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2018 ; 4
(ä): 2333721418756994
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Impulsive, Disinhibited Behavior-Dining in a Restaurant
#MMPMID29568794
Hamdy RC
; Kinser A
; Kendall-Wilson T
; Depelteau A
; Whalen K
Gerontol Geriatr Med
2018[Jan]; 4
(ä): 2333721418756994
PMID29568794
show ga
Dining in a restaurant with a loved one who has dementia can be an ordeal,
especially if the expectations of the caregiver do not match those of the patient
and the restaurant environment is not suitable for patients with dementia. The
size of the dining area, lighting, background music or noise, décor of the room,
number of customers, variety of the items on the menu, number of plates and
cutlery on the table, in addition to flowers, candles, and other decorations on
the table are all potent distractors. There are so many stimuli; the patient can
be overwhelmed with information overload and not able to focus on the main
purpose of the event: have dinner and especially enjoy the other person's
company. In this case scenario, we present a 62-year-old man diagnosed with
behavioral variant frontotemporal dementia (bvFTD). His daughter "invited" him to
have dinner with her at a very fancy restaurant to celebrate her promotion at
work. Unfortunately, whereas the evening started very well, it had a catastrophic
ending. We discuss what went wrong in the patient/daughter interaction and how
the catastrophic ending could have been avoided or averted.