Any way to make a hallucinating person know that it isn't real? I've read about Charles Bennett syndrome which is common to people who have macular degeneration and bilateral vision loss. Other characteristics include someone with long term insulin treatment for diabetes, stroke, heart disease. Isn't there someway to get the the right impulses going again?
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I knew of a man that was in a memory ward and his son took him to a different
Doctor and he took him off all meds and he rebounded and was able to go back and live with his wife. Problem is if dr.prescribes I guess you don't have a choice
My mom's prim care phy has been taking care of her for 20 yrs and has become more of a 'bandaid' dr. You know, see her every 3-4 mos, refill her rx's and tell her when to come back. What made me so mad with him is that he prescribed Risperdal w/out even examining my mom based on my hystericals sister word.
When I had mom's care transferred to hospice she seemed to be having worse episodes - don't know if that was from the slow metabolising of the Risperdal or not. We finally got to a point that the hospice nurse suggested Seroquel. I just cringed but felt like I had to do something. I approaced it as carefully as possible give the effects of the Risperdal and only gave Mama 1/2 of a 100mg (?) tablet to start with. Within 30 minutes of taking the Seroquel she began talking gibberish, rocking back and forth in her care with here eyes as big as 50cent pieces and she was singing - "I'm going to see my mama, I'm going to see my mama". I was just beside myself - I had tried to be so careful. We ened up calling her emergency button people, ems arrived and took her to ER. She didn't want to go and fought it because she was afraid she would never come home again. In the ER they did bloodwork and she was really out of it. Didn't know her name, where she was, what year it was - nothing. In about 3 hours she managed to sleep it off though and was more coherent and able to speak with the psych nurse at the ER. She is the one who finally actually suggested that Mama needed to cut back on some of the meds she had been on for YEARS. Said that they probably had lost their efficacy or were having adverse effects instead. Thank GOD we finally found someone that didn't want to add another pill to mama's repertoire. She even suggested that we may able to get physiciatric nursing visits through a separate home health agency. It does not overlap services with hospice because hospice doesn't offer talk therapy and that is the only service we are contracting out of the home health agency.
There are two HUGE pluses to this.......the therapist is reviewing all of Mama's meds and he is calling the shots as far as getting blood work to determine the levels of her medications. The hospice nurse is working with him to ensure that the med's mama is on are correctly relayed to her hospice care. They have worked to cut mama's 100mg of zoloft in half and have added just 2mg of ability to help with her depression. She has been on this treatment for a little over two week and continues to get better. She is having less hallucinations and is happier overally. She still has times when she's seeing snakes but she just say the therapist for the 1st time this past Thursday. I think she was looking forward to just having someone to talk to other than family. It's so good to see her happy again!
I was aware of the UTI side of the coin as we've had multiple issues with that. Luckily that was not the case this time. Please all caregivers - know that these antipsychotic drugs are LAST choices. An elderly person can get overloaded on medications so easy and it seems like every doctor just wants to write a rx to pop another pill. Mama may still ultimately have some dementia but for now it seems like we are at least slowing it down and keeping it at bay.
Thanks everyone for caring and writing - LOVE YOU ALL!
Jan
UTIs can cause hallucinations. Clearing up the infection eliminates them.
Hallucinations that go with dementia can be very hard to treat. If the hallucinations are not disturbing to the person who has them there isn't any need to treat them. If what they see terrifies them, then if may be worth trying drugs under very careful monitoring.
Good luck to you. If you find something that works, let us know. We learn from each other.
Charles Bonnett seems logical too. They put mom on seroquel. I hope there is something else.