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Behavioral Problems and Dementia.

Ladislav Volicer1

  • 1University of South Florida, Tampa, FL, USA.

Clinics in Geriatric Medicine
|October 20, 2018
PubMed
Summary
This summary is machine-generated.

Behavioral problems in dementia significantly reduce quality of life. Management should address core dementia consequences like depression, prioritizing non-pharmacologic approaches before considering medication.

Keywords:
AgitationApathyBehaviorDementiaDepressionPsychosisRejection of care

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Area of Science:

  • Gerontology
  • Neurology
  • Psychiatry

Background:

  • Behavioral problems in dementia diminish patient and caregiver quality of life.
  • Key dementia consequences include functional impairment, mood disorders, and psychosis.
  • These lead to apathy, agitation, and aggression/rejection of care.

Purpose of the Study:

  • To outline management strategies for behavioral problems in dementia.
  • To emphasize addressing primary dementia consequences over secondary symptoms.
  • To guide pharmacologic and non-pharmacologic treatment decisions.

Main Methods:

  • Review of non-pharmacologic strategies like meaningful activities and Namaste Care.
  • Discussion of pharmacologic management focusing on core dementia consequences (e.g., depression).
  • Consideration of antipsychotic use for augmenting antidepressants when necessary.

Main Results:

  • Non-pharmacologic interventions are primary.
  • Pharmacologic treatment should target underlying issues like depression, not just insomnia.
  • Antipsychotic use should be minimized but can augment antidepressants.

Conclusions:

  • Effective management of behavioral problems in dementia requires a multi-faceted approach.
  • Prioritizing non-pharmacologic methods and treating core dementia consequences is crucial.
  • Judicious use of pharmacologic agents, including antipsychotics as augmentation, may be necessary.