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Hallucinations in Elder Woman
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bob2007 posted:
Hi I have a question with how to proceed with this patient (my grandma). She is going to see an optomitrist (relative) soon and I would like to fully disclose everything to her.

Problem

Hallucination: She has a few occurances of waking up in the middle of the night and telling my grandpa a woman and a child are in the room, looking for money in the closet. This woman and child tends to reappear. She tells her daughters that grandpa is having an affair. It is never a man. She has said someone is at the door once, while looking at a white column inside my house.

She carries her money everywhere she goes now, and scared that someone is out to rob her.

Background:
i) She fell down the stairs once 10 years ago and hit her head. Doctors found nothing wrong back then, or now (1 year ago) with scans.

ii) She recently had a cataract surgery (no has been done scan post surgery), but she had hallucinations before surgery

iii) She saw a psychologist but psychologist determined that she had good memory, IQ and math skills. Tho, grandpa says she doesn't take the prescribed medication. (Why would there be medication if the psychologist says theres no problems). Nonetheless, she refuses to take the medication. So I don't know if he's giving the full story. Grandpa doesn't want to be sent to a nursing home. Grandma doesn't mind.

iv) Sleep problems at night.

v) She doesn't get out of the house except twice a week to visit her daughters and watches tv for the remainder of time.

vi) I was away for 3 years to come back and see her less sociable, and constantly saying the same warnings about society and people.

Based on my limited research, the following topics may apply?
Entoptic hallucinations, Charles Bonnet syndrome

I appreciate all the help I can get. Thanks in advance.
Reply
 
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larsstarscanary responded:
I just wanted to say hello. I'm not really certain what your question is.
 
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bob2007 replied to larsstarscanary's response:
So the problem is Hallucinations. What would be the diagnoses? How do we rule out different diagnoses with various tests available?
 
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larsstarscanary replied to bob2007's response:
I was given at least 4 diagnoses before they finally got the right one for me--This was over a period of YEARS. I think what the doctors do is treat symptoms--They gave me haldol to start with, which didn't agree with me at all. It took 10 or 11 years of trial and error before they finally got the right combination of medications for me.

For my first diagnosis, I was psychotic (hallucinations and delusions), so they took to by ambulance to the emergency psych ward, doped me up, and kept me in the hospital till I stabilized enough to realize how miserable I was, and sent me home. I should add that they have to give the patient discharge planning back into the community. So, I attended a day treatment program in my community, and that led to other things that were helpful.

I wish I had known of available tests. All they did to me was ask me questions! My responses were bizarre.

I wish I had answers for you, but my doctors didn't have them for me, either.

What do the doctors say your grandmother has? Do they know? I hope your grandmother doesn't have to go through what I went through.

I wish you, your grandmother and your family, the best.


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