BPSD

Question 1

Strategies to give to caregivers to help with BPSD

Answer 1

-education to caregiver
-enhancing communication between caregiver and person with dementia
-mindful activities for person with dementia
-simplifying tasks, structure routines
-simplifying environment and ensuring safety

Pleasant events
Evaluate environment that could be contributory
Distraction
Giving person control over environment as much as possible

Question 2

Symptoms likely to respond to antipsychotics

Answer 2

Aggression
Agitation
Psychosis

Question 3

Categories of intervention for Non pharma BPSD

Answer 3

-training caregivers and staff in behavioural management strategies and communication (could use gentle persuasive approach for example)
-mental health consultations
-participation in pleasant events
-exercise
-music
-sensory stimulation

Question 4

Ways to reduce caregiver stress

Answer 4

• refer to local AD society
  -psychoeducation
  -behavioural and communication strategies
  -peer support

Question 5

BPSD symptoms most likely to respond to non pharma strategies

Answer 5

-agitation, depressive symptoms and apathy

Vs aggression and psychosis NO

Question 6

Barriers to implementing non pharma strategies

Answer 6

-cost
-limited access to specialist services
-time required
-lack of patient cooperation

Question 7

Clinical patient factors which may contribute to the development of BPSD

Answer 7

-pain
-sensory impairment
-severity of cognitive impairment
-type of dementia
-premorbid personality

Question 8

Non pharm interventions for the treatment of BPSD

Answer 8

-caregiver training or education
-exercise
-sensory stimulation
-music therapy
-scheduled pleasant events

Question 9

5 important outcomes for BPSD

Answer 9

Placement
Poly pharmacy
Patient distress
Decreased quality of life for caregiver
Prolonged hospitalization