Assessment and Management of People with Behavioural and Psychological Symptoms of Dementia (BPSD)


Book Description

"This Handbook aims to provide both a reference point and practical resource to assist NSW Health staff ... There are many useful resources for clinicians providing care for people experiencing BPSD. This Handbook has been designed using a framework to meet specific requirements with several distinguishing features"--Handbook overview.




Behavioral and Psychological Symptoms of Dementia


Book Description

The book provides readers with evidence-based, pragmatic, and clear recommendations regarding the care of patients with behavioral and psychological symptoms of dementia.




Bathing Without a Battle


Book Description

2008 AJN Book of the Year Winner! Like its popular predecessor, the new edition of Bathing Without a Battle presents an individualized, problem-solving approach to bathing and personal care of individuals with dementia. On the basis of extensive original research and clinical experience, the editors have developed strategies and techniques that work in both institution and home settings. Their approach is also appropriate for caregiving activities other than bathing, such as morning and evening care, and for frail elders not suffering from dementia. For this second edition, the authors have included historical material on bathing and substantially updated the section on special concerns, including: Pain Skin care Determining the appropriate level of assistance Transfers The environment An enhanced final section addresses ways to support caregivers by increasing their understanding of the care recipient's needs and their knowledge of interventions to improve care and comfort. It also emphasizes self-care and system-level changes to promote person-directed care. Several chapters include specific insights and wisdom from direct caregivers.




Assessment And Management Of Behavioral And Psychological Symptoms Of Dementia


Book Description

Background and Aims: Behavioral and psychological symptoms of dementia (BPSD) represent a heterogeneous group of non-cognitive symptoms and behaviors occurring in subjects with dementia. They constitute a major component of the dementia syndrome. This study aims to evaluate the BPSD and to assess their management.Methods:A retrospective study, involving 45 diagnosed patients with dementia (DSM 5) and followed in the psychiatry department of Hedi Chaker University Hospital in Sfax (Tunisia) between January 2016 and September 2018. Sociodemographic, clinical and therapeutic data was collected from their medical records.Results:The mean age was 75.6 years (range 52-95 years), with a sex-ratio of 0.7. The different types of dementia were Alzheimeru2019s disease (77.8%), vascular dementia (20%) and fronto-temporal dementia (2.2%). Nearly two-thirds of patients (75.6%) had at least one BPSD, 26.6% had u2265 4 symptoms. Most frequent BPSD were delirium (55.6%), agitation (53%), hallucinations (51%), aggressiveness (38%). Mood disorders, apathy, anxiety and disinhibition were least frequent. Nearly one-third (31%) of patients were on cholinesterase inhibitors, 56% were on atypical antipsychotics, 20% were on antidepressant and 24.4% were on benzodiazepine. The majority of cases (71.1%) were on polytherapy with psychotropic drugs. Adverse drug reaction monitoring has been determined only for 39.5% of patients.Conclusions:BPSD occur on as dementia evolves, regardless of the dementia type. Their care is not always suited to recommendations. Improving our recognition and management of BPSD is considered necessary because it can have a positive impact on the quality of life of our patients and potentially delay the transition from home to institutional care.







The American Psychiatric Association Practice Guideline on the Use of Antipsychotics to Treat Agitation or Psychosis in Patients With Dementia


Book Description

The guideline offers clear, concise, and actionable recommendation statements to help clinicians to incorporate recommendations into clinical practice, with the goal of improving quality of care. Each recommendation is given a rating that reflects the level of confidence that potential benefits of an intervention outweigh potential harms.




Behaviour Management


Book Description




Pain in Dementia


Book Description

A high percentage of patients with dementia experience debilitating pain. Untreated, it can result in mental and physical impairment; a higher frequency of neuropsychiatric symptoms such as agitation, depression, and sleep problems; and adverse events such as falls, hallucination, and even death. With the help of Pain in Dementia, you can learn new ways to give these patients a better quality of life! A multidisciplinary team of leading experts navigates the complex clinical challenges associated with pain among these patients. They identify the sources of pain, even in patients who have trouble communicating, and recommend the most effective pain treatment options.




Dementia


Book Description

Dementia is a syndrome characterized by cognitive and non-cognitive symptoms. This book focuses on the clinically distinct categories of non-cognitive symptoms. These are grouped together under the umbrella term Behavioural and Psychological Symptoms in Dementia (BPSD). BPSD include agitation (describing a cluster of related symptoms including anxiety, irritability and motor restlessness, often leading to behaviours such as wandering, pacing, aggression, shouting and night-time disturbances), psychosis (referring to three main categories of symptoms: hallucinations, delusions and delusional misidentification) and mood disorders (depression, anxiety and hypomania). Other symptoms include sexual disinhibition, eating problems and abnormal vocalizations (shouting, screaming and demanding attention). There are many reasons why a patient with dementia may develop BPSD. Because of these potential different aetiologies, a full and careful assessment of possible physical, psychological and environmental factors is essential. This book will inform all of those responsible for caring for the patient with dementia about the identification of BPSD, the nature of the symptoms, assessment of their severity and recommends a structured and sequential approach to management. The authors are internationally respected, combining expertise from the fields of clinical research, psychiatry and clinical psychology to provide an integrated approach to the topic.




Challenging Behaviour in Dementia


Book Description

Understanding socially disruptive behavior in dementia is never easy. Most explanations offer neither solace nor solutions for families and carers, and treatment is often characterized by policies of control and containment. The result of Graham Stokes' 15 years of clinical work with people who are challenging, this book: disputes the traditional medical model of dementia and asserts that if we reach behind the barrier of cognitive devastation and decipher the cryptic messages, it can be shown that much behavior is not meaningless but meaningful. It contrasts the medical interpretation that sees anti-social behavior as mere symptoms of disease with a person-centered interpretation that resonates change and resolution. It offers a radical and innovative interpretation of challenging behavior consistent with the new culture of dementia care, focusing on needs to be met rather than problems to be managed.