Late Onset Schizo Flashcards Preview

Jason's MD3 Aged Care-Palliative > Late Onset Schizo > Flashcards

Flashcards in Late Onset Schizo Deck (16)
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1
Q

What is psychosis?

A

Delusions
Hallucinations
Thought Disorder

2
Q

Delusion is?

A

Fixed falsely derived unshakeable belief

Not explained by social/cultural beliefs

3
Q

Hallucination definition

A

True perception in the external environment without stimulus

That has a quality of a true percept

4
Q

What is thought disorder? In old age psych?

A

Illogical thinking process, flow.

Hard to find in elder if there is overlay of cognitive impairment eg/ language

5
Q

Causes of psychosis in late life?

A

Dementia
Delirium
Substance
Meds

6
Q

Who gets late onset schizophrenia?

A

Females 3-4:1

7
Q

3 peaks of schizophrenia?

A

Teens/20s

40

8
Q

Late onset schizophrenia typical presentation?

A

Persecutory (76%)
Hypochondriacal (11%)
Partition delusions (ppl getting into ppl’s house)

9
Q

What is partition delusion?

A

ppl getting into ppl’s house, so they are locks everywhere

10
Q

How to distinguish delusional disorder vs. schizophrenia?

A

Usu. delusional is no hallucinations or thought disorder

11
Q

How to tell very late-onset schizophrenia psychosis And chronic psychosis?

A

late-onset has no Thought disorder

No insight

12
Q

How tell difference between late-onset schizophrenia vs. dementia?

A

Time.

Dementia there is decline in 6-12/12

13
Q

Ethical issues related to assessing and treating? 4:

A

Confidentiality
Competence
Duty of care
Involuntary treatment

14
Q

When to break confidentiality

A

Harm to self or others

Great financial risk

15
Q

How to decide if they have capacity to make decision In psychosis?

A

It is QUESTION specific, needs to be assessed on case-by-case

If psychosis is driving the decision then no capacity

given information
Process
Discuss the consequences, pros and cons

16
Q

Treating delusional disorder?

A

Establish therapeutic relationship
Rehousing (sort of)
Antipsychotics: 50% only ppl with thought disorder (probably chronic prior)