A Case of Restless Legs Syndrome in the Setting of Long-Term Care and Dementia

Joshua Faucher, Paul Y. Takahashi

Abstract


    Restless Legs Syndrome (RLS) is a common disorder that physicians frequently encounter in an outpatient clinic. Within long-term care, there are unique challenges to caring for residents with RLS. An 87-year-old woman with dementia and a history of RLS and nocturnal agitation, resided in a long-term care setting and experienced nighttime agitation and aggression towards staff, coupled with cognitive decline. Her agitation was possibly a result of inadequate treatment of longstanding RLS or worsening of her dementia. On account of her dementia, she was unable to communicate her symptoms. Current diagnostic criteria for RLS require patient reports of subjective symptoms. Patients must describe their feelings within the legs, which helps to clarify the diagnosis. Our case illustrates the difficulty of diagnosing restless legs in patients with dementia and communication difficulties, and the need for empiric treatment.




doi: http://dx.doi.org/10.4021/jmc901w

Keywords


Elderly; Restless leg syndrome; Dementia; Long term care

Full Text: HTML PDF
 
Home     |     Log In     |      About     |      Search     |      Current     |      Archives     |      Submit      |     Subscribe


 

     

Aims and Scope

Current Issues

Conflict of Interest

About Publisher

Editorial Board

Archives

Copyright

Company Profile

Editorial Office

Misconduct and Retraction

Permissions

Company Registration

Contact Us

Abstracting and Indexing

ICMJE

Ownership

Instructions to Authors

Access

Declaration of Helsinki

Contact Publisher

Submission Checklist

Reprints

Terms of Use

Company Address

Submit a Manuscript

Open Access Policy

Privacy Policy

Browse Journals

Publishing Fee

Publishing Policy

Disclaimer

Recent Highlights

Peer-Review Process

Publishing Quality

Code of Ethics

Advertising Policy

Manuscript Tracking

Advanced Search

For Librarians

Careers

Publishing Process

Publication Frequency

For Reviewers

Propose a New Journal

       
       

Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.        
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.journalmc.org   editorial contact: editor@journalmc.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.

DECLARATION: THIS JOURNAL SITE OUTLOOK IS DESIGNED BY THE PUBLISHER AND COPYRIGHT PROTECTED. DO NOT COPY!