Behavioural and Psychological Symptoms of Dementia (BPSD) Flashcards
Definition
Symptoms of disturbed
perception, thought content, mood, or behavior
that frequently occur in patients with dementia.
Assessment
-possible causes and triggers that may
contribute to these behaviors
-get info from others (family members, friends, etc) upon admission
-get the baseline/normal behaviors
-review of medical and psychiatric history
-distinguish dementia from depression or delirium
-ABC approach: antecedents (precursor, “warning signs”; behavior; consequences
non-pharmacological interventions
-awareness of the person’s preferences
-assist with the development of an individualized plan of
care
-Sensory Enhancement/
Relaxation
-Social Contact: Real or Simulated
-Behaviour Therapy
-Structured Activities
-Environmental Modifications
-Training and Development for staff and family caregivers
non-pharmacological interventions
-awareness of the person’s preferences
-assist with the development of an individualized plan of
care
-Sensory Enhancement/
Relaxation
-Social Contact: Real or Simulated
-Behaviour Therapy
-Structured Activities
-Environmental Modifications
-Training and Development for staff and family caregivers
pharmacological treatment
-careful consideration of the risk vs benefit of the antipsychotic meds
-can cause:
-increased confusion
-extra-pyramidal symptoms (symptoms of a disease that the patient don’t actually have such as Parkinsonism)
-anticholinergic effects including delirium, increased risk of falling, increased risk of cerebrovascular events, and increased risk of death
-over sedation; postural hypotension; risk of falls; metabolic syndrome; extra pyramidal symptoms; tardive dyskinesia; stroke; increased mortality
-“start low and go slow”
“monitor frequently for clinical response and adverse effects”
Tardive dyskinesia
repetitive, jerking movements that occur in the face, neck, and tongue.
