腦退化症的行為和情緒問題:個案研究及處理方法

賽馬會耆智園 Jockey Club Centre for Positive Ageing February 6, 2018
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個案一: 多疑 三婆患有初期腦退化症,她同兒子、媳婦及其外傭同住。她經常忘記東西放在何處,也常將紙幣、存摺等放入看過的報紙或雜誌內。由於不能尋回它們,所以她經常指責其外傭偷了她的東西,以致她十分抗拒與外傭同住。 個案二: 嚷著要回家 良叔為中後期腦退化症患者,其獨生女兒因他的自我照顧能力衰退,故此將他送至老人院,也曾經由院舍遊離出外,幸好被警察尋回。 個案三: 收集東西 三婆是一位退休學校校工,入住院舍已三年,為人節檢。她經醫生診斷為患有初期腦退化症。患者以前與家人同住時,她經常誤將便利店前擺放的報紙當成棄置物品和帶它們回家,便利店職員有幾次亦為此報警處理。入住院舍後,她仍不改這個習慣,經常將垃圾放在床位內,被院友投訴。 個案四: 不適當的性行為 林伯為中後期的腦退化症患者,入住院舍多年,經常誤認女職員為其太太,對她們毛手毛腳。他有時更在院舍公眾地方觸摸自己下體,令人尷尬。 個案五: 妄想-懷疑配偶不忠 林伯與太太同住。年輕時一次被女人欺騙的經歷令他對人不信任,甚至太太出外一會兒也被指對他不忠,故此要寸步不離地跟著太太,林伯亦常常為此與太太爭吵,他認為自己沒有問題,所以拒絕了醫生的治療。 個案六: 拒絕沖涼 祥嬸患上初期的腦退化症,與丈夫及女兒同住,最近家人發覺她不肯沐浴,就算沐浴後亦不肯更換乾淨的衣物,並常常穿著同一件衣物,為此,常與女兒爭吵。 個案七: 錯覺 炳叔是中後期的腦退化症患者,他經常留在家中,對任何事情都失去興趣,女兒發覺他常常自言自語,像人談話一樣。最近家中裝修後,女兒發覺他出現一些錯覺及焦慮的現象,令她感到十分擔心。

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