Failure To Thrive In Elderly Adults

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Consequences of Untreated Tongue Tie. Introduction. The consequences of an untreated tongue tie can be many and varied, depending largely on the age of the subject and the severity of the condition. The demands made on us increase as we grow older, and our environment becomes less forgiving of mistakes. Delay in treatment, therefore, can have very negative consequences.

For Infants. Inability to breastfeed successfully in the presence of a tongue tie can cause a variety of challenges for the infant, the mother and the family. For the baby, these may include: Impact on milk supply. Termination of breastfeeding. The baby failing to thrive. Poor bonding between baby and mother.

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Are your problems over after having gallbladder surgery? After having your gallbladder removed taking care of your well-being is essential for a healthy recovery, but. Leusden Journal Afraid of Falling? For Older Adults, the Dutch Have a Cure. The Dutch, like people elsewhere, are living longer than in previous generations. Cardiology : Welcome to Medscape Cardiology, where you can peruse the latest medical news, commentary from clinician experts, major conference coverage. Learn about Levaquin (Levofloxacin) may treat, uses, dosage, side effects, drug interactions, warnings, patient labeling, reviews, and related medications. · Failure to thrive in elderly persons is defined by The Institute of Medicine as weight loss of more than 5%, decreased appetite, poor nutrition, and. News and Events January 2018 - Healthy Hobbies for Seniors. When it comes to New Year’s resolutions, many people promise to lead healthier lifestyles through diet.

Failure To Thrive In Elderly Adults

Sundowner’s Syndrome is the name given to an ailment that causes symptoms of confusion after “sundown.” These symptoms appear in people who suffer from. The National Institute of Aging describes failure to thrive (FTT) as a syndrome of weight loss, decreased appetite and poor nutrition, and inactivity, often.

Sleep deprivation. Problems with introducing solids. The maternal experience of breastfeeding a tongue- tied baby may include: Pain. Nipple damage, bleeding, blanching or distortion of the nipples.

Mastitis, nipple thrush or blocked ducts. Severe pain with latch or losing latch. Sleep deprivation caused by the baby being unsettled. Depression or a sense of failure. For Children. Children with a tongue tie have to contend with difficulties which may only be discovered as they grow older. These can include: Inability to chew age appropriate solid foods.

Gagging, choking or vomiting foods. Persisting food fads.

Difficulties related to dental hygiene. Persistence of dribbling. Delayed development of speech. Deterioration in speech. Behaviour problems.

Dental problems starting to appear. Loss of self confidence because they feel and sound ‘different’Strong, incorrect habits of compensation being acquired. For Adults. What adults have to contend with is very much the result of old habits of compensation for inadequate tongue mobility. The areas of difficulty spread to include social and domestic situations, self- esteem, the work environment, and dental health. Thus it is seen that the consequences of unrepaired tongue tie do not reduce with time – instead, more difficulties are experienced as time passes. The specific challenges an adult with a tongue tie may face include: Inability to open the mouth widely affects speech and eating habits.

Always having to watch their speech. Inability to speak clearly when talking fast/loud/soft. Difficulty talking after even moderate amounts of alcohol. Clicky jaws. Pain in the jaws. Migraine. Protrusion of the lower jaws, inferior prognathism.

Multiple effects in work situations. Effects on social situations, eating out, kissing, relationships. Dental health, a tendency to have inflamed gums, and increased need for fillings and extractions. Sensitivity about personal appearance.

Emotional factors resulting in rising levels of stress. Tongue tie in the elderly often makes it difficult to keep a denture in place. The following sections provide more information on some of the little understood side effects of tongue tie.

Cosmetic Appearance. On first observing a neonate with tongue tie, the cosmetic appearance of the tongue and the tie will stand out.

The tongue may look small, rounded and indented in the midline with a heart- shaped look. If the frenum does not reach the lingual margin this typical heart shape may not be apparent, although function of the tongue may still be significantly impaired. As the child grows older, the appearance changes and the tongue may look square, or bifid, or thickened and too large for the mouth, so that it curls up at the sides. The tie itself can vary from a thin elastic membrane to a thickened, white non- elastic tissue. The tie or frenum may extend to the lingual margin causing notching, or spread along the floor of the mouth in a fan shape reaching towards the incisors and causing discomfort or actual pain on activity. Salivary profusion due to inadequate coordination of swallowing during speech becomes both visually and auditorily obvious. Habits of mouth breathing, aerophagia and forward tongue position become entrenched, and are easily noticed and less excused in the teenager or adult person.

