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  1. Common delusions include theft or believing loved ones are trying to harm them. It is common for people with dementia to experience delusions (or strongly held false beliefs), which can also take the form of paranoia.

    • Hallucinations vs. Delusions from Dementia
    • How to Help Someone with Dementia Who’s Hallucinating
    • Responding to Delusions in The Elderly
    • Adjusting to A Loved One’S Delusions and Hallucinations

    You might hear the terms delusions and hallucinationsused interchangeably, but they’re actually different. Delusions from dementia are fixed false beliefs that are often caused by declining memory, whereas someone who’s hallucinating could see, smell, feel, taste, or hear things that don’t exist. For people with dementia, delusions are typically mo...

    If you’re caring for a loved one with dementia, don’t try to convince them that their hallucinations aren’t real. This might lead to anger or aggressive behavior. Instead, try a more reassuring and comforting approach. Marion Somers, Ph.D., author of Elder Care Made Easier: Doctor Marion’s 10 Steps to Help You Care for an Aging Loved One, suggests ...

    Delusions among dementia patients are typically a result of their cognitive impairment. They occur when a senior tries to make sense of a situation but their confusion and memory problems make it impossible. “They end up filling a hole in a faulty memory with a delusion that makes sense to them,” Gwyther says. For example, if a loved one can’t find...

    Caregivers commonly struggle to adapt to their family member’s physical, cognitive, and emotional changes. Even after they’ve learned about proper ways to respond to dementia hallucinations and delusions, it still takes plenty of patience and practice. Repeatedly stepping into a loved one’s alternate reality is often exhausting. Jacqueline Marcell,...

  2. Delusions are extremely common in dementia, especially delusions of theft, spousal infidelity, abandonment, and persecution. Hallucinations (especially visual hallucinations) are also common, especially in Lewy-Body dementia.

  3. Feb 6, 2017 · Jess and her brothers began to notice worrying changes in their dad's behaviour, such as hallucinations, while he was living alone. Following a diagnosis of Alzheimer's disease, the siblings set out looking for the right care home for their father.

    • Determine if a response is needed. The first step is to determine whether the hallucination is bothering your older adult. If it’s pleasant, you might not want to respond or call attention to it.
    • Stay calm and don’t argue or try to convince using logic. When someone is having a dementia hallucination, it’s important to stay calm and avoid contradicting them.
    • Validate their feelings and provide reassurance. Be careful not to dismiss your older adult’s experience. Brushing off what they’re seeing by saying something like, “Don’t be silly, there’s nothing there,” is likely to upset them.
    • Check the environment and remove possible triggers. Oftentimes, dementia hallucinations can be triggered by things going on around your older adult. Their dementia brain can interpret sights and sounds differently, causing hallucinations.
  4. Delusions (firmly held beliefs in things that are not real) may occur in middle- to late-stage Alzheimer's. Confusion and memory loss — such as the inability to remember certain people or objects — can contribute to these untrue beliefs.

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  6. Many people with dementia become confused and disorientated at times. This may lead to them believing things that are not true – known as ‘false beliefs’ or ‘delusions’. Our dementia specialist Admiral Nurses explain why this might happen, and how you can help the person you care for.

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