Files and links (1)
Accepted (AM)Open Access (License Unspecified), Open
Journal article
Nonpharmacologic management of behavioral symptoms in dementia
JAMA : the journal of the American Medical Association, v 308(19), pp 2020-2029
21 Nov 2012
PMID: 23168825
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Behavioral symptoms such as repetitive speech, wandering, and sleep disturbances are a core clinical feature of Alzheimer disease and related dementias. If untreated, these behaviors can accelerate disease progression, worsen functional decline and quality of life, cause significant caregiver distress, and result in earlier nursing home placement. Systematic screening for behavioral symptoms in dementia is an important prevention strategy that facilitates early treatment of behavioral symptoms by identifying underlying causes and tailoring a treatment plan. First-line nonpharmacologic treatments are recommended because available pharmacologic treatments are only modestly effective, have notable risks, and do not effectively treat some of the behaviors that family members and caregivers find most distressing. Examples of nonpharmacologic treatments include provision of caregiver education and support, training in problem solving, and targeted therapy directed at the underlying causes for specific behaviors (eg, implementing nighttime routines to address sleep disturbances). Based on an actual case, we characterize common behavioral symptoms and describe a strategy for selecting evidence-based nonpharmacologic dementia treatments. Nonpharmacologic management of behavioral symptoms in dementia can significantly improve quality of life and patient-caregiver satisfaction.
Metrics
Details
- Title
- Nonpharmacologic management of behavioral symptoms in dementia
- Creators
- Laura N Gitlin - Johns Hopkins UniversityHelen C Kales - University of MichiganConstantine G Lyketsos - Johns Hopkins University
- Publication Details
- JAMA : the journal of the American Medical Association, v 308(19), pp 2020-2029
- Publisher
- American Medical Association
- Grant note
- P50-AG005146 / NIA NIH HHS R21 MH069425 / NIMH NIH HHS R01 AG041781 / NIA NIH HHS R01 AG22254 / NIA NIH HHS P50 AG005146 / NIA NIH HHS R01 AG022254 / NIA NIH HHS 1R01AG041781-01A / NIA NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions; Drexel University
- Web of Science ID
- WOS:000311291400026
- Scopus ID
- 2-s2.0-84869161573
- Other Identifier
- 991020112305304721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Gerontology