Management strategies for problem behaviors in the patient with dementia.
Psychiatric and behavioral problems are present in most patients with dementia and are usually the clinician's main focus of management. Differential diagnosis of these problems can be challenging, but the effort is essential for planning appropriate therapy. Pharmacologic interventions are available for treatment of depression, agitation, aggression, psychotic symptoms, wandering, and sleep disorders. Given the less than favorable risk-benefit ratio of most psychotropic drugs in the population of older patients with dementia, the importance of nonpharmacologic strategies and limiting treatment goals should not be overlooked.
Lehninger
F W
FW
Geropsychiatry Section, Bay Pines VA Medical Center, Tampa, USA.
Ravindran
V L
VL
Stewart
J T
JT
D000368:Aged; D003704:Dementia / Q000150:complications*; D003866:Depressive Disorder / Q000188:drug therapy; D003937:Diagnosis, Differential; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D019965:Neurocognitive Disorders / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D011595:Psychomotor Agitation / Q000188:drug therapy; D012893:Sleep Wake Disorders / Q000188:drug therapy; D014149:Tranquilizing Agents / Q000494:pharmacology / Q000627:therapeutic use*
D014149:Tranquilizing Agents