Headaches and Migraine in Older Adults

By Silver Sitters

Headaches and migraine can disrupt sleep, meals and everyday activities. An older adult with new or changing headaches needs a medical assessment, rather than assuming the symptoms are part of aging or a familiar migraine.

Know when to call 911

Call 911 immediately for a sudden, severe headache or a headache with new weakness, facial drooping, trouble speaking, confusion, vision changes or loss of balance. These can be signs of a stroke or another emergency. Note when symptoms started and follow the emergency operator’s instructions. Do not wait for a routine appointment or drive the person to the hospital. Symptoms that improve or disappear still need urgent evaluation.

Seek prompt medical attention for a new headache after age 50, a headache that is worsening or changing, or pain following a head injury. Fever with a stiff neck, seizures, fainting or difficulty breathing also require urgent medical help.

Prepare for a healthcare visit

A healthcare professional can review the symptoms, medical history and medicines to determine the type of headache and whether testing is needed. Bring an up-to-date list of prescriptions, nonprescription medicines and supplements. Ask which symptoms require emergency care and which should prompt a call to the office.

Keep a simple headache diary

Record when the headache began, how long it lasted, its severity and any other symptoms. Include medicines taken, sleep, meals, drinks and activities beforehand. Review patterns with the clinician instead of assuming that one food or activity caused the problem.

Support the agreed treatment plan

Follow the clinician’s instructions for medicines and follow-up. Frequent use of pain relievers can itself contribute to headaches. Discuss repeated use with the clinician or pharmacist before making changes. A quiet room or cool cloth may help with a familiar migraine when consistent with the person’s care plan.

A Silver Sitters caregiver can help with everyday routines, reminders and recording concerns to share with family and healthcare professionals. Diagnosis and treatment decisions belong with the person’s medical team.