Oct 18, 2016 - Trisha Menoni, RN, BSN. Founder of family owned Partners ... HospitalizaUon. What's happening & what
10/18/16
“Mom isn’t this way at home” Dementia, Delirium or am I in Denial?
Our Presenter Trisha Menoni, RN, BSN Founder of family owned Partners in Senior Care. Partners in Senior Care provides caregivers and Care Managers to help with their loved one’s needs. Trisha has over 20 years helping of families Navigate the Aging Journey.
“Mom isn’t this way at home” Dementia, Delirium or am I in Denial?
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10/18/16
Delirium vs Demen,a Delirium
Demen,a
• Rapid or sudden onset • Symptoms fluctuate , generally worse at the end of the day • May be indicaAve of underlying medical condiAon (infecAon or pain) • May be the result of hospitalizaAon
• Develops over a long Ame • Memory & thinking skills stay fairly constant during the day
Causes of Delirium in the Elderly • • • • •
InfecAon Metabolic Imbalance MedicaAon Alcohol HospitalizaAon
What’s happening & what can you do? • Signs & symptoms – Unable to focus, withdrawn – Confusion – HallucinaAons
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What’s happening & what can you do? • MD Appointment – InfecAon: UTI or Pneumonia – Metabolic Imbalance: RouAne Blood Work – Review of all MedicaAons (Rx & OTC)
Hospitaliza,on & Delirium • HospitalizaAon
33% of seniors • Intensive Care Unit
70% of pa,ents • Rehab Units
16% of pa,ents
Why? • Sleep deprivaAon • Lack of hearing aids or glasses • MedicaAon side effects (sedaAves & anesthesia) • Change in environment
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What Can You Do? • Keep Oriented: glasses & hearing aids • Normalize the environment – Visit – Pictures from home
What Can You Do? • QuesAon use of sedaAves or hypnoAcs • HydraAon: encourage & assist with hydraAon
What Can You Do? • Reduce external sAmulaAon – Close drapes at night – Turn off overhead lights – Close bedroom door
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Transi,on Home • Familiar surroundings • Reassure & reorient • Support with extra caregiving (family or hired help)
Transi,on Home • Reconcile medicaAons • Baseline tesAng – Neuro psych evaluaAon – Mini Mental – Confusion Assessment Method
Be a Super-Advocate • Do NOT be inAmidated by professionals • Do NOT be pressured to move to a higher level of care
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Be a Super-Advocate • Do have a comprehensive assessment done by a Geriatrician • Do realize that it takes Ame to readjust post hospitalizaAon
Save the Date – November 9, 2016 Having The Talk: Assisting Seniors and their families in accepting additional care.
About Partners in Senior Care Family-owned Partners in Senior Care provides in-home Private Duty Care and Geriatric Care Management services for seniors throughout the Chicagoland area. Our CNA (cerAfied nursing aides), caregiver, and companion services allow our clients to age in the place where they feel most comfortable and secure - at home. If you or someone you love could benefit from a caregiver providing help with dressing, bathing or medicaAon reminders, give Angie a call at 847-548-1330.
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