Guest guest Posted February 19, 2004 Report Share Posted February 19, 2004 My Dad has Parkinson's for aobut 10 years now ... no tremors but difficulty walking. Last August he got pneumonia and has gone significantly down hill since then. First the hospital setting really throws him and he gets even more confused. he was in again Thanksgiving for UTI, again in Dec UTI, again Jan pneu follwed by UTI - followed by C diff ! This last stay has been three weeks - he was moved to rehab two days ago. But his mental state has also drasitcally declined. He gets very confused - sometimes " zones out " and won't respond at all. he hasn't been eating ... won't take meds - can't swallow well. When he's " in " he knows us and all - but has these bizzare stories about thinkgs that happened (that didn't really) .. other times he's just to out of it to even acknowledge we aret here. This is supposedly classic LBD ? Neuro changed meds from Sinemet/Permaz/Comtan to just Sinemet and Aricept ? He's in rehab - but they can't get him to cooperate so I'm not sure what's going to happen next. They are talking feeding tube ... and NH ! We hoped to avoid both. We have been taking care of him at hom e- but he has become compltely immobile and incontinant (not a good combo for a 170pound man who won't cooperate !). Thanks in advance for any info you can share. Donna cg to Dad 80 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 20, 2004 Report Share Posted February 20, 2004 Donna: Sure sounds like LBD to me. Your dad is one of many who come to this disease gradually over the years and then, whamo!, almost overnight it gets really bad. That sounds like your dad's case. OK...what to say...what to say. Well, Donna, LBD sucks but I imagine you already know that. There's not much to that can be done apart from medically trying to manage his symptoms. Unfortunately, sooner or later, meds no longer work and we're left with dealing with the harsh reality of LBD complete with the hallucinations, the physical ailments and the incontinence. It's completely normal for your dad to have periods of clearer thinking followed by periods of confused, bizarre thinking. Cognitively, LBD runs the gamut in terms of how it manifests itself. Generally, it causes paranoia, irrational thinking and an inability to make good and safe decisions. Like I said before, it really, really sucks!!! The good thing I suppose is that there are somewhat longer periods of recognition than there are in Alzheimers but, make no mistake about it, your dad's periods of lucid thought will appear much less often as this illness progresses. What we can do is try to take advantage of those periods of clear thinking because that's the best we're gonna get. I'm surprised they're already suggesting feeding tubes but the part re: the nursing home isn't surprising because it's very difficult to care for an LBD patient at home. Lots of phenomenal people on this board do it and they are my hereos but it's really tough!!! It's especially hard when one person does the majority of the caregiving because, as you can see, LBD is never easy and our loved ones become this other person so often. Don't know if I answered some of your questions. I do know that there are tonnes of great people on this site that will give you great information and guidance about where to turn and what to do. I also know that if you go on the " Files " section of this site, there are lots of documents and information sheets for you to copy and give out to whomever it is that is taking care of your dad now and perhaps even for you to read. Good luck Donna. You've made a great decision to post here. Everyone is amazingly compassionate and they all know more than most medical person about LBD. Welcome to a wonderful site and a wonderful group of people. Abby Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 20, 2004 Report Share Posted February 20, 2004 Hi, Donna, I am so sorry to hear about your dad. You have really been through the mill lately. It sounds like LBD to me, but certainly every case is different. You will find great people in this group and someone out of us has experienced just about everything, I think. My LO with LBD is also my dad. We care for him at home, too. The doctor prescribed Seroquel for him for his agitation, among other things, and it really seemed to settle him down more. He has been a lot more cooperative about things. You might ask your doctor if there is any medication he can prescribe for your dad to help with his behavoir. Some people have responded well to Seroquel, others have not. As far as the hospital thing, YUCK! My dad has been in the hospital one time since he has had LBD, and it was the worst experience ever. He was totally disoriented and turned upside down the whole time he was there. I have never been so glad to get out of anywhere in my life! You will be in my thoughts and prayers. Let us know how you are doing when you have time, and welcome to our group Hugs, Piper Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2004 Report Share Posted February 22, 2004 Hello Donna: I am sorry aout your dad. I am concerned about the feeding tube. I know they stop eating at a point. My dad did that, but the feeding tube will be very upseting to your dad. I know this is two days old and am sure you got responses, but I am far behind and am trying to catch up. Welcome to our group, you will find a great deal of support and information here. I'll keep you and your family in my prayers, Josie Quote Link to comment Share on other sites More sharing options...
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