Myelodysplastic syndrome is a complex disorder that causes abnormalities of the blood counts. It is usually discovered by doing blood tests, where an anemia, low white blood cell count, or low platelet count is found. It is not really a cancer, but rather a blood disorder...
2. Is congestive heart failure hereditary?
  Answer - Congestive heart failure (CHF) is not really a hereditary condition. However, many of the diseases that can cause CHF do run in families. Examples of diseases that can lead to CHF and are hereditary include heart valve abnormalities, coronary artery disease, and hypertension (high blood pressure)...
Monday March 30, 2009
1. What are the chances a 101-year-old will recover from a broken hip?
  Answer - Sorry about your grandmother! To be honest, recovering from a broken hip is difficult for any elder. Research has shown that up to half of people who fracture their hip do not survive a year after the fracture because it is so tough for them to recover. Remember at her age, the surgery itself is very risky...
Thursday March 26, 2009
1. What could dark fingertips on my mother's hands mean?
  Answer - I am not sure what you mean by "turning dark". Do you mean that they are dusky (bluish)? This could mean there is an issue with her circulation. Or do you mean that the skin is darker (more pigmented)? Sometimes medications, changes as we age, or sun exposure can do this...
2. Should I be concerned that I sometimes have trouble walking after waking up?
  Answer - Being 36 years old myself, I would be concerned if this was happening to me too! Several things to think about: Are you dizzy when this happens? Does this go away after you have been up for a few minutes? Do you always have problems with the same side...
Wednesday March 25, 2009
1. What kind of treatment options are there for those with low blood pressure?
  Answer - Yes, there are medications that are good for raising blood pressure. Two specific medications I can think of and have used are Florinef and Midodrine. However, these should be used with caution, as they have some side effects and the blood pressure should be monitored carefully while using these types of medications...
2. Is there a connection between having a fever and blood pressure rising?
  Answer - Usually, a fever will increase your blood pressure somewhat, especially if the fever is high (greater than 101 F). However, a temperature of 99.8 usually isn't high enough to raise your blood pressure by 30 points. In fact, we don't consider a temperature less than 100 F to be a "fever".
Tuesday March 24, 2009
1. Is congestive heart failure hospice treatment premature?
  Answer - I am glad that your father is doing better. It sounds like the medications they are using have really helped him.
Wednesday March 18, 2009
1. What type of license is needed to perform a MRI ?
  Answer - An MRI is performed by a CT scan technician, who is a person trained to perform that particular test. They usually have graduated from an accredited program and are licensed by the state they are practicing in. The results are then read by a radiologist, who is a physician trained in interpreting these tests...
2. How can I help my mother who believes she is constantly dirty?
  Answer - In my experience, older adults can develop these kind of disordered thoughts, especially if they have dementia. If you know that your mother's thoughts of being dirty are obsessive, and they are interfering with her daily life, then she needs to be evaluated by her health care professional to see what is going on...
Tuesday March 10, 2009
1. Could my mother's CHF symptoms simply be sporadic or should we call the doctor?
  Answer - In your letter, you sound concerned about the chest pains your mother had. I am sure you are thinking she is having a heart attack! However, if she is having short bursts of pain, it is more likely to be related to angina, which is a chronic condition. Angina is chest pain that will go away, and usually helped by nitroglycerin...
Friday February 13, 2009
1. Can a blood transfusion be given in home?
  Answer - Blood transfusions have to be given in a facility that contains a blood bank. There are several reasons for this. When we give blood, a person is first tested for their blood type, to make sure the proper type is given. Then, we start the blood infusion slowly, as the person can have a reaction to the blood...
2. Can my father's congestive heart failure improve?
  Answer - I am sorry that your father is not doing well. Heart failure is a tricky problem, especially when people get uncomfortable with shorthess of breath. I understand that the CHF website may have told you stories of people doing fine with terrible hearts. Please remember that every patient is different...
3. Which stage of heart failure am I in?
  Answer - The stages of heart failure are determined by how much shortness of breath you have, related to the amount of activity you can do without symptoms. For instance, some people can completely take care of themselves, such as dressing or bathing, with minimal shortness of breath. This would be Stage 1...
