Caring for an Older Adult With AFib

By Silver Sitters

Atrial fibrillation, or AFib, is an irregular heart rhythm that can increase stroke risk. Some people notice a racing or fluttering heartbeat, tiredness, dizziness or shortness of breath; others have no obvious symptoms. Families in Palm Beach County can help by understanding the person’s medical plan and the warning signs that need urgent attention.

Know when to call 911

Call 911 for chest pain or pressure, or signs of a stroke. Stroke signs can include sudden loss of balance, vision changes, facial drooping, arm weakness or difficulty speaking. Call even if symptoms improve. Do not assume chest discomfort is an ordinary AFib episode. The American Heart Association explains AFib symptoms and emergency warning signs.

Understand the treatment plan

A clinician may recommend medicines to control heart rate or rhythm and, when appropriate, an anticoagulant to reduce clot-related stroke risk. Anticoagulants also increase bleeding risk. Procedures such as cardioversion or ablation are options for some people; a pacemaker is used in particular circumstances, not routinely for everyone with AFib. Ask what each treatment is intended to do and what follow-up it requires. See NHLBI treatment guidance.

Prepare for follow-up visits

• Keep an up-to-date medicine list and note new symptoms or side effects.
• Ask which symptoms require an urgent call and which require 911.
• Follow prescribed doses. Check with the care team before changing medicines or adding supplements, cold remedies or other nonprescription products.
• If an anticoagulant is prescribed, ask about bleeding precautions and any testing or procedure-related instructions.

These steps are based on NHLBI guidance on living with AFib. The person’s clinician should explain how they apply to their situation.

Support everyday routines

Ask the older adult what help they would welcome. With permission, a family member can attend appointments, take notes or help prepare questions. Discuss suitable activity, food choices, sleep and alcohol use with the care team rather than imposing the same routine on everyone.

Make room for worries and questions. If anxiety or low mood persists, tell a healthcare professional. Family reassurance can be valuable, but it does not replace mental health treatment when needed.

Discuss home-care needs

Help with meals, companionship, personal routines or getting ready for appointments may make daily life easier. Contact Silver Sitters to discuss the tasks and schedule you need. Everyday home-care assistance does not replace a cardiologist, prescribed treatment or emergency services.