Visual Hallucinations and Paranoid Delusions
| Autor: | Amber E. Kinser, Kathleen Whalen, Ronald C. Hamdy, Rebecca Copeland, Audrey Depelteau, J. Culp, Tracey Kendall-Wilson |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
cognition
Paranoid delusions Extrapyramidal signs Psychotherapist Dementia with Lewy bodies caregiving and management Cognition lcsh:Geriatrics confusional states medicine.disease Visual Hallucination 03 medical and health sciences Alertness lcsh:RC952-954.6 0302 clinical medicine Teaching Case Studies: Managing Aberrant Behavior In Patients With Dementia Alzheimer’s/dementia medicine Alzheimer s dementia 030212 general & internal medicine Geriatrics and Gerontology Psychology Confusional states 030217 neurology & neurosurgery |
| Zdroj: | Gerontology and Geriatric Medicine, Vol 4 (2018) Gerontology and geriatric medicine |
| ISSN: | 2333-7214 |
| Popis: | Visual well-formed hallucinations, fluctuations in the level of cognition, and alertness and extrapyramidal signs are core features of dementia with Lewy bodies. Some patients realize that what they are seeing or hearing are just hallucinations and learn to accept them. Others, however experience these hallucinations as quite real and cannot be dissuaded from the firm belief that they are. In fact, efforts to dissuade them often serve only to confirm the often associated paranoid delusions and this may lead to a catastrophic ending. Hence, it is best not to contradict the patient. Instead, attempts should be made to distract the patient and change the focus of her or his attention. In this case scenario, we present a 68-year-old man who has been diagnosed with dementia with Lewy bodies. He lives with his daughter. He has visual hallucinations and paranoid delusions that worsen at night: He thinks there are people outside the house plotting to kill him. We discuss what went wrong in the patient/caregiver interaction and how the catastrophic ending could have been avoided or averted. |
| Databáze: | OpenAIRE |
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