New Client. Need first step help
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Hi tamarageorge - Who has POA and HIPPA rights? That is who needs to really make the decisions. If it is the husband, he could set up an appointment with a neurologist. Sounds like he should do so asap.
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I found a geriatric psychiatrist to be much more helpful than a neurologist.
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Hi - I agree with the others. Who has POA and HIPPA for her? Also, just a thought - many of the behaviors you describe can be addressed with non-med interventions. "Clingy, fidgety, and short-term memory loss" are on my list of things that beg the question, how can we support the LO with our own behavior to minimize these mild(er) and very natural/typical dementia symptoms.
To be clear, we started meds when there were serious disturbing hallucinations and delusions and my DH started weaponing up to protect us against imagined intruders. And sundowning agitation and elopement became unmanageable. So I am not anti-medication...just pro-behavior modification for the caregiver as a first line approach. Especially since some meds bring undesirable side-effects and we are seeking comfort.
Teepa Snow videos on "Validation" and the great article "Understanding Dementia" by Jennifer Ghent-Fuller are excellent examples of what I mean. An important part of the toolkit in addition to anything a geripsych may eventually recommend prescribing as well.
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Commonly Used Abbreviations
DH = Dear Husband
DW= Dear Wife, Darling Wife
LO = Loved One
ES = Early Stage
EO = Early Onset
FTD = Frontotemporal Dementia
VD = Vascular Dementia
MC = Memory Care
AL = Assisted Living
POA = Power of Attorney
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