Evaluation and management of aggressive behavior in the elderly demented patient.
Aggression is common in elderly patients with dementia and often leads to placement of these patients in long-term care facilities. Unfortunately, identification and evaluation of aggression is sometimes hindered by disagreement as to how aggression is distinguished from agitation. Aggression in elderly patients with dementia is best understood as a product of the interaction of neurobiological, cognitive, and environmental factors. Such a complex etiology calls for an approach to treatment that considers pharmacologic therapy as well as environmental manipulation; however, further research is needed to clarify the causes of aggression in elderly patients with dementia and thus allow the refinement of approaches to treatment.
VA Puget Sound Health Care System, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle 98108, USA.
M A
MA
Raskind
D000367:Age Factors; D000368:Aged; D000374:Aggression / Q000187:drug effects / Q000523:psychology*; D000544:Alzheimer Disease / Q000188:drug therapy / Q000523:psychology; D000927:Anticonvulsants / Q000627:therapeutic use; D014150:Antipsychotic Agents / Q000627:therapeutic use; D018678:Cholinergic Agents / Q000627:therapeutic use; D003704:Dementia / Q000188:drug therapy / Q000523:psychology*; D006760:Hospitalization; D006801:Humans; D012931:Social Environment; D012934:Social Isolation; D016896:Treatment Outcome; D014635:Valproic Acid / Q000627:therapeutic use
D000927:Anticonvulsants; D014150:Antipsychotic Agents; D018678:Cholinergic Agents; D014635:Valproic Acid