The appearance of both the tie and the tongue generally becomes more conspicuous and even ugly, as the child grows older. Breastfeeding‘Failure to thrive’ is the term used to describe babies who have poor weight gain, are fretful and difficult to settle. A baby who does not feed well is likely to fall into this category. Breastfeeding is an opportunity for a calm and satisfied baby to interact with the mother in a way that builds a strong bond between them. Repeated difficulties at this time can interrupt or delay bonding. Sleep deprivation will affect both mother and baby.

A baby tired by unsuccessful sucking efforts will fall asleep on the breast and later awake unsatisfied, thus prolonging the feed time without fully satisfying the hunger. Read more under Breastfeeding…Bottle Feeding. Bottle feeding is often commenced when there is a tongue tie – whether with expressed breast milk or formula. Lactation consultants maintain that the need to resort to bottle feeding may have significant negative consequences.

Sundowner's Syndrome : Elderly dementia after sunset. I am so pleased that i found this website today! I have been feeling very depressed and guilty, because I did not understand what was happening to my dad. My father was diagnosed with Parkinson’s over 1. Looking back, I realise that my dad already had sundowners, although it was not so bad yet, just bad dreams and hallucinations, with very little sleep. Being sleepless was and is normal for my dad, as he has always slept very little. I had better explain my dad a bit more, than maybe you will understand a bit better why I feel the way that I do.

My dad has always been the “BOSS” of the house, his word was law, and even my mother had no right to express any thoughts, or ideas or anything. She was not even allowed to choose the colour floor tiles she wanted in her kitchen! My mom raised five children, worked basically like a slave all her married life (in the house) and had to do everything for my dad. He could be sitting in the kitchen, having supper, just in front of the fridge, and if he wanted something, he gave the order, and she had to stop eating, get up, and take it out of the fridge which was a foot behind him. He mistreated my older brother – both mentally and physically – basically destroying my brother’s self image – because he was a soft and gentle person like my mother – he was supposed to be tough and hard like a man!! I am the eldest of five, and the only daughter, and I can remember how my poor brother was treated.

My mother would try to intervene, and it just made it worse. He was never physically violent to wards to my mother, but was verbally abusive if he did not get his way.

My three younger brothers managed to get away without too much mental damage, as he concentrated on his oldest boy. As the years went by, I got married to a wonderful man, soft and gentle, the total opposite to my father. He has also caused that I am very defensive, and will not keep my mouth shut if I feel that I am being verbally attacked, which fortunately for me, my husband understands. Anyway, to cut a long story short, just shortly after my parents moved in, they were both diagnosed with cancer, my mother with colon cancer and my dad with prostrate cancer. My mother had a portion of her colon removed, and started chemo, but had to stop as it was affecting her heart badly. My dad had an orchidectomy. My parents were very young at this stage, just 7.

My parents moved into their cottage on our property, and I would go in every day to check on them, take them shopping, library, etc. I worked from home, and according to my dad, I was available at all times for them, so he could not care whether I was in the middle of a job, if he wanted something, I had to get up immediately and do what he wanted, there and then! It caused quite a few arguments! My mother was finally starting to fight back, and refusing to bow down to my dad all the time, but it was too late. All it caused was that my dad was just horribly confused by her reaction. My dad was quite together, with only mild sundown syndrome symptoms at night. It all changed in October last year, when my mom was diagnosed with terminal cancer – colon, liver, lungs, spine and lymph system.

The night after we told my dad what was happening, he started with very bad sundown syndrome – which in a way I understand, for it was a huge shock for him. But at the same time, in stead of being there for my mom, placing her first and supporting her as much as he could, he just gave up and became totally dependant on her. He also became both verbally and physically abusive towards her, and I had to seperate them.

My husband and I moved them into our house, putting my dad in the main bedroom, and my mom in my daughter’s bedroom (she moved out so that we could do that). I was eventually totally exhausted, as I was nursing my mom day and night, and also having to try and keep my dad calm and contained.

That stopped the day I caught him hitting her, because she would not get up and help him dress! My mother was the entire spill of our family life, and she was more than my mother – she was my best friend, my sister, my everything!

I adored her! I love my dad, but not in the same way as I loved my mom. There was no way on this earth that I was going to allow my dad to mistreat my mother even more. We eventually hired nursing care, one fulltime at night to take care of my dad, I took care of my mom at night, and then a nurse’s aid during the day for both my mom and dad, while I tried to rest and carry on working.

