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Published online: 2023-08-08

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Diagnosis and treatment of hallucinations in elderly palliative care patients with Parkinson’s disease

Karolina Ochyra1, Zbigniew Żylicz1

Abstract

Parkinson’s disease is the most common neurodegenerative disease. Until recently, the treatment was focused on dopamine deficiency and enabling patient activity. Much less attention was paid to the cognitive impairment and non-motor symptoms of the disease. Dementia, hallucinations and delusions are the most common cognitive disorders influencing a patient’s quality of life. Hallucinations are probably the most common and bothersome non-motoric symptom. This paper discusses the diagnosis and treatment of hallucinations with atypical antipsychotics and possible alternatives. A sensible approach for patients with hallucinations and delusions is suggested.

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Palliative Medicine in Practice