Twenty-six subjects who complained of permanent unwanted effects following ECT were compared with two groups of control subjects on a battery of 19 cognitive tests. Many statistically significant differences were found in cognitive functioning, mostly attributable to the level of depression or medication in the complainers.
Why do elders complain so much even though they have people working hard to make their lives easier? There are a number of potential causes for this behavior, and one simple question can help you get to the bottom of things: Has this person always been negative and prone to complaining, or is this Complaining patients new occurrence?
Some Seniors are Chronic Complainers If a senior has always been the bickering type, complaining may be the only way they know how to communicate.
It is likely that they are not even aware of how their attitude affects others. No, their continued negative take on life—especially the things you go out of your way to do for them—is not acceptable.
In fact, the physical and mental frustrations that come with aging are likely Complaining patients intensify an already negative disposition. Sources of Negativity in Aging Adults Conversely, for some seniors, a negative mindset or constant complaining is a new occurrence.
Fortunately, new personality changes are easier to address, and many can be remedied. Most people are aware of the physical symptoms of a UTI, such as pain, burning and a persistent urge to urinate. But for many older individuals, behavioral symptoms like irritability and confusion are the only indicators of an infection.
This is one of the first things that caregivers should check for if a loved one experiences sudden and unusual changes in behavior.
Medications Can Cause Personality Changes Many prescription medications can have serious side effects that include personality changes. Psychiatric drugs are one clear example. In some cases, the wrong medication can actually cause their condition to worsen.
Some of these drugs take several weeks to reach their full effect, whether it is positive or negative. Other types of medications can also have negative effects on personality. Anti-seizure medications, statins, blood pressure medications and even anti-inflammatories can cause personality changes in some people.
Drug interactions can also be problematic, so if your loved one takes several medications, the combination should be double checked by a pharmacist for potential issues. Pain Can Make Seniors Crabby If your loved one was doing well but suddenly changes into an irritable complainer, make sure they see the doctor to check for painful changes in their health.
Ironically, they often continue to gripe to their family members all day long. The complaints might be about the pain itself, or they may express their frustration and discomfort by criticizing everything around them.
Look for obvious signs that they might need a visit to the doctor for some enhanced pain relief. Joint pain is a common source of discomfort for older individuals, and indications include changes in gait e.
And much of what they feel could be negative if they are bored or no longer have a sense of purpose. Work with your loved one to help them find a hobby or pastime that will keep them active, engaged and feeling fulfilled.
Dementia May Be to Blame Memory impairment is the classic symptom that most people associate with dementia, but personality changes may be the first to appear in some seniors. Memory problems can go unnoticed by family and friends for quite some time if a loved one is particularly good at compensating for or covering up their shortcomings.
Although their forgetfulness may not be apparent, they may be increasingly irritable and easily flustered due to difficulties with basic tasks and lapses in memory.
If dementia is a factor, there are now drugs that can help minimize behavioral and personality changes. For many, anti-anxiety medications and even anti-psychotics can make a significant difference.
All avenues should be explored. However, if your loved one has always been negative and impossible to please, you are faced with some hard choices.
You may be trying to do the right thing by providing care to this person in spite of their flaws, but you must take steps to ensure your own emotional wellbeing.
Many people will never see change in an elder who is set in their ways. Sometimes, with counseling and help, family members can learn techniques like detachment to create an atmosphere where they can be a hands-on caregiver.
In other cases, it is healthier for the caregiver to assume a more hands-off role.
Allow someone else to take over certain aspects of their daily care so that you can safeguard your mental and physical health. This could be another family member, a paid in-home caregiver or a senior living facility.
Her experiences inspired her to pen, "Minding Our Elders: Caregivers Share Their Personal Stories," a portable support group book for caregivers.You may find that patients are complaining about their symptoms on your Facebook wall or tweeting you questions about a disease they have.
It’s important not to give a diagnosis via the Internet, but it is a good idea to respond to their query by directing them to a doctor or other appropriate health expert at your facility—that’s the. Chapter 12 - Evaluation of the Patient with Weakness Introduction.
Weakness is a common presenting concern in neurology. This chapter will discuss the evaluation of the weak patient. Patients are frustrated and confused when they’re not granted adequate time to have a complete conversation with a medical professional about their symptoms, results, treatments, medications, diagnoses, and plans.
Frequent physical complaints are also characteristic of older adults with generalized anxiety disorder, It is important that primary and acute care providers consider the possibility of underlying depression or anxiety in patients complaining of frequent physical symptoms. Patients, health care facility employees and other members of the public may file complaints about hospitals, ambulatory surgery centers, home health agencies, nursing homes, assisted living facilities, comprehensive personal care homes, adult medical day care, pediatric medical day facilities, and many other licensed acute- and long-term care.
Oh yes, I've had patients complain to management about me. One didn't like my tone. One complained to my boss that I kicked her husbands bed with my plastic Quarks shoe when I was just taking the brake off the bed to move it so I could get the recliner chair out of his room as I needed it for a post-op pt that the surgeon wanted out of bed ASAP.