Need Medical Opinion Moody, Unhappy Senior Citizen
Need Medical Opinion Moody, Unhappy Senior Citizen
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Jan 7 2017, 01:53 PM
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Senior Member
1,576 posts Joined: May 2007 |
It's likely that they gave your mum benzodiazepines, such as midazolam, together with muscle relaxants, to sedate your mum in the hospital. It's possible that the depression your mum had was from the benzodiazepines, aggravated by interaction with muscle relaxants. Benzodiazepines are known to cause depression, but that is more with chronic use. It's possible the high bolus dosage which they gave her IV in the hospital may have long term lingering effects. The elderly are particularly subsceptible to the side effects of benzodiazepines. http://web4health.info/it/bio-benzo-sideeffects.htm However, I think it is more likely that your mum has PTSD, or post - traumatic stress disorder, of which depression is a symptom. PTSD is known to occur after discharge from the ICU, particularly in elderly patients, months or even years later. Depression by itself, without PTSD, can also occur after discharge. Women are twice as likely as men to have PTSD. Was your mum placed on the ventilator in the ICU ? That would have increased her likelihood of developing PTSD or depressive symptoms months or even years after discharge. You could bring your mum back to the hospital and relate her current condition to her. They may refer her to other specialists, such as psychiatrists, for treatment. Hiro Koo (Zeropoint9) is a qualified psychologist trained in hynotherapy practising in the New Mind Center in Wisma Hrih Lotus (former Alhambra cinema, then an art gallery) in Jalan Setapak. http://www.newmindcentre.com/p/about.html Hypnosis, together with biofeedback, is a viable adjuctive or even standalone therapy for PTSD, depression and many other psychological and physical conditions - even cancer. If you find that later that other doctors cannot improve her condition, you can take your mum to him. If you wish to try traditional Chinese medicine as well, I go to this quite experienced lady practitioner in Pandan Jaya every now and then. She even has some Malay patients. https://www.facebook.com/Klinik-Pakar-TCM-Y...96117660597358/ https://foursquare.com/v/%E8%91%89%E4%B8%AD...4b0a34ac620861d Are Intensive Care Factors Associated with Depressive Symptoms Six Months after Acute Lung Injury ? https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2769249/ Associations between sedation, delirium and post-traumatic stress disorder and their impact on quality of life and memories following discharge from an intensive care unit. " After 2 months vs. 6 months, 297 patients vs. 248 patients were interviewed. PTSD was found in 7% vs. 5%, anxiety in 6% vs. 4%, and depression in 10% at both interviews. " http://www.danmedj.dk/portal/page/portal/d...B4630/B4630.pdf Memory, delusions, and the development of acute posttraumatic stress disorder-related symptoms after intensive care. https://www.ncbi.nlm.nih.gov/m/pubmed/11373423/ Risk factors for post-traumatic stress disorder symptoms following critical illness requiring mechanical ventilation. https://www.ncbi.nlm.nih.gov/m/pubmed/17316452/ Psychological wellbeing, health related quality of life and memories of intensive care and a specialised weaning centre reported by survivors of prolonged mechanical ventilation. https://www.ncbi.nlm.nih.gov/m/pubmed/24308899/ Post-traumatic stress disorder and post-traumatic stress symptoms following critical illness in medical intensive care unit patients. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2151890/ Post-traumatic stress disorder in somatic disease: lessons from critically ill patients. https://www.ncbi.nlm.nih.gov/m/pubmed/18037018/ PTSD and depression are also common in relatives of patients who pass away in the ICU. ICU care associated with symptoms of depression and posttraumatic stress disorder among family members of patients who die in the ICU. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3071273/ Physical and mental health in patients and spouses after intensive care of severe sepsis. " A significant proportion of patients and spouses (26% - 42%) showed clinically relevant scores of anxiety and depression; approximately two thirds of both, patients and spouses, reported posttraumatic stress symptoms defined as clinically relevant. " https://www.ncbi.nlm.nih.gov/m/pubmed/23222259/ Depression in general intensive care unit survivors. https://www.ncbi.nlm.nih.gov/m/pubmed/19165464/ This post has been edited by Tham: Jan 7 2017, 02:15 PM |
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Jan 7 2017, 02:14 PM
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Senior Member
1,576 posts Joined: May 2007 |
Post-traumatic stress disorder managed successfully with hypnosis and the rewind technique: two cases in obstetric patients. https://www.ncbi.nlm.nih.gov/m/pubmed/26162981 Hypnosis as an effective management of a child with posttraumatic stress disorder after perineal trauma. https://www.ncbi.nlm.nih.gov/m/pubmed/24815600/ Hypnosis can reduce pain in hospitalized older patients: a randomized controlled study. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4714456/ Hypnosis after an adverse response to opioids in an ICU burn patient. https://www.ncbi.nlm.nih.gov/m/pubmed/9647460/ |
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