Behavioural and psychological symptoms of dementia: Are there any effective alternative-to-antipsychotics strategies?

Mallidou, AA; Oliveira, NG; Borycki, Elizabeth M.

doi:10.13172/2052-8922-1-1-851

Cited by 2 publications

(3 citation statements)

References 34 publications

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“…Although the association between SE and antipsychotic use was no longer present when controlling for health-related variables, our findings do not negate the value of improved understanding of the influence of SE as a nonpharmacological approach to addressing BPSD (Mallidou et al., 2013). Our study highlights the need for future research investigating potential causal relations between SE and antipsychotic use in LTCFs and for revising the MDS-RAI instrument to include more variables directly associated to BPSD and SE.…”

Section: Discussioncontrasting

confidence: 54%

“…SE is considered essential to the psychological and physical well-being (Bennett, 2002) of older adults in LTCFs due to challenges within the setting in keeping older adults active and stimulated. Scholars have proposed that SE might be an alternative to antipsychotics use (Mallidou, Oliveira, & Borycki, 2013). Socially engaging residents has positive health outcomes, such as a protective effect on mortality (Bennett, 2002; Kiely, Simon, Jones, & Morris, 2000), and improved function and cognition (Chen et al., 2013).…”

Section: Introductionmentioning

confidence: 99%

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Social Engagement and Antipsychotic Use in Addressing the Behavioral and Psychological Symptoms of Dementia in Long-Term Care Facilities

et al. 2017

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Objectives The use of antipsychotics, mainly to address the behavioral and psychological symptoms of dementia (BPSD), remains a common and frequent practice in long-term care facilities (LTCFs) despite their associated risks. The objective of this study was to explore the association between social engagement (SE) and the use of antipsychotics in addressing the BPSD in newly admitted residents to LTCFs. Methods A cross-sectional study was undertaken using administrative data, primarily the Resident Assessment Instrument Minimum Data Set (Version 2.0) that collected between 2008 and 2011 (Fraser Health region, British Columbia, Canada). The data analysis conducted on a sample of 2,639 newly admitted residents aged 65 or older with a diagnosis of Alzheimer's disease or other dementias as of their first full or first quarterly assessment. Multivariate logistic regression analyses were undertaken to predict antipsychotic use based on SE. Results SE was found to be a statistically significant predictor of antipsychotic use when controlling for sociodemographic variables (odds ratio ( OR) = .86, p < .0001, confidence interval (CI) [0.82, 0.90]). However, the association disappeared when controlling for health variables ( OR = .97, p = .21, CI [0.97, 1.0]). Conclusion The prediction of antipsychotic use in newly admitted residents to LTCFs by SE is complex. Further research is warranted for further examination of the association of antipsychotic use in newly admitted residents to LTCFs.

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Section: Discussioncontrasting

confidence: 54%

Section: Introductionmentioning

confidence: 99%

Social Engagement and Antipsychotic Use in Addressing the Behavioral and Psychological Symptoms of Dementia in Long-Term Care Facilities

et al. 2017

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“…According to the Canadian Model of Occupational Performance and Engagement, the surrounding environment is assumed to have a major influence on occupational performance [18]. Factors that influence the BPSDs in PWD have certain environmental characteristics [22]. In other words, when the PWD is in a different environment, occupational adaptation may be more difficult.…”

Section: Characteristics Of Troublesome Occupationsmentioning

confidence: 99%

Views on Co-occupation between Elderly Persons with Dementia and Family

Ono¹,

Kanayama²

2014

J Gerontol Geriatr Res

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Background: Long-term support is essential for individuals with dementia in order to improve their and their caregivers' quality of life. We need to investigate the unmet co-occupation needs of elderly persons with dementia and their family caregivers. This study aims to clarify the characteristics of co-occupations between family caregivers and elderly persons with dementia. Methods:We administered a questionnaire survey to 39 caregivers regarding co-occupations between persons with dementia and caregivers, the co-occupations they perceived as troublesome, and the co-occupations they preferred.Findings: Thirty-two caregivers (82.1%) perceived 74 co-occupations focused on the self-care of persons with dementia to be troublesome, while twenty-one (53.8%) indicated 30 co-occupations as their preferred ones. Those caregivers with preferred co-occupations placed significantly higher importance on troublesome co-occupations than the caregivers without preferred co-occupations. The number of troublesome co-occupations showed a weak positive correlation with dementia symptoms. The performance of troublesome co-occupations showed a weak negative correlation with the caregiving period, weekly amount of caregiving time. The satisfaction with troublesome co-occupations showed a weak negative correlation with the caregiving period. No other significant correlations were found. Conclusion:More than 80% of the family caregivers perceived the troublesome co-occupations. We need to assist caregivers with co-occupations that they perceive as troublesome. Furthermore, providing support based on co-occupation might improve family caregivers' well-being and enable long-term home care.

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Behavioural and psychological symptoms of dementia: Are there any effective alternative-to-antipsychotics strategies?

Abstract: ConclusionIncreasing awareness of family physicians about the appropriate use of antipsychotics and effectiveness of alternative-to-antipsychotics strategies to treat behavioural and psychological symptoms of dementia may influence quality of life of older individuals with dementia.

Cited by 2 publications

References 34 publications

Social Engagement and Antipsychotic Use in Addressing the Behavioral and Psychological Symptoms of Dementia in Long-Term Care Facilities

Social Engagement and Antipsychotic Use in Addressing the Behavioral and Psychological Symptoms of Dementia in Long-Term Care Facilities

Views on Co-occupation between Elderly Persons with Dementia and Family

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