Hamdy R C, Kinser A, Lewis J V, Copeland R, Depelteau A, Kendall-Wilson T, Whalen K
East Tennessee State University, Johnson City, USA.
Alzheimer's Tennessee, Inc., Knoxville, USA.
Gerontol Geriatr Med. 2017 Nov 14;3:2333721417721108. doi: 10.1177/2333721417721108. eCollection 2017 Jan-Dec.
In this case study, we present a patient with preexistent posttraumatic stress disorder and psychosis who has been recently diagnosed with Dementia with Lewy Bodies. He is experiencing vivid hallucinations. What went wrong between him and his wife as a result of these hallucinations is presented. Alternative actions that could have been used are suggested.
At the end of this case study, readers will know the following:The characteristic clinical features of Dementia with Lewy Bodies (DLB).Patients experiencing hallucinations should not be contradicted, to them, these hallucinations are real.Easy distractibility and short attention span can be exploited to avert or defuse potentially catastrophic situations.Patients with dementia should not have access to loaded guns.
在本病例研究中，我们介绍了一名患有创伤后应激障碍和精神病且最近被诊断为路易体痴呆的患者。他正在经历生动的幻觉。文中呈现了由于这些幻觉他与妻子之间出现的问题。还提出了本可采用的其他应对措施。
在本病例研究结束时，读者将了解以下内容：路易体痴呆（DLB）的特征性临床症状。不应与有幻觉的患者争辩，对他们而言，这些幻觉是真实的。可利用易分心和注意力持续时间短的特点来避免或化解潜在的灾难性局面。患有痴呆症的患者不应接触上膛的枪支。
