Quetiapine 25 mg od,, can gradually increase upto 100 mg
Quetiapine 25 mg increase the dose Psychotherapy & yoga Always talking with him special care of him .
I think quetiapine at low doses is better than other antipsychotics considering its low affinity do dopamine receptors up to 200mg as patient is already having cog wheel rigidity. And along with other side effects care givers should be told about postural hypotension considering increased chances of fall. And other psychological interventions such as cognitive remediation therapy can be used after aggressive behaviour subsides. And few learning principles can be tried for patient though MMSE score is very low.
low dose risperidone with blood sugar monitoring..
any antipsychotic in small doses is helpful
Tb trinicalm plus half bd. Immiadiately aggression comes down. (Trifluperazine 2.5 mg + trihexyphenidil 1 mg )
aripiprazole in low doses can be tried sir, or quetiapine in low doses
I agree with Dr. Sushil Kumar
Psychological management of Dementia
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Health benefits of Pili Nuts Pili nut is a wonderful source of important nutrients, minerals and vitamins and they have proven to have many health benefits in us. Health benefits of pili nuts include Improve Cognition, Treat anemia, Promotes Heart Health, Diabetic Aid, Bone Health, Lower high blood pressure, Digestive Issues, Weight Loss, Overcome Insomnia, Promotes Skin And Hair Health, Inflammation, Sleep Aid, Energy Booster, Prevents Tongue Inflammation, Chronic Disease, Immune System Strength, Cholesterol Balance and Proper Development and Growth 1. Improve Cognition Omega-3 fatty acids are linked to reducing inflammation in neural pathways that may improve concentration and focus. Additionally, the antioxidants found in pili nuts can also eliminate the oxidative stress that can speed up neural degeneration and also lead to disorders like Alzheimer’s and dementia. Including these nuts can keep your brain firing on all cylinders well into your older years.(1) 2. Treat anemia Anemia is actually a low level of hemoglobin in the blood. It makes us look very pale, and we get tired very easily. We also might suffer from difficulty in breathing because of insufficient hemoglobin. Severe anemia can also lead to heart failure. Sufficient intake of iron rich foods is a necessity to prevent and treat iron deficiency anemia. Pili nuts are a good source of iron. They help in treating anemia by helping in the formation of hemoglobin. 3. Promotes Heart Health Pili Nuts are wonderful source of heart-healthy omega fatty acids. Pili nuts contain all the important omega fatty acids, which not only improve blood circulation, but also decrease the risk of you contracting cardiovascular disease. The American Heart Association urges people with heart problems to have food rich in omega fatty acids, which makes pili nuts a highly desirable foodstuff.(2) 4. Diabetic Aid Pili Nuts consists of all eight amino acids which makes them particularly beneficial for those suffering from diabetes, or those at high risk for developing the condition. Apart from that these nuts help balance blood glucose levels, and ensure that the body is releasing insulin at appropriate times and in appropriate amounts. This will avoid the dangerous peaks and drops of diabetic patients. 5. Bone Health Pili nuts consist of diverse mix of minerals which are quite beneficial for our bones. Bone mineral density naturally begins to decline as we grow old, so it is important to increase our mineral intake, or at least ensure that it is in line with daily requirements. Pili nuts offer zinc, calcium, magnesium, copper, manganese and phosphorous, many of which are important to keeping our bones strong, particularly as we age. 6. Lower high blood pressure or hypertension Sodium is a mineral that leads to preservation of water in the body that uplifts the blood pressure. Pili nuts have low levels of sodium which helps in avoiding the sudden rise of blood pressure. They also comprise numerous other essential minerals which help to maintain normal blood pressure. Magnesium is a mineral that plays an important role in the relaxation of blood vessels. Pili nuts are rich in magnesium. They relax the blood vessels and lower the high blood pressure levels. They help in avoiding all the complications of hypertension like damage to kidneys, nerves, eyes, heart and brain. 7. Digestive Issues Pili nuts are outstanding for optimizing your digestion and improving gastrointestinal health. The natural fibers present in pili nuts help stimulates peristaltic motion and avoid constipation and hemorrhoids. This can help you improve the efficiency of your nutrient uptake, which means maximizing the value of the food you consume!(3) 8. Weight Loss Pili nuts can help you lose weight due to the healthy cholesterol balance and the fiber found in these nuts. Nuts of almost all kinds are outstanding ways to suppress hunger, as fiber makes the body feel that it is full, therefore reducing your chances of going to the pantry for yet another midnight snack. The cholesterol-balancing effects can improve metabolic effectiveness, which means body will begin to burn fat more quickly and efficiently.