7. Osser, D. and M. Fischer, Management of Behavioural and Psychological Symptoms of Dementia: Audit of Current Data and Best Practices for Health Care Providers., 2013, National Resource Centre for Academic Detailing. Non-pharmacological strategies are the first line of action and require identifying and treating internal stressors such as illness or care needs and external stressors such as noise and glare. These may be present at later stages of dementia. The person can hear voices or sounds or see people or objects. This can cause severe reactions such as fear, fear, anxiety and restlessness. Strategies include: 3. The Royal Australian – New Zealand College of Psychiatrists, Assessment and Management of People with Behavioural and Psychological Symptomes of Dementia (BPSD): A handbook for NSW Health Clinicians, 2013. Sundowning is restless, increasing confusion or behavioural change in a dementia patient that may occur in the late afternoon or early evening. Some strategies to try to include: Work closely with doctors to monitor the effects of medications.
Talk to a geriatrician or a specialist and pharmacist as part of the care team. 5. Alzheimer Society Reducing antipsychotic use: A guide to the treatment and management of behavioural and psychological symptoms of dementia 2011. Families and caregivers should be involved in the development and implementation of the care plan. Physical or verbal aggression can be caused by problems such as fatigue, an overstimulating environment, which asks too many questions to the patient at once, invites the patient to perform tasks beyond his capacity, too many strangers in a noisy and overcrowded atmosphere, failures in simple tasks or a confrontation with hospital staff. Some strategies to try: if we understand why a patient behaves in this way (for example.B. due to memory loss, disorientation or discomfort), we can help avoid triggers. A patient may have forgotten where they are, how to dress, how important it is to be dressed, where the bath is and how to use it; they may have confused a person`s identity; they may feel too hot or cold, or their clothes too tight or itchy; or are confused about the time of day and what they should do. Some strategies to try: it is important to understand the reality experienced by the person with dementia, and validation can help reassure the patient. Some strategies to try: We can use a series of strategies to deal with the behavioural and psychological symptoms of dementia (BPSD). 4. International Psychogeriatric Association.
Behavioural and Psychological Symptoms of Dementia (BPSD) Educational Package.