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Hallucinations Are Real to Patients With Dementia.

R C Hamdy1, A Kinser1, J V Lewis1

  • 1East Tennessee State University, Johnson City, USA.

Gerontology & Geriatric Medicine
|November 23, 2017
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Summary

This case study highlights Dementia with Lewy Bodies (DLB) hallucinations in a patient with prior PTSD and psychosis. It suggests management strategies focusing on validation and distraction, not contradiction, to prevent crises.

Keywords:
Alzheimer’s/dementiaDementia with Lewy Bodiescatastrophyhallucinations

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Area of Science:

  • Neuroscience
  • Geriatric Psychiatry
  • Neurology

Background:

  • Presents a case study of a patient with pre-existing posttraumatic stress disorder (PTSD) and psychosis.
  • Recently diagnosed with Dementia with Lewy Bodies (DLB), experiencing vivid hallucinations.

Purpose of the Study:

  • To illustrate the clinical features of Dementia with Lewy Bodies (DLB).
  • To provide guidance on managing hallucinations in DLB patients.
  • To suggest alternative approaches in patient-caregiver interactions.

Main Methods:

  • Case report detailing patient's presentation and progression.
  • Analysis of the impact of hallucinations on patient-wife relationship.
  • Review of potential management strategies.

Main Results:

  • Hallucinations in DLB patients are perceived as real and should not be contradicted.
  • Easy distractibility and short attention span can be leveraged for de-escalation.
  • Inappropriate access to firearms by dementia patients poses significant risks.

Conclusions:

  • Emphasizes the importance of validating patient's experiences with hallucinations.
  • Highlights the utility of distraction techniques in managing challenging behaviors associated with DLB.
  • Stresses the critical need for safety measures, including firearm restriction, in dementia care.