Dementia management: a brief overview for primary care clinicians

Poon, Ngar Yee; Ooi, Chun How; How, Choon How; Yoon, Peng Soon

doi:10.11622/smedj.2018070

Cited by 10 publications

(9 citation statements)

References 5 publications

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“…Good sleep hygiene should be promoted, and involves a structured routine to increase daytime physical activity and minimise naps; avoidance of stimulants such as caffeine; a conducive sleeping environment with minimal noise and a dark bedroom; and relaxation before bedtime such as taking a warm bath or listening to soothing music. 39…”

Section: Interventions To Improve the Environmentmentioning

confidence: 99%

Behavioural and Psychological Symptoms of Dementia – Assessment and Management

2022

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Behavioural and psychological symptoms of dementia (BPSD) are defined as signs and symptoms of disturbed perception, thought content, mood, or behaviour. BPSD are very common regardless of the type of dementia and present in nearly all people with dementia over the course of their illness. A local study conducted in 2013 found that the prevalence of BPSD amongst the study population suffering from dementia was 67.9 percent. BSPD are associated with major adverse effects on daily function and quality of life; significant financial cost; higher use of healthcare facilities; and premature institutionalisation. Effective assessment and management of BPSD involves the understanding of how the interplay of various factors (persons with dementia, caregivers, environment) may cause BPSD and that interventions must be tailored to each individual. The first line of management should always be non-pharmacological interventions where possible. The ultimate goal in treatment of BPSD is to alleviate suffering, reduce caregiver burden, and lower societal costs in persons with dementia. Keywords: Dementia; Behavioural and psychological symptoms of dementia; Neuropsychiatric symptoms of dementia; Person-centred care; Treatment of dementia; Management of dementia SFP2022; 48(2): T h e S i n g a p o r e F a m i l y p h y S i c i a n V o l 4 8(1) J a n -m a r 2 0 2 2 : 6 GERIATRIC CARE 2022 BEHAVIOURAL AND PSYCHOLOGICAL SYMPTOMS OF DEMENTIA -ASSESSMENT AND MANAGEMENT

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Section: Interventions To Improve the Environmentmentioning

confidence: 99%

Behavioural and Psychological Symptoms of Dementia – Assessment and Management

2022

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“…Good sleep hygiene should be promoted, and involves a structured routine to increase daytime physical activity and minimise naps; avoidance of stimulants such as and a dark bedroom; and relaxation before bedtime such as taking a warm bath or listening to soothing music. 39…”

Section: Interventions For Family Caregiversmentioning

confidence: 99%

Behavioural and Psychological Symptoms of Dementia – Assessment and Management

2021

SFP

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Behavioural and psychological symptoms of dementia (BPSD) are defined as signs and symptoms of disturbed perception, thought content, mood or behaviour. BPSD are very common regardless of the type of dementia and is present in nearly all people with dementia over the course of their illness. A local study conducted in 2013 found the prevalence of BPSD be 67.9 percent. BSPD are associated with major adverse of BPSD involves the understanding of how the interplay of various factors (persons with dementia, caregivers, and environment) may cause BPSD and that interventions must be tailored to each individual. The first line of management should always be non-pharmacological interventions where possible. The ultimate goal in treatment of BPSD is to alleviate persons with dementia. TYPES OF BEHAVIOURAL AND PSYCHOLOGICAL SYMPTOMS OF DEMENTIAand management. Table 1 details various BPSD grouped into symptom clusters that include disturbances of emotional experience, delusions, perceptual disturbances, disturbances in motor function, disturbances in circadian rhythm, and changes in appetite and eating behaviour. 4,7 are somewhat universal regardless of the etiology of dementia, but some types of dementia are more commonly associated with certain behaviours. For example, depression is more frequent in vascular dementia; visual hallucinations are common in Lewy Body Dementia; and executive dysfunction, disinhibition and 8,9 BPSD can be present across all stages of dementia, although their type and prominence depend on the stage. For example, anxiety and depression are more commonly seen in the early stage of Alzheimer's disease and may worsen with illness progression. Agitation is common, persistent and may increase with disease severity. Apathy is commonly reported by family members across all stages of dementia and may worsen over time. Delusions, hallucinations, and aggression are more episodic and more common in the moderate to severe stages of disease. [10][11][12][13][14] Keywords: Dementia, behavioural and psychological symptoms of dementia, neuropsychiatric symptoms of dementia, person-centred care, treatment of dementia, management of dementia

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“…O cuidado às pessoas com demências é um desafio da atenção básica (AB) 5 . Em todo mundo, a demência tem sido sub-diagnosticada e o diagnóstico geralmente feito em um estágio avançado da doença na clínica especializada.…”

Section: Revisão De Literaturaunclassified

“…O relatório da World Alzheimer Report identifica que o desconhecimento em relação a demência faz parte do estigma público e impacta no atraso do diagnóstico e encaminhamentos aos serviços e tratamentos adequados 19 . Esse estigma também é salientado na literatura sobre demência 1,2,[5][6][7]12,20 .…”

Section: []é Por Isso Que a Ubs Coloca A Gente Na Linha De Frenteunclassified

Capacitação de agentes comunitários de saúde para a detecção da demência na fase leve

2019

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Objetivo: avaliar o processo de educação permanente na capacitação de agentes comunitários de saúde (ACS) para a detecção de pessoas com demência na fase leve. Método: descritivo, comparando o desempenho dos sujeitos antes e após a oficina de aprendizagem. Após a aprovação pelo Comitê de Ética em Pesquisa, foi realizada oficina de capacitação com oito ACS de uma unidade básica de saúde, da cidade de Santos, em 2018. Antes e após a oficina foram aplicados questionários semiestruturados. Os dados foram tratados a partir da análise temática. Resultados: a falta de conhecimento sobre a demência aponta para a necessidade de investimento em educação permanente dos ACS como uma importante ferramenta a ser utilizada na detecção de casos iniciais. Conclusão: a educação permanente pode contribuir para o maior número de casos identificados nas fases iniciais da demência na atenção básica de forma que os encaminhamentos necessários e tratamentos possíveis sejam iniciados precocemente de forma a beneficiar pessoas e/ou suas famílias.

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Dementia management: a brief overview for primary care clinicians

Cited by 10 publications

References 5 publications

Behavioural and Psychological Symptoms of Dementia – Assessment and Management

Behavioural and Psychological Symptoms of Dementia – Assessment and Management

Behavioural and Psychological Symptoms of Dementia – Assessment and Management

Capacitação de agentes comunitários de saúde para a detecção da demência na fase leve

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