Psychosis in nursing home patients with Parkinson's disease.

作者: Gail A. Kang , Jeff M. Bronstein

DOI: 10.1016/S1525-8610(04)70110-3

关键词: Nursing homesIn patientPsychosisPsychiatryIntensive care medicineDiseaseMotor symptomsAtypical neurolepticMedicineParkinson's diseaseCognitive decline

摘要: Psychosis in patients with Parkinson's disease (PD) is a common and important problem. It frequent cause of nursing home placement associated high mortality. The psychosis PD usually multi-factorial but often involves the agents used to treat motor symptoms disease. Treatment strategies should include ruling out other causes cognitive decline, reducing anti-PD medications, judicious use atypical neuroleptic medications. Cholinesterase inhibitors can also be useful as an adjunctive agent decline. Careful management result good control hallucinations delusions without significant decline function.

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