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Prevalence and pharmacological management of behavioural and psychological symptoms amongst dementia sufferers living in care environments
Author(s)M Margallo-Lana, A Swann, J O'Brien
Journal titleInternational Journal of Geriatric Psychiatry, vol 16, no 1, January 2001
Pagespp 39-44
KeywordsDementia ; Behaviour disorders ; Personality disorders ; Symptoms ; Drugs ; Care homes ; Nursing homes ; Newcastle upon Tyne.
AnnotationBehavioural and psychological symptoms in dementia (BPSD) are a common reason for admission to long-term care, and are often associated with indiscriminate prescription of psychotropic medicine. 231 residents (39% living in social care facilities, and 61% in nursing home care) were assessed using a range of standardised psychiatric schedules. Additional information about the residents and their medication was obtained from professional carers. Overall, 90% of residents had dementia, 79% of whom had clinically significant BPSD, with 58% receiving psychotropic medication. There was no difference in the prevalence of BPSD between social and nursing care. Depression was most common in those with mild dementia, whilst delusions arose most frequently in those with moderate dementia, and aberrant motor behaviour had a high prevalence in those with severe dementia. More rigorous guidelines are needed pertaining to the prescription and monitoring of medication, and the need to disseminate skills regarding psychosocial management approaches to care staff. (RH).
Accession NumberCPA-010227212 A
ClassmarkEA: EP: EK: CT: LLD: KW: LHB: 86A

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