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Practical approach to managing behavioral problems in dementia patients.

D S Knopman1, S Sawyer-DeMaris

  • 1Department of Neurology, University of Minnesota Hospitals, Minneapolis.

Geriatrics
|April 1, 1990
PubMed
Summary

Managing behavioral problems in dementia patients, such as agitation and aggression, requires both nonpharmacologic strategies and pharmacotherapy. Environmental manipulation can help, but medication is often necessary for effective dementia care.

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Area of Science:

  • Geriatric Medicine
  • Neurology
  • Psychiatry

Background:

  • Dementia frequently presents with behavioral disturbances.
  • Common issues include agitation, aggression, hallucinations, and wandering.

Purpose of the Study:

  • To review pharmacologic and nonpharmacologic treatment options for behavioral problems in dementia.
  • To discuss the integrated role of these strategies in patient management.

Main Methods:

  • Literature review of studies on dementia behavioral management.
  • Analysis of treatment efficacy for environmental manipulation and pharmacotherapy.

Main Results:

  • Environmental modifications are effective for some patients.
  • Pharmacotherapy remains a crucial component in managing challenging behaviors.

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Conclusions:

  • A combined approach of nonpharmacologic and pharmacologic interventions is optimal.
  • Effective management requires individualized treatment plans for elderly dementia patients.