Day Care for older dementia patients: favorable effects on behavioral and psychological symptoms and caregiver stress

2008 ◽  
Vol 23 (10) ◽  
pp. 1066-1072 ◽  
Author(s):  
Enrico Mossello ◽  
Veronica Caleri ◽  
Elena Razzi ◽  
Mauro Di Bari ◽  
Claudia Cantini ◽  
...  
Keyword(s):  
Day Care ◽  
Psychological Symptoms ◽  
Dementia Patients ◽  
Behavioral And Psychological Symptoms

scholarly journals 404 - Effect of Psychoeducation Modul on the Administration of Psychotropic Drugs for Patients with Behavioral and Psychological Symptoms of Dementia at the RS Dr. H. Marzoeki Mahdi Bogor on Caregivers

2020 ◽  
Vol 32 (S1) ◽  
pp. 120-120
Keyword(s):  
Psychotropic Drugs ◽  
Cognitive Abilities ◽  
Health Workers ◽  
Psychological Symptoms ◽  
Clinical Syndrome ◽  
List Type ◽  
Study Program ◽  
Dementia Patients ◽  
Patients Experience ◽  
Behavioral And Psychological Symptoms

Name : Yuniar Pukuk KesumaStudy program : Psychiatry, Specialist II Geriatric PsychiatryCounsellor : Dr.dr. Martina Wiwie S. Nasrun, Sp.KJ(K)Background:Dementia is a clinical syndrome characterized by a decline in cognitive abilities and memory deficits globally. About 90% of patients experience behavioral and psychological symptoms. The use of psychotropic drugs is influenced by the patient symptoms, burden of the caregiver, and the habit of health workers.Objective:To determine the effect of psychoeducation modules to caregivers to increase knowledge, decrease of psychotropic drugs, reduce symptoms and burden of caregivers.Methods:There are 2 steps of studies. The first was a qualitative study to create psychoeducation module and the second was to conduct a pre-experimental study (one group pretest-posttest study). Psychoeducation is given in 2 consecutive weeks.Results:Fourty caregivers of dementia patients aged 41.3 (± 9.72) years. The psychoeducation modules is associated with decreasing symptoms and the use of psychotropic drugs, increasing knowledge and decreasing the burden of caregivers. At the end, 23% of patients were able to stop using psychotropic drugs and 62% of patients reduced their dose and/or the amount of psychotropic drugs.Conclusion:The psychoeducation modules to caregivers is associated with a decrease of patient symptoms and the use of psychotropic drugs. Psychoeducation also increases the knowledge of the caregiver and decreases the burden of the caregiver so that this psychoeducation module can be an additional therapy for patients with dementia.

Do Many of the Behavioral and Psychological Symptoms of Dementia Constitute a Distinct Clinical Syndrome? Current Evidence Using the BEHAVE-AD

2000 ◽  
Vol 12 (S1) ◽  
pp. 155-164 ◽  
Author(s):  
Barry Reisberg ◽  
Isabel Monteiro ◽  
Istvan Boksay ◽  
Stefanie Auer ◽  
Carol Torossian ◽  
...  
Keyword(s):  
Rating Scale ◽  
Psychological Symptoms ◽  
Clinical Syndrome ◽  
Current Data ◽  
Current Evidence ◽  
Pharmacologic Intervention ◽  
Dementia Patients ◽  
Placebo Intervention ◽  
And Function ◽  
Behavioral And Psychological Symptoms

The Behavioral Pathology in Alzheimer's Disease Rating Scale (BEHAVE-AD) was specifically designed to assess behavioral and psychological symptoms of dementia (BPSD) that would be remediable to both psychologic and pharmacologic intervention. Furthermore, the BEHAVE-AD was designed to assess categories of symptoms that would respond in a cohesive (syndrome) manner in dementia patients, independently of effects of interventions on cognition and functioning. Current data indicate that the BEHAVE-AD does indeed assess a cohesive, cognition- and function independent syndrome in AD and in related dementias that is responsive to psychologic and appropriate pharmacologic intervention. Evidence is also increasing for differential responsiveness of this BPSD syndrome to select pharmacologic agents compared with nonspecific psychologic (placebo) intervention. This article reviews the evidence for this BPSD syndrome in dementia patients, as assessed with the BEHAVE-AD.

scholarly journals Prevalence of Behavioral and Psychological Symptoms of Dementia in Community-Dwelling Dementia Patients: A Systematic Review