Thursday February 05, 2009
1. Can you offer any tips for bathing an overweight parent?
  Answer - Sometimes bathing is a two-person job, so first try to enlist other family members or friends to help. You want to be careful not to hurt yourself, and muscle pulls, back strains, and bad falls do happen this way. If you overdo it, there's risk for both you and your father...
Wednesday February 04, 2009
1. How can I help my husband from becoming sore due to his bowel incontinence?
  Answer - I would first like to say that you should find out why he is having bowel incontinence. Did the doctor say why this is happening? Was the medications your husband takes reviewed to make sure they are not making the problem worse? Are you sure he is not constipated, as sometimes people leak liquid stool around stool that is stuck somewhere in his bowels...
2. Why is my mother having trouble swallowing?
  Answer - I would have this problem investigated, as it sounds as if you are taking alot of time to feed her. Some people do develop swallowing problems from diseases like strokes, Parkinson's, or dementias. I would let your mother's health care provider know that this is an issue, so that they can find out what is going on...
3. Is drinking red wine a bad choice for someone with high blood sugar?
  Answer - While there is alot of research going on about red wine, there are no recommendations out right now about how much is beneficial in diabetics. The American Diabetes Association recommends no more than 2 drinks per day in a male with diabetes. A glass of red wine has a low glycemic index, which means that it has very little effect on raising blood sugars...
4. How can we help my wife improve her hemoglobin and can low hemoglogin be a cause of a heart attack?
  Answer - This is a very tough problem. There are a couple of issues going on here that I will address.
Tuesday February 03, 2009
1. What are the nutritional needs of an 83 year old woman recovering from a broken hip?
  Answer - If your mother is suffering from weight loss, and the cause of the weight loss is not known, then she needs to have it looked into by her health care provider. They need to make sure certain diseases are not contributing to her weight loss, such as diabetes, cancer, or thyroid conditions.
Monday February 02, 2009
1. Will a bone marrow transplant hinder broken hip recovery?
  Answer - Bone marrow transplants are usually performed in the pelvic bone or the sternum, so this procedure would not make the hip weaker or slower in healing from surgery. The issue here would be related more to your father's health in general. I will assume your father had a bone marrow transplant for some...
Thursday January 01, 2009
1. How can I deal with my mother's incontinence?
  Answer - I first want to acknowledge the hard work that you are doing. Taking care of children along with your mother-in-law must be very hard on you. Would it suprise you to learn that the development of incontinence is one of the major reasons people are placed in the nursing home? This is because it is not easy an easy problem to deal with...
Wednesday December 31, 2008
1. I had a sonargram and my doctor told me that I had a small...
  Answer - Upon reading this question, I had some thoughts. First, why was an ultrasound of your kidneys ordered? Are you having problems? Or, was this just an incidental finding on an ultrasound of the abdomen?
Monday December 01, 2008
1. Why is my mother spitting out her last bite of food?
  Answer - There can be many reasons twhy she is spitting out her food. Since she is not doing it during the entire meal, I do not think that the problem is related to her swallowing. To me, this problem sounds like indigestion.
Friday November 28, 2008
1. What could be the cause of my difficulty in getting my flow of urine to start?
  Answer - From your question, I cannot tell if you are a male or female, so I will address both sexes in my answer.
2. Which foods can enrich white blood cells?
  Answer - There are many opinions about which foods are best for boosting white blood cells (immunity). However, there are few studies that prove these claims. My best advice would be to eat a balanced diet with lean meats, plenty of fruits and vegetables, nuts, legumes (beans), and low fat diary...
Wednesday October 29, 2008
1. How long does a doctor or other health professional usually wait to give morphine if the patient is not eating or drinking?
  Answer - When someone is not eating or drinking, this is usually a sign that their body is shutting down. If the potential is there that someone is nearing death, I will make sure that they have pain medications ordered so that they will be comfortable. If a person is able to swallow safely, oral medications like Vicodin can be given...
