Dementia-related psychosis: the role of nanny


The treatment of dementia-related psychosis varies from person to person. But what is certain is: as a caregiver, you play an important role in the care plan of your loved one. With your help, they can enjoy a better quality of life for as long as possible.

Monitor their behavior

The person you love may behave in strange ways. Their actions may be harmless.

For example, people with dementia usually think that they are not in their own home. James Lai, MD, associate director of clinical affairs for geriatrics at Yale University School of Medicine, says that people with dementia may even go to their rooms to collect something. If all they want to do is pack and unpack, he says it’s okay. You can even help.

“As long as these [delusions] No pressure, you can participate. Lai said. “If you always tell them what they are doing, it is wrong, or if you try to remind them that they will not go to this place, I think you will find that this will increase stress and anxiety. “

carry on

It is not always possible to calm down the one you love alone. They may be really frustrated or impatient.

“This is where you want the doctor to participate,” Lai said.

However, the symptoms of psychosis do not always make people with these diseases fearful. Christopher van Dyck, director of the Alzheimer’s Research Office at Yale University School of Medicine, said people with Lewy body dementia often see animals or people who are not there. But these creatures are often not threatening or even comforting.

“Have [the hallucination] Can live happily with the extra dogs in the house. “He says.

Attention warning signs

It is not always easy to tell whether a loved one has hallucinations or hallucinations. They may not know it themselves. Li said to pay attention to signs, such as whether:

  • Move around
  • Feel frustrated or aggressive in certain situations
  • Afraid of entering the room
  • Avoid certain people or places

carry on

Lai said that sometimes mental illness can be a sign of other medical problems. This is especially true if the symptoms disappear suddenly. Your loved ones may not be able to tell you that they are uncomfortable.

He said that if you find the following, you should call your doctor:

  • A sudden change in behavior, mood, or personality
  • lose weight
  • Loss of appetite
  • Gaze period
  • Many waterfalls
  • Severe sadness or depression
  • Sleep more than usual

Work with their doctor

You can help your loved ones to visit them on time. Moreover, you can be sure to check their hearing, vision or overall health. But this is not your only role. Dr. Arman Fesharaki-Zadeh, a behavioral neurologist and neuropsychiatrist at Yale University Medical Center, said that caregivers are an important source of “objective updates for each treatment.”

He suggests that you should pay attention to the following:

  • When did the symptoms occur?
  • Did they show up near sunset?
  • Do they occur around some kind of change?
  • Are there any newcomers who arouse them?
  • Does your loved one really feel anxious and fearful under certain circumstances?

Write down all the information you have and bring it to the next appointment. Fesharaki-Zadeh said this will help you and your doctor look for patterns that may worsen your loved one’s mental illness related to dementia. If certain triggers can be found and avoided, some symptoms may be relieved.

Develop a treatment plan

Your loved one may need medication for dementia or other health problems. You need to make sure they use the right approach.

If possible, Lai recommends that you involve them in their treatment procedures. For example, put medicine into a machine, and when they press a button, the machine will spit out the medicine.

He said: “Giving some kind of control is often a good thing.” “Even if it is small.”

Neurologist Carolyn Fredericks (Carolyn Fredericks), a neurologist at Yale University School of Medicine, said that medication may not get rid of the paranoia. But it can help reduce symptoms that make mental illness worse, such as restlessness or confusion.

She said that some of these medications came in the form of patches, “If the person is suspicious and does not want to take the medication, this may help.”

Get your own support

It is difficult to take care of people with dementia. You may feel that you are the only person who can or should do this. But this makes you more likely to experience caregiver exhaustion. That is a state of physical fatigue or mental exhaustion. It may cause you medical problems, which may include anxiety and depression. That will affect the quality of care you give to your loved ones.

carry on

“Even the best caregivers in the world need rest and self-care,” Fredericks said. “By giving yourself a healthy opportunity, this is the way to be a good caregiver.”

You can get additional help in many ways. Ask your doctor:

  • Home health assistant
  • Senior Center
  • Adult daycare
  • Long-term living facilities

Fesharaki-Zadeh advises caregivers to contact groups like the Alzheimer’s Association. You can find a large network of support related to dementia.

He said: “These people are dealing with these problems.” “They may be very helpful and very therapeutic.”


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