Management of Behavioral and Psychological Symptoms of Dementia

Desai, Abhilash K.; Desai, Faith Galliano

doi:10.1007/s13670-014-0099-0

Cited by 8 publications

(6 citation statements)

References 87 publications

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“…Overall experiences were consistently positive in both cases. It is recognized that PwD manifest the disease in very different ways [ 2 , 5 ], making it difficult to extrapolate intervention outcomes from one case to the other. If anything, this emphasizes the need to personalize the intervention [ 5 , 8 , 30 ], and an adaptable assisted cognition system can be of significant support in this.…”

Section: Discussionmentioning

confidence: 99%

“…Besides cognitive decline, PwD presents several noncognitive symptoms, also known as challenging behaviors [ 4 ], which are problematic not only for the person with dementia but also for their caregivers. Behavioral and psychological symptoms of dementia (BPSD) are defined as “symptoms of disturbed perception, thought content, mood, behavior frequently occurring in patients with dementia” [ 5 ]. Psychological symptoms of dementia relate to anxiety, depression, and psychosis whereas behavioral symptoms include aggression, apathy, agitation, disinhibited behaviors, wandering, nocturnal disruption, and vocally disruptive behaviors.…”

Section: Introductionmentioning

confidence: 99%

“…Maximizing the effect of these interventions requires individualized intervention planning and execution according to the unique needs and strengths of the PwD [ 8 ]. There is evidence that OT is effective in dementia treatment [ 5 , 7 ]. The focus of OT is to improve PwD ability to perform activities of daily living promoting their independence, encouraging participation in social activities, and reduce the burden on the caregiver.…”

Section: Introductionmentioning

confidence: 99%

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Use and Adoption of an Assisted Cognition System to Support Therapies for People with Dementia

Navarro

Rodríguez

Favela

2016

Computational and Mathematical Methods in Medicine

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The cognitive deficits in persons with dementia (PwD) can produce significant functional impairment from early stages. Although memory decline is most prominent, impairments in attention, orientation, language, reasoning, and executive functioning are also common. Dementia is also characterized by changes in personality and behavioral functioning that can be very challenging for caregivers and patients. This paper presents results on the use and adoption of an assisted cognition system to support occupational therapy to address psychological and behavioral symptoms of dementia. During 16 weeks, we conducted an in situ evaluation with two caregiver-PwD dyads to assess the adoption and effectiveness of the system to ameliorate challenging behaviors and reducing caregiver burden. Evaluation results indicate that intervention personalization and a touch-based interface encouraged the adoption of the system, helping reduce challenging behaviors in PwD and caregiver burden.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Use and Adoption of an Assisted Cognition System to Support Therapies for People with Dementia

Navarro

Rodríguez

Favela

2016

Computational and Mathematical Methods in Medicine

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“…However, several structured approaches for the analysis of challenging behaviour within nursing homes have now been developed [ 15 – 20 ] and these approaches include assessment instruments, charts or tools for the analysis of challenging behaviour [ 21 ]. Few approaches also address a behavioural analysis in the community setting [ 22 – 25 ]. Due to a lack of detailed information on these documents, a thorough comparison of these instruments is not possible.…”

Section: Introductionmentioning

confidence: 99%

Development and evaluation of the content validity, practicability and feasibility of the Innovative dementia-oriented Assessment system for challenging behaviour in residents with dementia

Halek

Holle

Bartholomeyczik

2017

BMC Health Serv Res

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BackgroundOne of the most difficult issues for care staff is the manifestation of challenging behaviour among residents with dementia. The first step in managing this type of behaviour is analysing its triggers. A structured assessment instrument can facilitate this process and may improve carers’ management of the situation. This paper describes the development of an instrument designed for this purpose and an evaluation of its content validity and its feasibility and practicability in nursing homes.MethodsThe development process and evaluation of the content validity were based on Lynn’s methodology (1998). A literature review (steps 1 + 2) provided the theoretical framework for the instrument and for item formation. Ten experts (step 3) evaluated the first version of the instrument (the Innovative dementia-oriented Assessment (IdA®)) regarding its relevance, clarity, meaningfulness and completeness; content validity indices at the scale-level (S-CVI) and item-level (I-CVI) were calculated. Health care workers (step 4) evaluated the second version in a workshop. Finally, the instrument was introduced to 17 units in 11 nursing homes in a field study (step 5), and 60 care staff members assessed its practicability and feasibility.ResultsThe IdA® used the need-driven dementia-compromised behaviour (NDB) model as a theoretical framework. The literature review and expert-based panel supported the content validity of the IdA®. At the item level, 77% of the ratings had a CVI greater than or equal to 0.78. The majority of the question-ratings (84%, n = 154) and answer-ratings (69%, n = 122) showed valid results, with none below 0.50. The health care workers confirmed the understandability, completeness and plausibility of the IdA®. Steps 3 and 4 led to further item clarification. The carers in the study considered the instrument helpful for reflecting challenging behaviour and beneficial for the care of residents with dementia. Negative ratings referred to the time required and the lack of effect on residents´ behaviour.ConclusionsThere was strong evidence supporting the content validity of the IdA®. Despite the substantial length and time requirement, the instrument was considered helpful for analysing challenging behaviour. Thus, further research on the psychometric qualities, implementation aspects and effectiveness of the IdA® in understanding challenging behaviour is needed.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-2469-8) contains supplementary material, which is available to authorized users.

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“…Management of these behaviours that can vary in type, frequency and severity may include exploring for possible reversible factors as a cause (Table 1). 12 In addition to exploring reversible factors formulation models such as the Newcastle model, 13 unmet needs model 14 and Kitwood's flower of emotional needs (Figure 1), 2,14,15 also serve to manage behaviour that challenges by exploring why an individual may be expressing particular behaviours and adjustments that may ameliorate them. 16 Where reversible factors have been eliminated, NICE guidelines 10 recommend antipsychotic medication for the treatment of 'agitation'.…”

mentioning

confidence: 99%

Trauma‐informed approach to managing behaviour in dementia

Lewington,

Berragan,

Kuruvilla

2024

Prog Neurol Psychiatry

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Causes of behaviour that challenge in dementia are often thought to be due to reversible factors, such as a urine infection or disrupted sleep‐wake cycle. In this review, the authors consider a definition of behaviour that challenges commonly cited causes and management models. Finally, recommendations for an alternative view and subsequent approach to managing behaviour that challenges are suggested.

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Management of Behavioral and Psychological Symptoms of Dementia

Cited by 8 publications

References 87 publications

Use and Adoption of an Assisted Cognition System to Support Therapies for People with Dementia

Use and Adoption of an Assisted Cognition System to Support Therapies for People with Dementia

Development and evaluation of the content validity, practicability and feasibility of the Innovative dementia-oriented Assessment system for challenging behaviour in residents with dementia

Trauma‐informed approach to managing behaviour in dementia

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