Tuesday October 28, 2008
1. What can I do if my parent refuses to take any medications?
  Answer - If your mother lives in a nursing home, the staff is correct in saying that they cannot force her to take medication if she refuses it. However, if she needs this medication, and due to her paranoia and distrust she refuses it, perhaps the nurses can get an order from the doctor to crush the medication or to hide it in food...
2. How do I talk to my parent about entering hospice care?
  Answer - This is a very hard conversation to have with anyone, but it will be especially hard for someone on a ventilator. If your parent can communicate with you, I would try to talk to them to see if they feel they have a good quality of life. Ask yes-no questions like, "Are you happy?" or "Do you ever wish that you were not on the ventilator...
3. How do I decide what is the best environment for my mother?
  Answer - This sounds like a tough situation. I know that you are at your wit's end, as you are trying to keep your mother in her home, but this is clearly not working out for either of you. The reality is that your mother doesn't sound like she really even knows that she is in her own home at this point...
4. Is it common for patients with Parkinson's disease to develop psychological problems?
  Answer - In my experience, it is often common for people with Parkinson's Disease to develop psychiatric symptoms, especially as the disease progresses. The most common problem tends to be depression, as both the disease itself and the loss of function can lead to this. Fortunately, antidepressants often help with this and are easily tolerated...
5. How long can a person live with a feeding tube?
  Answer - To be honest, this really depends on the person and why the tube is being placed. If someone has a stroke and cannot swallow, they can often survive for many years with a feeding tube.
Wednesday October 08, 2008
1. After losing the ability to swallow, how long can my mom last?
  Answer - This is a tough situation. It sounds like your mother has gotten pretty sick, and her appetite is poor. Sometimes, when people get an infection (like a UTI), they can get weak and confused. Her poor swallowing and lack of appetite may be related to the infection, and this problem can sometimes improve once the infection is treated...
Tuesday October 07, 2008
1. Are there ways to make a non-healing fracture heal?
  Answer - The best way to help a non-healing fracture to heal is to make sure that you are doing everything possilbe to keep yourself healthy. Eat well, rest, exercise (under physical therapy guidance), and take care of yourself. Sometimes, certain diseases, like osteoporosis, make it difficult for bones to heal well...
Sunday September 14, 2008
1. How can I get my patient to take her meds?
  Question - I am the DMPOA/Elder Care manager for a lovely woman who, for years has been a pill hider/disposer. Recently, we've been crushing meds and placing them mixed in with apple sauce which, for a time, she accepted since there was NO trace of her taking meds. That has stopped. We switched to crushing meds...
Wednesday August 06, 2008
1. How do I get mom to bed at a reasonable time?
  Answer - Hello Cindy! My first thought is does your mother complain about this problem? I can tell you it will be very hard to change this behavior if she doesn't think it is a problem. Many older people like to watch TV, especially late at night. The shows and movies on at these time tend to cater to this population...
2. How do you explain to someone that they are going into respite care for 1 week and then permanently into a nursing home?
  Answer - This is a very tough issue. It is difficult to explain to someone, especially if they were living independently, that they are going to move into a nursing home. The best advice I can give is to be direct and try to answer any questions as honestly as possible. If your loved one wants to know the reasons, tell them as simply as you can...
Saturday July 26, 2008
1. How do I get my dad out of the bathtub?
  Question - A shower chair can make it easier to bathe.
Friday July 25, 2008
1. How can we convince my uncle to enter a nursing home?
  Answer - Advice when a resistant uncle needs nursing or round the clock care.
Tuesday July 15, 2008
1. What can I do with my diet to increase my red blood count?
  Answer - Advice on steps to take when diagnosed with anemia or a low red blood count.
Wednesday July 09, 2008
1. Is it all right to bathe in warm water when there is a blood clot in a toe?
  Answer - Consult with a doctor about taking a bath if you have a blood clot.
Wednesday July 02, 2008
1. How do I get my abled-bodied mom to bathe?
  Answer - When your able-bodied parent resists bathing, consider these things.
Tuesday June 17, 2008
1. Would a nursing home be better than hospice care?
  Answer - Thoughts on helping someone decide if their mom should be in hospice or a care home.
