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Friday, December 28, 2012

Dementia: Nondrug Management


Editors' Recommendations
From existing evidence and their own clinical experience, researchers at Johns Hopkins University have come up with 6 nonpharmacologic steps to better identify and manage behavioral problems in patients with dementia.
Behavioral issues, which can include psychiatric symptoms such as depression, psychosis, apathy, agitation, aggression, delusions, and hallucinations, as well as troubling conduct such as repetitive vocalizations and wandering, are frequently difficult to manage and can both increase the risk for dangerous activities (walking out in traffic, for example) and be hugely stressful for caregivers. Physicians sometimes prescribe atypical antipsychotics to manage difficult behavioral symptoms.
Six nondrug approaches to identifying and managing behavioral problems are summed up in an article by Laura N. Gitlin, PhD, from the Department of Community Public Health, School of Nursing, Johns Hopkins University, Baltimore, Maryland, and colleagues. The article was published in the November 21 issue of JAMA.
6 Steps/.../

1 comment:

Urbano Leonel Sant' Anna said...

Dr. Achutti, achei o post muito interessante e gostaria de saber mais a respeito destes 6 passos. Um grande abraço,

Urbano.