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Psychosocial interventions for management of behavioral and psychotic symptoms in patients with dementia

Psychosocial interventions for management of behavioral and psychotic symptoms in patients with dementia
  • Routine activity.
  • Separate the person from what seems to be upsetting them.
  • Assess for the presence of pain, constipation, or other physical problem.
  • Review medications, especially new medications.
  • Travel with them to where they are in time.
  • Don't disagree; respect the person's thoughts even if incorrect.
  • Physical interaction: Maintain eye contact, get to their height level, and allow space.
  • Speak slowly and calmly in a normal tone of voice. The person may not understand the words spoken, but they may pick up the tone of the voice behind the words and respond to that.
  • Avoid finger-pointing, scolding, or threatening.
  • Redirect the person to participate in an enjoyable activity or offer comfort food they may recognize and like.
  • If you appear to be the cause of the problem, leave the room for a while.
  • Validate that the person seems to be upset over something. Reassure the person that you want to help and that you love them.
  • Avoid asking the person to do what appears to trigger an agitated or aggressive response.
Reproduced with permission from: Alzheimer's Association Position Statement on Treatment of BPSD. Copyright © 2014 Alzheimer's Association. All rights reserved. Available at: https://www.alz.org/national/documents/statements_antipsychotics.pdf (Accessed on July 11, 2018).
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