It was becoming extremely stressfull at home! My mom eventually passed away on 2. February this year, and my dad has just completely regressed, showing all the symptoms that are discussed on the blogs here. We eventually had to let our night carer go, as he was gay and unfortunately my dad started saying that he was “fiddling” with him!

We kept our day carer, and she has been an absolute treasure, helping to keep me sane!

Creative Nutrition: Solutions for Failure- to- Thrive Patients. Creative Nutrition: Solutions for Failure- to- Thrive Patients. By Becky Dorner, RD, LDAging Well. Vol. 3 No. 4 P. 8.

Ensure adequate access to food, provide a pleasant dining experience with adequate assistance to eat, and offer favorite foods. The term “failure to thrive” (FTT) has been used to describe older adults who were once active and are now socially withdrawn, lonely, bored, and depressed. FTT in older adults has been described as “a syndrome manifested by weight loss greater than 5% of baseline, decreased appetite, poor nutrition, and inactivity, often accompanied by dehydration, depressive symptoms, impaired immune function, and low cholesterol levels.”1 It may result from issues such as chronic disease and functional decline, physical and emotional deprivation, poor appetite, poor diet, or medical problems. All of these combined can easily lead to inadequate food intake, malnutrition, unintended weight loss, weakness, functional decline, and other complicating factors such as falls, impaired immune response, and poor wound healing.

FTT affects 5% to 3. Its prevalence appears to increase with age. Studies indicate that it is associated with decreased immunity and increased rates of infection, incidence of hip fractures, pressure ulcers, surgical mortality, mortality rates, and medical costs. FTT is not a normal consequence of aging or chronic disease, and caution should be used in applying the geriatric FTT label. It should not be treated as a diagnosis or a disease or equated with frailty, and it should not signal the withdrawal of efforts to find and treat underlying causes.

Instead it should be viewed as an unexpected and significant change in normal health status, a decline in vigor, weight, and function that can affect even the healthiest of older adults. For older patients exhibiting an unintended reduction of food intake, unintended weight loss, decline in the ability to provide self- care, a decline in cognitive function, and a general decline in interest in daily life, the term “failure to thrive” should trigger a thorough evaluation to determine possible reversible underlying causes. Identification and Assessment.

Because the decline in condition is so gradual, loved ones often fail to notice the subtle changes in health status. If changes are noted, the older adult often denies there is anything wrong, and treatment may be delayed until there is an acute illness or event. Healthcare professionals often realize at the time of assessment related to the acute event that there has been a decline that usually includes poor food and/or fluid intake, unintended weight loss, undernutrition, and inactivity. Later adverse outcomes include protein energy malnutrition, depression, cognitive impairment, and impaired physical function.

A thorough medical evaluation should include a total review of psychosocial, economic, spiritual, and emotional needs and social/environmental factors. Living situation, caregiver ability, potential abuse or neglect, isolation, the financial ability to purchase food and prescriptions, and alcohol and substance abuse can all have dramatic effects on older adults’ ability to thrive. Assessment must also include the evaluation of functional ability, underlying medical problems, and medication interactions; a nutrition assessment; and appropriate laboratory and radiological evaluations individualized to a patient’s specific needs. Medical conditions associated with FTT can include cancer, congestive heart failure, chronic lung disease, chronic renal insufficiency, chronic steroid use, cirrhosis, cardiovascular accident, depression or other psychological disorders, diabetes, hepatitis, hip or large bone fracture, inflammatory bowel disease, a history of gastrointestinal (GI) surgery, myocardial infarction, recurrent urinary tract infection, recurrent pneumonia, rheumatologic disease (eg, rheumatoid arthritis, lupus), a systemic infection, or tuberculosis. Dentition, vision, hearing, continence, and GI issues must also be addressed.

A review of medications should include drug- nutrient interactions, drug- drug interactions, polypharmacy, and adverse side effects of medication, which can all have devastating effects on older adults. Medications associated with FTT include anticholinergic drugs, antiepileptic drugs, benzodiazepines, beta- blockers, central alpha- antagonists, diuretics in high potency combinations, glucocorticoids, neuroleptics, opioids, selective serotonin reuptake inhibitors, tricyclic antidepressants, and any combination of more than four prescription medications. Along with an in- depth evaluation of the factors mentioned above, it is imperative to assess four main areas of FTT syndrome: impaired physical function or status, undernutrition or malnutrition including unintended and/or significant weight loss, depression or depressive symptoms, and cognitive impairment or decline. Impaired Physical Function or Status.