Exam (elaborations)
NR 547 Differential Diagnosis Week 6 discussion NR547.
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- Chamberlain College Of Nursing
NR 547 Differential Diagnosis
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1. How does dementia related psychosis differ than other typesof psychosis?
Psychosis is seen in different kinds of dementias. It is characterized by
hallucination, more visual than auditory hallucination unlike
schizophrenia where hallucinations are more auditory than visual.
Delusions may be present. Psychosis is seen when the dementia is
advanced. Severity of psychosis is based on the types of dementia.
2. Differentiate the clinical presentations of psychosis in clients
with the four different types of dementia.
Psychosis is seen in Alzheimer’s’ disease dementia, Parkinson’s disease
dementia, Lewy body dementia, frontotemporal dementia and vascular
dementia. 20-30% of the patients with Alzheimer’s disease dementia
experience hallucinations and 30-40% experience delusions (Boland et al.,
2022). Physical aggression may be seen with psychotic features. More than
50% of people with Parkinson’s disease have dementia with psychosis. If
patient develop parkinsonian symptoms and dementia in a year difference,
its Parkinson’s disease dementia whereas if they develop parkinsonian
symptoms and dementia within a year, its Lewy body dementia. ¾ of people
suffering from Lewy body dementia will have some kind of psychosis. Visual
hallucinations are common in Parkinson’s disease dementia and Lewy body
dementia (Burstein, 2021). 5-10%. of patient with Frontotemporal dementia
presents with both delusions and hallucinations and 15% of Vascular
dementia presents with psychotic features. Delusions are common in
vascular dementia.
3. Discuss a minimum of two possible approaches to treatment
for dementia related psychosis, select a minimum of one
pharmacological and one nonpharmacological approach.
Before starting the treatment, other medical or psychiatric causes of
psychosis should be ruled out through detailed history taking and
diagnostic tests.
Routine daily hygiene, sleep and eating schedule and exercising
improves cognition in older population. The shadow seen in the
evening may by misperceived as visual hallucination which is very
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