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Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
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Published on: February 8, 2019

Dissociative fugue in the elderly.

Anita Rajah1, R Suresh Kumar, C P Somasundaram

  • 1Department of Clinical Psychology, Amrita Institute of Medical Sciences, Elamakkara, Kochi, Kerala, India.

Indian Journal of Psychiatry
|January 6, 2010
PubMed
Summary

Dissociative fugue, a rare mental health disorder, involves memory loss. This case highlights how prompt medical referrals can improve patient outcomes and streamline healthcare resources.

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Area of Science:

  • Psychiatry
  • Neurology
  • Mental Health

Background:

  • Dissociative fugue is a poorly understood psychiatric condition.
  • It presents with unexpected travel and memory loss regarding personal identity.
  • This diagnosis is rarely encountered in clinical practice.

Purpose of the Study:

  • To report a clinical case of dissociative fugue in an elderly patient.
  • To emphasize the importance of accurate diagnosis and timely referral in managing fugue states.
  • To discuss the implications for healthcare resource utilization.

Main Methods:

  • Case report of a 62-year-old female patient presenting with memory lapses.
  • Clinical evaluation and diagnostic assessment for dissociative disorders.
  • Review of the patient's hospital course and management.

Main Results:

  • The patient presented with intermittent memory loss, characteristic of a fugue state.
  • The case underscores the diagnostic challenges associated with rare psychiatric entities.
  • Timely referral facilitated appropriate management and avoided unnecessary medical interventions.

Conclusions:

  • Dissociative fugue requires careful clinical consideration despite its rarity.
  • Prompt and accurate diagnosis is crucial for effective patient management.
  • Efficient referral pathways can optimize healthcare resources and prevent diagnostic delays.