Pharmacological alternatives to antipsychotics to manage BPSD

Mishriky, Raafat; Reyad, Ayman Antoun

doi:10.1002/pnp.495

Cited by 3 publications

(1 citation statement)

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“…The complexity of BPSD is a contributing factor to fragmented patient care resulting in a poorer prognosis, accelerated cognitive decline, illness progression and prolonged institutionalization (Anderson et al, 2020; Wolverson et al, 2019). The pharmacological interventions identified in the literature emphasized the use of antipsychotics and antidepressants to minimize the symptoms of BPSD (Dannenbaum et al, 2018; Mishriky & Reyad, 2018) used by the multidisciplinary team (Cohen‐Mansfield, 2018; Sutherland, 2018). Current systematic and literature reviews have identified evidence‐based nonpharmacological interventions to manage BPSD, including aromatherapy, pet therapy, environmental modification, sensory modulation and so on.…”

Section: Introductionmentioning

confidence: 99%

Nonpharmacological nursing interventions for behavioural and psychological symptoms of dementia in acute and subacute settings: A systematic review

Jesto,

Considine,

Street

2023

Int J of Nursing Practice

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BackgroundBehavioural and psychological symptoms of dementia are a group of non‐cognitive symptoms such as agitation, physical aggression, depression, sexual disinhibition and psychosis. Therapeutic approaches vary because of the multifactorial and complex symptomology. The researchers of this study aimed to systematically review the nonpharmacological interventions for BPSD used by nurses in acute and subacute hospital settings.DesignThe PRISMA guidelines guided this systematic review. The review was registered with PROSPERO (CRD42020184015).MethodThe databases Cumulative Index of Nursing and Allied Health Literature (CINAHL) complete, Medline complete, Excerpta Medica (Embase®) and PsycINFO published by the American Psychological Association (APA) were searched for studies published in English to October 2021. Quality appraisal was performed independently by three reviewers using the Critical Appraisal Skills Program tools. Data were synthesized using a narrative approach.ResultsTwo studies were identified that focused on interventions used by nurses; findings were positive for the use of nonpharmacological interventions to manage BPSD.ConclusionCurrent evidence suggests that nonpharmacological interventions are the best practices to manage BPSD. However, limited, and low‐quality evidence suggests that further investigation is required to understand the factors contributing to the lack of use of nonpharmacological interventions by nurses in acute and subacute hospital settings.

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Section: Introductionmentioning

confidence: 99%

Nonpharmacological nursing interventions for behavioural and psychological symptoms of dementia in acute and subacute settings: A systematic review

Jesto,

Considine,

Street

2023

Int J of Nursing Practice

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Behavioural and Psychological Symptoms of Dementia in Hospital Settings

Hayer,

Tadros

2024

Handbook of Old Age Liaison Psychiatry

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A Narrative Review of the Management of Behavioral and Psychological Symptoms of Dementia

Nimitha

Tripathi

Chutia

et al. 2021

Global Journal for Research Analysis

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Dementia is a chronic or progressive neurodegenerative condition which is organic in origin. There will be impairment of thinking, memory orientation, comprehension, language, calculation, and judgement. Alzheimer's disease facts and gures in 2021 according to Alzheimer's association shows Alzheimer's disease accounts for 60% to 80% of the total cases. Behavioural and psychological symptoms of dementia also known as neuropsychiatric symptoms are a group of symptoms with behavioural and psychological manifestations. Disturbances include behavioural symptoms like wandering, hoarding, physical aggression, sexually disinhibition, culturally inappropriate behaviour, agitation and psychological symptoms like apathy, depression, anxiety, delusions, and hallucinations, sundowning, elation. Scales like the Neuropsychiatric Inventory, the Behavioural Pathology in Alzheimer Disease rating scale, the Consortium to Establish a Registry for Alzheimer Disease Behaviour Rating Scale for Dementia, Dementia Behaviour Disturbance scale, and the Neurobehavioral Rating Scale can be utilized to recognise BPSD.Neuropsychological assessment also have an important role. Non-pharmacological methodologies contain different sorts of treatment: tactile stimulation, pressure point massage, fragrant healing, light treatment, garden exercises, music therapy, dance therapy, and Snoezelen multisensory therapy, psychological strategies of multicomponent treatment strategies. Broadly focussing on sensory stimulation, social activities, structural activities, behavioural activities, environmental activities, and training programmes. Pharmacological treatment includes antipsychotics, mood stabilizers and antidepressants in treating BPSD, and cholinesterase inhibitors and memantine for the situation of Alzheimer's dementia sedative/hypnotics for sleep issues. Treatment can be further categorized based on individual NPS like agitation, psychosis, apathy, depression, sleep problems and other symptoms. Future treatment which has less evidence as of now includes rTMS, TDCS and Photo biomodulation therapy

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Pharmacological alternatives to antipsychotics to manage BPSD

Cited by 3 publications

References 43 publications

Nonpharmacological nursing interventions for behavioural and psychological symptoms of dementia in acute and subacute settings: A systematic review

Nonpharmacological nursing interventions for behavioural and psychological symptoms of dementia in acute and subacute settings: A systematic review

Behavioural and Psychological Symptoms of Dementia in Hospital Settings

A Narrative Review of the Management of Behavioral and Psychological Symptoms of Dementia

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