2021 ◽  
Vol 12 ◽  
Author(s):  
Chan-Young Kwon ◽  
Boram Lee
Keyword(s):  
Systematic Review ◽  
Eating Disorder ◽  
Sleep Disorders ◽  
Motor Behavior ◽  
Psychological Symptoms ◽  
Community Dwelling ◽  
Dementia Patients ◽  
Pooled Prevalence ◽  
Severity Of Dementia ◽  
Behavioral And Psychological Symptoms

Background: Identifying the characteristics of behavioral and psychological symptoms of dementia (BPSD) associated with different dementia types may be a promising strategy to effectively deal with BPSD. We aimed to synthesize the prevalence rates of BPSD characteristics in community-dwelling dementia patients.Methods: We searched Medline, EMBASE, and PsycARTICLES databases for original clinical studies published until December 2020 that enrolled at least 300 community-dwelling dementia patients. The methodological qualities of prevalence studies were assessed using the Joanna Briggs Institute's critical appraisal checklist.Results: Thirty studies were included. The prevalence of the BPSD characteristic ranged from 4 (elation and mania) to 32% (apathy) in the pooled samples. The prevalence of delusions, anxiety, apathy, irritability, elation and mania, and aberrant motor behavior in Alzheimer's disease patients was 1.72–2.88 times greater than that in vascular dementia (VD) patients, while the prevalence of disinhibition in VD patients was 1.38 times greater. The prevalence of anxiety, irritability, and agitation and aggression, delusion, hallucinations, apathy, disinhibition, and aberrant motor behavior tended to increase as the severity of dementia increased, while that of depression, eating disorder, sleep disorders, and elation and mania tended to stable. In community-dwelling patients with dementia, the pooled prevalence of apathy, depression, anxiety, irritability, agitation and aggression, sleep disorders, and eating disorder was higher than 20%, while that of disinhibition and elation and mania was lower than 10%.Conclusion: Overall, the pooled prevalence of apathy, depression, anxiety, irritability, agitation and aggression, sleep disorders, and eating disorder was generally high in patients with dementia. Also, the prevalence of some BPSD characteristics differed according to the type and the severity of dementia. The methodological quality of the included studies is not the best, and high heterogeneity may affect the certainty of the findings. However, the results of this review can deepen our understanding of the prevalence of BPSD.Systematic Review Registration:https://osf.io/dmj7k, identifier: 10.17605/OSF.IO/DMJ7K.

Lavender aroma therapy for behavioral and psychological symptoms in dementia patients

2008 ◽  
Vol 8 (2) ◽  
pp. 136-138 ◽  
Author(s):  
Masahiko Fujii ◽  
Reiko Hatakeyama ◽  
Yumiko Fukuoka ◽  
Taeko Yamamoto ◽  
Ruri Sasaki ◽  
...  
Keyword(s):  
Psychological Symptoms ◽  
Dementia Patients ◽  
Behavioral And Psychological Symptoms

scholarly journals Animal-Assisted and Pet-Robot Interventions for Ameliorating Behavioral and Psychological Symptoms of Dementia: A Systematic Review and Meta-Analysis

Biomedicines ◽  
2020 ◽  
Vol 8 (6) ◽  
pp. 150 ◽  
Author(s):  
Sangki Park ◽  
Ahream Bak ◽  
Sujin Kim ◽  
Yunkwon Nam ◽  
Hyeon soo Kim ◽  
...  
Keyword(s):  
Psychological Symptoms ◽  
Meta Analysis ◽  
Inappropriate Behaviors ◽  
Positive Effects ◽  
Dementia Patients ◽  
The Impact ◽  
Animal Assisted Intervention ◽  
Behavioral And Psychological Symptoms

Patients with dementia suffer from psychological symptoms such as depression, agitation, and aggression. One purpose of dementia intervention is to manage patients’ inappropriate behaviors and psychological symptoms while taking into consideration their quality of life (QOL). Animal-assisted intervention (AAI) and pet-robot intervention (PRI) are effective intervention strategies for older people with cognitive impairment and dementia. In addition, AAI and PRI have been shown to have positive effects on behavioral and psychological symptoms of dementia (BPSD). However, studies into the association between AAI/PRI and BPSD have elicited inconsistent results. Thus, we performed a meta-analysis to investigate this association. We analyzed nine randomized controlled trials on AAI and PRI for dementia patients published between January 2000 and August 2019 and evaluated the impact of AAI/PRI on agitation, depression, and QOL. We found that AAI and PRI significantly reduce depression in patients with dementia. Subsequent studies should investigate the impact of AAI and PRI on the physical ability and cognitive function of dementia patients and conduct a follow-up to investigate their effects on the rate of progression and reduction of symptoms of dementia. Our research will help with neuropsychological and environmental intervention to delay or improve the development and progression of BPSD.

