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Appointments & care

Question lists by condition.

Generic appointment-prep advice helps. Condition-specific question lists help more, because the right things to ask a cardiologist are different from the right things to ask a neurologist treating dementia. These are the questions caregivers in similar situations have found most useful.

Inside, condition-specific lists for:

  • Dementia and Alzheimer's (early, middle, and late stage)
  • Post-stroke recovery
  • Cancer treatment (initial diagnosis through follow-up care)
  • Parkinson's disease
  • Heart failure
  • End-stage renal disease / dialysis
  • General appointments for an elderly parent

Dementia / Alzheimer's appointments

Early stage:

  • How will we know when the diagnosis has progressed to the next stage?
  • What medications, if any, slow progression, and what are realistic expectations?
  • When should we start thinking about driving, financial decisions, advance directives?
  • What support is available for me as the caregiver?
  • Should we consider a clinical trial?

Middle stage:

  • How do we manage agitation, sundowning, or anxiety?
  • Are there environmental changes at home that would help?
  • When is in-home help or adult day care worth considering?
  • What signs would mean it's time to consider memory care?
  • How do I handle moments when they don't recognize me?

Late stage:

  • What's the role of palliative care vs. hospice at this stage?
  • How do we handle eating and swallowing changes?
  • What should I be preparing for in the next 3–6 months?
  • When do we shift focus from treatment to comfort?

Post-stroke recovery

  • What's the realistic expected trajectory for the next 3, 6, and 12 months?
  • What therapy is recommended, how often, and for how long?
  • What signs of a second stroke should I watch for?
  • How do we manage the emotional changes, depression, frustration, personality shifts?
  • When is it safe for them to be alone? To drive again? To return to work?
  • What home modifications would help most?

Cancer (initial diagnosis appointment)

  • What stage and what does that mean for treatment options?
  • What are all the treatment options, and what would you recommend, knowing them as a person?
  • What are the goals of treatment, cure, control, comfort?
  • What are the realistic side effects we should prepare for?
  • How will treatment affect daily life, work, energy?
  • Should we consider a second opinion? Where would you suggest?
  • Are there clinical trials we should explore?
  • What's the role of palliative care alongside treatment?

Cancer (follow-up appointments)

  • How is treatment going against the goals we set?
  • What signs would indicate it's not working?
  • What new symptoms warrant calling you vs. waiting?
  • Are the side effects within expected range?
  • When do we reassess the plan?

Parkinson's disease

  • What medication changes might help with current symptoms?
  • How do we time medications around meals and activities?
  • What "on/off" patterns should we report?
  • When should we consider deep brain stimulation or other procedures?
  • How do we handle freezing, falls, and balance issues?
  • What non-motor symptoms, sleep, mood, cognition, should we discuss?

Heart failure

  • What weight gain in what time frame should make me call you?
  • How do we manage fluid intake and salt restrictions practically?
  • What activity level is safe, and what's too much?
  • When is a hospitalization avoidable with a phone call, and what number do I call?
  • What's the role of palliative care alongside cardiac treatment?
  • What would you recommend if symptoms worsen, more medication, devices, or different goals of care?

End-stage renal disease / dialysis

  • How do we manage between-dialysis days, diet, fluids, activity?
  • What symptoms warrant calling the dialysis unit vs. waiting?
  • What's the access situation, fistula, catheter, and what should I watch for?
  • How do we plan around the dialysis schedule for important events or travel?
  • Is conservative (non-dialysis) management an option to discuss?

General "checkup" appointment for an elderly parent

  • Are all current medications still necessary? Any to stop or reduce?
  • Are there age-appropriate screenings we should be doing, or stopping?
  • What vaccines should be current (flu, pneumonia, shingles, COVID)?
  • Are there any new symptoms, even subtle, I should worry about?
  • What's the plan for the next visit, and what would trigger an earlier one?
  • Is there a benefit from involving palliative or geriatric care?
These are starting points, not exhaustive. The best questions are the ones rooted in what you've actually been noticing. Bring two or three from these lists plus two or three of your own observations, and you'll have a useful visit.
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