Behavioral and psychotic symptoms of dementia: Difference between revisions
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==Guidelines== | ==Guidelines== | ||
The Alzheimer's Association recommends training and education for both professional and family caregivers on psychosocial interventions that might include <ref>http://www.alz.org/national/documents/statements_antipsychotics.pdf</ref>: | The Alzheimer's Association recommends training and education for both professional and family caregivers on psychosocial interventions that might include <ref>http://www.alz.org/national/documents/statements_antipsychotics.pdf</ref>: | ||
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*Routine activity. | *Routine activity. | ||
*Separate the person from what seems to be upsetting him or her. | *Separate the person from what seems to be upsetting him or her. | ||
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:*Assess severity and consequences of BPSD. Less-severe behaviors with limited consequences of harm to individual or caregiver are appropriate for non-pharmacologic therapy, not antipsychotic therapy. However, more severe or “high risk” behaviors such as frightening hallucinations, delusions or hitting may require addition of antipsychotic trial. | :*Assess severity and consequences of BPSD. Less-severe behaviors with limited consequences of harm to individual or caregiver are appropriate for non-pharmacologic therapy, not antipsychotic therapy. However, more severe or “high risk” behaviors such as frightening hallucinations, delusions or hitting may require addition of antipsychotic trial. | ||
:*Determine overall risk to self or others of BPSD, and discuss with doctor the risks and benefits with and without antipsychotics. Some behaviors may be so frequent and escalating that they result in harm to the person with dementia and caregiver that will in essence limit the life-expectancy and or quality of life of the person with Alzheimer’s disease. | :*Determine overall risk to self or others of BPSD, and discuss with doctor the risks and benefits with and without antipsychotics. Some behaviors may be so frequent and escalating that they result in harm to the person with dementia and caregiver that will in essence limit the life-expectancy and or quality of life of the person with Alzheimer’s disease. | ||
:* Accept that this is a short-term intervention that must be re-evaluated with your health care professional for appropriate time of cessation. | :* Accept that this is a short-term intervention that must be re-evaluated with your health care professional for appropriate time of cessation.}} | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 16:45, 15 September 2012
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Alzheimer's disease Microchapters |
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Behavioral and psychotic symptoms of dementia On the Web |
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American Roentgen Ray Society Images of Behavioral and psychotic symptoms of dementia |
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Risk calculators and risk factors for Behavioral and psychotic symptoms of dementia |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Treatment
Guidelines
The Alzheimer's Association recommends training and education for both professional and family caregivers on psychosocial interventions that might include [1]:
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