The term delusion may be used with individuals with dementia. These two terms are tossed around and are often confusing to those without healthcare experience. The verbalizations may be uncomfortable for the caregiver. The caregiver may be the individual who is identified with the delusions.
Delusions are falsely held beliefs. These beliefs are held in spite of reality. One example of this is paranoid ideas. Paranoia is a feeling or sense of fearfulness for one's safety based on unsubstantiated belief. The senior may feel that their food is poisoned. They may suggest that their spouse is having an affair. They may believe that family, friends or unknown entities are trying to steal their money. These are examples of paranoid delusions.
The delusions may be sexual in nature, but these should always be investigated, because there may be someone who is being inappropriate. Once, the investigation has demonstrated that there is not a problem, the family or caregiving community needs to institute systems and care processes that do not exacerbate the beliefs. For instance, a male caregiver may not be the best choice even if they do a great job.
Delusions are very deeply held, and the person with these false beliefs is likely not going to be dissuaded from their beliefs. They may become angry and aggressive when others attempt to redirect them or try to convince them that the beliefs are not based on fact or real. If the delusions are not causing any real harm to the person, it is best to allow the person to continue with their beliefs.
If the delusion is causing harm to the senior, a healthcare provider needs to be notified to assist with interventions. Delusions do not indicate that the senior is psychotic or has a psychiatric diagnosis. The delusions are simply a manifestation of the diseased brain and its attempt to make sense of the stimuli in the environment that it cannot understand. Patience is paramount in dealing with someone with delusions.
If your loved one is experiencing delusions but you aren't sure how to do deal with it, contact me or your healthcare professional for advice.