Foot care using green tea paste for behavioral and psychological symptoms in dementia patients

2009 ◽  
Vol 9 (4) ◽  
pp. 399-401 ◽  
Author(s):  
Hideaki Kudoh ◽  
Aiko Hatakeyama ◽  
Taeko Yamamoto ◽  
Jun Satoh ◽  
Yukie Kameya ◽  
...  
Keyword(s):  
Green Tea ◽  
Psychological Symptoms ◽  
Foot Care ◽  
Dementia Patients ◽  
Behavioral And Psychological Symptoms

Comparison of QOL between patients with different degenerative dementias, focusing especially on positive and negative affect

2016 ◽  
Vol 28 (8) ◽  
pp. 1355-1361 ◽  
Author(s):  
Kairi Kurisu ◽  
Seishi Terada ◽  
Etsuko Oshima ◽  
Makiko Horiuchi ◽  
Nao Imai ◽  
...  
Keyword(s):  
Negative Affect ◽  
Positive Affect ◽  
Outcome Measure ◽  
Psychological Symptoms ◽  
Lewy Bodies ◽  
Positive And Negative Affect ◽  
Dementia Patients ◽  
The Difference ◽  
Behavioral And Psychological Symptoms

ABSTRACTBackground:Quality of life (QOL) has become an important outcome measure in the care of dementia patients. However, there have been few studies focusing on the difference in QOL between different dementias.Methods:Two-hundred seventy-nine consecutive outpatients with Alzheimer's disease (AD), dementia with Lewy bodies (DLB) or frontotemporal dementia (FTD) were recruited. The QOL was evaluated objectively using the QOL Questionnaire for Dementia (QOL-D).The QOL-D comprises six domains: positive affect, negative affect and actions, communication, restlessness, attachment to others, and spontaneity. General cognition, daily activities, and behavioral and psychological symptoms of dementia were also evaluated.Results:The scores of positive affect of QOL-D of AD patients were significantly higher than those of patients with DLB or FTD (AD 3.1 ± 0.8, DLB 2.6 ± 0.9, FTD 2.6 ± 0.7). The scores of negative affect and action of QOL-D of FTD patients were significantly higher than those of patients with AD or DLB (FTD 2.0 ± 0.8, AD 1.4 ± 0.5, DLB 1.5 ± 0.6). The apathy scores of FTD and DLB patients were significantly higher than those of patients with AD. The disinhibition scores of FTD patients were significantly higher than those of patients with AD or DLB.Conclusions:The apathy of FTD and DLB patients and depression of DLB patients might affect the lower positive affect of FTD and DLB patients compared to AD patients. The disinhibition of FTD patients might affect the abundance of negative affect & actions in FTD patients compared to AD and DLB patients.

scholarly journals Nurses’ Experience of Nursing Workload-Related Issues during Caring Patients with Dementia: A Qualitative Meta-Synthesis

2021 ◽  
Vol 18 (19) ◽  
pp. 10448
Author(s):  
Younhee Kang ◽  
Yujin Hur
Keyword(s):  
Mental Stress ◽  
Critical Appraisal ◽  
Psychological Symptoms ◽  
Nursing Workload ◽  
Dementia Patient ◽  
Dementia Patients ◽  
Occupational Characteristics ◽  
Mediator Role ◽  
Critical Appraisal Skills ◽  
Behavioral And Psychological Symptoms

The behavioral and psychological symptoms of dementia (BPSD), which appear in all dementia patients, demand sizable commitments of time and effort from nurses. This study aims to identify issues related to the workloads of nurses who provide care for dementia patients via qualitative meta-synthesis. Eleven articles were selected using a systematic review flowchart, which were then evaluated for their quality using the Critical Appraisal Skills Program checklist. Collected data were analyzed using a line-of-argument method. Theme clusters were “increased workload due to characteristics of dementia”, “increased mental stress”, “difficulty associated with playing a mediator role in addition to nursing duties”, and “lacking systematic support for dementia patient care”. To reduce the workload and mental stress of nurses in dementia care, supportive measures appropriate for their occupational characteristics should be developed, based on workload estimates that account for the attributes of dementia patients.

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