Saturday June 14, 2008
1. How can I get my parent to wear adult diapers?
  Answer - Help dealing with the difficult problem of bowel incontinence.
Wednesday June 04, 2008
1. What can my mom's doctor give her for extreme muscle pain?
  Answer - What to do when your parent has serious pain and meds aren't working.
Monday June 02, 2008
1. Should my mother be using an IV when in hospice care?
  Answer - IV therapy use in hospice care; some general advice.
Sunday May 18, 2008
1. What can I get for my husband to drink , when nothing stays down?
  Answer - Suggestions on next steps to take when nothing is staying down.
Sunday May 04, 2008
1. What are ROM exercises for bedridden patients?
  Answer - We usually do ROM movements on bedridden patients -- these exercises help keep joints flexible. ROM stands for "range of motion."
Friday May 02, 2008
1. What is the best way to help my mom with constipation?
  Answer - How to treat constipation.
2. Is there anything I can take to relieve constipation due to pain medication?
  Answer - Ideas for treating constipation.
Tuesday April 29, 2008
1. Why are urinary tract infections in elderly women so common?
  Answer - Reasons why older women are more prone to urinary tract infections, with helpful hints.
Saturday April 26, 2008
1. Are swollen red ankles a cause for concern?
  Answer - If your parent's feet are red and swollen, consult with his doctor. 1 Comment
Sunday April 20, 2008
1. What's the Best Way to Dress Bunions?
  Answer - Tips for treating painful feet bunions.
Thursday April 10, 2008
1. How do I get the stains and smell associated with urine out of a recliner?
  Answer - Tips for preventing and dealing with urine stains on furniture and incontinence.
Monday March 31, 2008
1. How do I get my dad out of the bathtub?
  Answer - Suggestions for getting your parent out of a bathtub.
Monday March 24, 2008
1. How can I get my patient to take her meds?
  Answer - Tips for mixing medications with food.
2. How often should the elderly bathe?
  Answer - Why it's mportant to bathe elderly people regularly.
Monday January 07, 2008
1. How can I help my dad, who is losing his vision from macular degeneration?
  Answer - Guidance on helping your aging parent cope with macular degeneration. 1 Comment
Friday December 07, 2007
1. Do you need a prescription for a walker?
  Answer - Expert guidance on walkers
Monday November 12, 2007
1. How often do I need to shampoo my dad's hair?
  Answer - It's a confusing issue, because many of us shampoo our own hair daily and consider this the norm. In reality, there's no need to shampoo every day. What's more, daily shampooing can dry out the hair and scalp. Unless there's a medical reason to shampoo more often, weekly or even less is fine.
Wednesday October 17, 2007
1. How can I wash my mother's hair when she resists shampooing?
  Answer - It's not uncommon for an older person to be sensitive about having her hair handled or getting her face wet, especially if she's got dementia or Alzheimer's. She may find it irritating and even frightening.
Monday September 10, 2007
1. Is there an alternative to washing my mom's private areas?
  Answer - Yes, this really must be done daily. The genital area is one of those parts of the body that need to stay clean, especially the backside. Anywhere that's fleshy and moist is prime territory for bacteria growth, which can cause odors and skin irritation.
Wednesday September 05, 2007
1. What should I do if my parent resists bathing?
  Answer - If your mother is resisting a bath to the point of fighting -- and this happens, especially with people who have Alzheimer's or dementia -- stop and try again tomorrow or the next day. We all have bad days, including our parents, and letting it go until a better time is OK...
Friday August 31, 2007
1. Can you offer any advice on bathing a modest parent?
  Answer - You can try covering her with a towel, but frankly it's almost possible to keep your mom covered with a towel for the whole bath. Try this approach: wrap a towel around her waist if she's standing, or place it over her lap if she's sitting...
2. Is there an alternative to washing my father's private areas?
  Answer - You really do have to do this daily. This part of the body needs to stay clean, especially the backside. Anywhere that's fleshy and sweaty is prone to bacteria that can cause odors and skin irritations. Try not to get hung up on it. It's best to think about it in the same way as if you were washing a baby or a child...

Jennifer Serafin, N.P.

Caring.com Expert

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