Dementia-related psychosis

Dementia-related psychosis

Must be at lease 500 words with at lease 3 scholarly articles within the past 5 years.  NO PLAGIARISM!

Treatment of psychosis in dementia can be complex. Understanding treatment options will assist the Psychiatric mental health nurse practitioner (PMHNP) with appropriate care for clients with neurocognitive disorders.  Answer the questions below for your initial post

Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions. 

1. Click on the following link to listen not the podcast: https://neiglobal.libsyn.com/e95-cme-whats-real-practical-management-of-dementia-related-psychosis
2. Click on the presentation to view and complete the activity. 

Treatment of psychosis in dementia can be challenging. Understanding treatment options will assist the Psychiatric mental health nurse practitioner (PMHNP) with appropriate care for clients with neurocognitive disorders.  Answer the questions below for your initial post. 

1. How does dementia related psychosis differ than other types of psychosis?
2. Differentiate the clinical presentations of psychosis in clients with the four different types of 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
4. Identify at least two strategies to suggest to family or staff  for a client who is experiencing dementia related psychotic behavior at home and in the long-term care environment. 

APA

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Dementia-related psychosis

 Assignment – ~500 Words

How does dementia-related psychosis differ from other types of psychosis?
Dementia-related psychosis (DRP) differs notably from primary psychiatric psychosis in origin, presentation, and treatment considerations. DRP stems from neurodegenerative changes—such as Lewy bodies or Alzheimer’s pathology—while primary psychoses involve disorders like schizophrenia (Howard & Takei, 2014) sciencedirect.com+12scielo.br+12medrxiv.org+12. Symptoms in DRP often include visual hallucinations and persecutory delusions rather than disorganized thought. Cognitive impairment overlaps with psychotic features, complicating diagnosis. Treatment must account for frailty, cognitive decline, and polypharmacy, making DRP management more cautious than in younger populations.

Clinical presentations across dementia types
Psychotic manifestations vary significantly depending on dementia subtype:

• Alzheimer’s disease (AD): Up to 63% experience delusions—especially persecutory and theft-related—and hallucinations as cognitive impairment progresses scielo.br.

• Dementia with Lewy bodies (DLB): Hallucinations, particularly visual, are early and predominant, affecting about 78% of patients, often accompanied by delusional misidentifications link.springer.com+3psychiatrist.com+3sciencedirect.com+3.

• Vascular dementia (VaD): Presents fewer psychotic symptoms, although around 60% may show delusions or hallucinations, typically with less frequency than AD or DLB journals.lww.com+7scielo.br+7sciencedirect.com+7.

• Frontotemporal dementia (FTD): Psychosis is less typical; when present, it manifests as heightened irritability or paranoia rather than classic hallucinations or delusions .