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Her dizziness and nausea have been assessed multiple times and does not appear to be treatable. She is always asking for tums or to go to the hospital continuously. She is an assisted living facility, but can't seem to find peace. Any ideas?
The first thing I think of is her meds are causing the dizziness and nausea. Those two symptoms are the most side effects of any med. Coupled with constipation and you have an unhappy patient. Try stopping or cutting out the med that has those side effects listed. Listen to her. She knows her body...
Why can't they fix the nausea at least? There are meds for that. Obviously, something is wrong. I'd keep taking her until a solution was found, talk to another doctor. There's anti-nausea medication available. Has she taken or been prescribed any of that?
Have you taken her to an ENT about the dizziness? After an ENT, a neurologist might help. I've had friends with dizziness and it truly is unpleasant, but there are treatments for many kinds of dizziness, but you need a specialist.
I was thinking the same thing as Ferris. We don't have any information about your mother. Is she diabetic? Does she have some other diagnosis? My mother suffered from nausea that was caused by her taking too much of her Metformin -- she's diabetic. Another time had nausea that came from laxative abuse. There are so many things that can cause nausea and dizziness that a doctor needs to sort out what she may be doing to cause it. If she isn't doing anything, the problem may be caused by her inner ear or the associated nerves. Let us know a little more and people may have some suggestions.
VERY often what I hear from my Mother is "I just don't feel good, or I have a tummy ache" she has always had a touchy tummy so sometimes I think it is something she ate. WE have had incredible difficulty with UTI's we have tried everything....she has seen a urologist several times... She does NOT drink enough... She has dementia and she does not remember.... She lives in a beautiful independent senior housing complex... I do her medicine get her groceries take her to the DR etc... but she has completely LOST her coping skills... It is a challenge to care for someone with dementia!!!
She's been assessed multiple times. Assuming you're confident in the repeated diagnoses, it could be that your mother just can't accept that she can't be 'fixed'. Or, that she gets some positive feelings out of the attention that hospitalization brings. I'd focus my efforts on helping her cope with however she's feeling rather than supporting a never-ending quest for a treatment that doesn't exist. As, Jaye points out, many people with dementia have very limited coping skills. She could probably use some kind of simple plan for dealing with her dizziness; maybe changing position - like watching TV from her bed or lying on the sofa when she's particularly dizzy. It does seem that the nausea component could be addressed with drugs, but not if it's largely psychosomatic.
Which came first, the chicken or the egg? All kidding aside, all of the suggestions above are very good, yet one can only guess since we don't know all the particulars of your mother's case. If the dizziness came first (prolonged dizziness usually causes nausea), then the first course of action is to check out the dizziness. As stated, it could be an ear infection or an ear plugging up with wax, so an ENT might be visited, unless she's done that already. Next stop would be a neurologist as so many different brain problems can cause dizziness. Many times doctors never do find out what is causing the dizziness. If it comes to that, there are different pills she can take for dizziness - the most common being Meclizine. If the nausea is caused by the dizziness, and a pill can stop the dizziness, then the nausea will stop. If the two are not related, there are also pills for nausea, though they can make you quite sleepy. I work for a home health agency and the physical therapy department has a program called "Balanced for Life". They have found that many times with unexplained dizziness in older people there is an inner ear problem that can be helped with some certain exercises that they have the patient do, though I don't know exactly what those exercises are. They have a little balance test that they do with the patients to be able to tell if they have the kind of dizziness that can be helped by those exercises. Medicines are also a frequent culprit, but just stopping meds on your own is not a good idea. I would hope her doctor is willing to evaluate all of her meds and maybe hold one med at a time that could be causing it to see if that's the problem. I would exhaust every possible avenue to try to find out the cause because dizziness is a frequent cause of falls in the elderly, resulting in broken hips, and you certainly don't want that. If all else fails and they just can't find a cause, then the medicine for dizziness is at least worth a try.
Start by looking up the side effects of all medications that Mom is taking. You will find those that can cause nausea and dizziness. DO NOT stop any medication without asking her Dr. You mentions frequent UTIs which I assume are treated with antibiotics. These are well known causes of nausea. It would seem that she feels safer when she is in the hospital and she sees nurses etc every few minutes and knows there is someone at the end of the call button. You said that the AL is a very nice facility but is she afraid to leave her room so is alone most of the time. Perhaps she would feel more comfortable in a NH where she would be more closely supervised. With the elderly it is often not possible to explain the true cause of their actions because they can't or won't explain their true needs. Issue of loss of control, not wanting to burden a relative or embarrassment may all come into play. It's hard to figure all this out if you are not a professional caregiver or have been involved for a long time. You can't be expected to be a mind reader so it may take a little detective work to figure this out. There certainly are medications to treat nausea and dizziness but still may not cure the problem.
If you trust the drs you have taken your mother to and they have no explanation, maybe we're looking at the problem wrong. What I have found with my mother is that she festers on things, constantly thinking about what problems she has and making them bigger than they are. If the drs have reviewed all meds and checked all possible causes maybe the problem isn't as big as she thinks it is. If you can get her to do something that will keep her mind busy she will stop thinking about her problem and it just might go away. With my mother it helped to have her even just sit with the tv on. When she was just sitting alone doing nothing she just kept thinking about her problems and they get bigger and bigger. With something as simple a distraction as the tv, her mind can focus on something that's flashing on the tv. When they are older and don't do anything all day, their minds go to all the little aches and pains they have and they grow bigger and bigger. Having company, talking on the phone, playing cards or just watching tv helps. At least in my home with my mother. The problem doesn't go away, but at least it isn't the main focus of the day.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
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I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
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APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
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APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
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If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
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This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
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You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
I'd focus my efforts on helping her cope with however she's feeling rather than supporting a never-ending quest for a treatment that doesn't exist. As, Jaye points out, many people with dementia have very limited coping skills. She could probably use some kind of simple plan for dealing with her dizziness; maybe changing position - like watching TV from her bed or lying on the sofa when she's particularly dizzy.
It does seem that the nausea component could be addressed with drugs, but not if it's largely psychosomatic.
Medicines are also a frequent culprit, but just stopping meds on your own is not a good idea. I would hope her doctor is willing to evaluate all of her meds and maybe hold one med at a time that could be causing it to see if that's the problem. I would exhaust every possible avenue to try to find out the cause because dizziness is a frequent cause of falls in the elderly, resulting in broken hips, and you certainly don't want that. If all else fails and they just can't find a cause, then the medicine for dizziness is at least worth a try.
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