(4) 9. Overcome Insomnia Pili nuts can help to overcome insomnia as well as other sleep deprived disorders. Well, pili nuts are rich in several essential minerals, and one of them is magnesium. They actually contain the highest magnesium content of any nut. This property makes pili nuts an excellent cure for insomnia as magnesium treats the symptoms of insomnia and helps you sleep better at night.(5) 10. Promotes Skin and Hair Health Vitamin E found in pili nuts helps improve skin and hair quality. Vitamin E helps protect your body against many conditions like cholesterol sediments, and even stimulates antioxidants. Pili Nuts are the richest source of vitamin E among all nuts, which is why they help promote your skin and hair health.(6) 11. Inflammation Pili nuts are natural anti-inflammatory substances because they consist of rich amounts of antioxidants. Antioxidants mostly eliminate free radicals, which can cause oxidative stress and increase inflammation throughout the body. By including pili nuts to your diet, you can cut down on inflammatory conditions like arthritis and gout, among many others.(7) 12. Sleep Aid Magnesium is an important component of serotonin and other relaxing hormones that can prevent symptoms of insomnia and sleeplessness. If you find that you infrequently get a full, restful night of sleep, then high levels of magnesium found in pili nuts may be exactly what your body needs to find relief.(8) 13. Energy Booster Pili nuts is one of the best nuts that ensure the body can energize itself, produce new tissues, and run all of its organ systems at optimal levels. The mixture of minerals, proteins and carbohydrates also drives energy levels up. Even a handful of these nuts can give you an energetic surge.(9) 14. Prevents Tongue Inflammation Folic acid or Vitamin B9 is one of the most essential B-vitamins essential for our body. Tongue inflammation, or glossitis, isn’t a painful condition and is frequently caused due to the lack of folate in the diet. As Pili Nut is one of the richest sources of Vitamin B9, it helps prevent and even help cure glossitis. Therefore, having Pili Nut is one of the best ways to maintain healthy folate levels. 15. Chronic Disease As mentioned before, antioxidants are exceptional for reducing free radical damage and oxidative stress, which frequently leads to chronic diseases, even cancer. The diverse mix of antioxidants found in pili nuts keep body’s systems operating efficiently and neutralize those dangerous byproducts of cellular metabolism before they can cause healthy cells to mutate or malfunction.(10) 16. Immune System Strength Antioxidants give our immune system a break by decreasing the strain to continually fight off body-weakening disease and stress. However, these tropical nuts help our immune system in another way as well. The high levels of vitamin E are also directly associated with giving the immune system a boost, and making sure that you stay healthy!(11) 17. Cholesterol Balance Remarkable amount of fats found in pili nuts may make some people think that they would be bad for your cholesterol levels, but it is important to remember that not all fats are bad. In fact, omega-3 fatty acids, which are found in good supply within pili nuts, help to balance cholesterol levels and eliminate additional omega-6 fatty acids. This can lower your risk for heart conditions like atherosclerosis, and prevent heart attacks and strokes.(12) 18. Proper Development and Growth Proteins are the building blocks of life for human beings, and pili nuts contain an adequate amount to earn it some praise. We need proteins for everything from organ development and muscle growth to healing and metabolic activity. Including a protein-rich nut to your diet is therefore never a bad idea.(13)Dr. Sanjay Kumar Mallick7 Likes14 Answers
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86/m, fell down at home 2 days back. k/c/o alzhimers, dementia, HTN. h/o CVA, left PFN was done 3 yrs back. high risk for anaesthesia. kindly advise regarding management.Dr. Sameer Rathore0 Like10 Answers
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A 50 year female presented with memory loss. A high-resolution MRI scan of the head was obtained. Interpret the findings.Dr. Sushil Mishra0 Like6 Answers
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A 61 y/o female came with left ocular pain and blurred vision for a duration of 5 days. She has DM 4 years ago, on hypoglycemic agents and for asthma 10 years ago with bronchodilators. At the first visit, the best-corrected visual acuity and IOP were 20/40 and 13 mm Hg in the right eye and 20/60 and 37 mm Hg in the left eye, respectively. Please give your opinion?Akanksha Sharma2 Likes6 Answers
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Alzeimers .. Dementia ...... is there any cure ? has any body cured ? i know may not possible ? but alternative therapy -with lateral thinking or out of the box thinking ........ can help to cure - to cure - to cure .. dementia ..... what do you think ? psychology ways - dietary supplements - psychotherapy - own analysis - family therapy etc then i would like to share my new ways -with out of the box thinnking .. like TA - Gestalt - Catalyst - RTMS therapy - depression - supplements - family therapyDr. Vinod Kumar Goyal4 Likes2 Answers