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he misses being able to smoke

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My Father is 81, he had a hip operation in 2008 which resulted in a stroke which was followed 12 months later by a seizure. He was placed on medication for this but unfortunately had another seizure some 12 months later, this we were informed by the hospital was due to his medication being halved by his GP. The stroke only affected his speech (words have become mixed up and hard to find), because of this he has become highly introverted (the complete opposite to how he was). This I fear is creating mental issues which he seems unable to overcome. Because of the stroke which immediately followed the hip replacement he never has regained anything like the mobility in his hips that he enjoyed prior to needing them replaced, also, now he suffers from a severe knee joint condition which he refuses to have anything done with for a fear of a repeat stroke following another operation, irrational maybe, but for him a real fear. One major aspect of his life is that he misses being able to smoke.

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replied June 1st, 2011
Stroke Answer A23626
Hello and welcome to e health forum.

Depression and psychological issues are very common in elderly patients with debilitating conditions like stroke.

Repeated hospitalizations and the slow process of recovery, add to their misery and increase their stress levels. The issues of dependency on other family members, lack of ability to be self sufficient cause emotional problems and hence such patients show signs of withdrawal, and lack of interest in daily activities or in communicating with family members.

The best possible way to address this situation is to have a full time care provider, who can take care of him, in addition to keeping him involved in conversation.

He might also benefit by consultation with a psychiatrist, who can treat him with antidepressants to improve his overall outlook, as well as counsel him to quit smoking.

The alternatives to smoking like nicotine gum or skin patches can be helpful to resolve some of his immediate craving for smoking.

I hope this helps.

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