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Thinking Outside the Box—The Role of Palliative Care in Delusional Disorder (CS363) by Arman Majumder; Clint Pettit is a Medicine article available to read on EtoBox.

What is Thinking Outside the Box—The Role of Palliative Care in Delusional Disorder (CS363) about?

Outcomes 1. Identify potential interventions from an interdisciplinary team in providing care to patients who are symptomatic from a terminal condition that is complicated by an underlying delusional disorder. 2. Identify challenges in assessing decision-making capacity in patients with fixed false beliefs as it relates to ensuring safe disposition plans. Background Delusional disorder is characterized by the presence of a fixed false belief lasting greater than 1 month. While secondary psychiatric conditions may coexist, many patients are highly functional and do not seek treatment due to lack of insight into their illness. This can be contrasted with patients receiving palliative care, which hinges on close cooperation and discernment of physiologic change to individualize treatment. Case description A 40-year-old anonymous woman is brought to the hospital due to abdominal pain associated with nausea and vomiting. The patient provides elusive details of her history, at times as if from the perspective of an observer. Her CT reveals a large pelvic mass with diffuse metastases with peritoneal carcinomatosis. The patient dismisses these findings as she believes she is pregnant, a be

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Author

Arman Majumder; Clint Pettit

Publisher

Elsevier BV

Published

2023

Language

EN

Field

Medicine (Health Sciences)