open access
Diagnosis and treatment of hallucinations in elderly palliative care patients with Parkinson’s disease
Affiliations- Faculty of Medicine, University of Rzeszów, Poland
open access
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 disorder 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. We also suggest a sensible approach for patients with hallucinations and delusions.
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 disorder 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. We also suggest a sensible approach for patients with hallucinations and delusions.
Keywords
Parkinson' s disease, non-motoric symptoms, hallucination, quetiapine, clozapine
About this articleTitle
Diagnosis and treatment of hallucinations in elderly palliative care patients with Parkinson’s disease
Journal
Palliative Medicine in Practice
Issue
Article type
Review paper
Published online
2023-08-08
Page views
233
Article views/downloads
312
DOI
Keywords
Parkinson's disease
non-motoric symptoms
hallucination
quetiapine
clozapine
Authors
Karolina Ochyra
Zbigniew Żylicz
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