Difference between revisions of "DEMENTIA-BPSD"
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===== [[Summary Article|'''SUMMARY''']] ===== | ===== [[Summary Article|'''SUMMARY''']] ===== | ||
1. There is a bi-directional relationship | 1. There is a bi-directional relationship between AD, vascular dementia & depression. Depression is an independent risk factor for AD, dementias are highly co-morbid with depression. | ||
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<br/>2. Behavioural symptoms: circadian rhythm & appetite disturbances, sexual disinhibition, motor hyperactivity or retardation. | <br/>2. Behavioural symptoms: circadian rhythm & appetite disturbances, sexual disinhibition, motor hyperactivity or retardation. | ||
Latest revision as of 11:07, 20 March 2023
SUMMARY
1. There is a bi-directional relationship between AD, vascular dementia & depression. Depression is an independent risk factor for AD, dementias are highly co-morbid with depression.
2. Behavioural symptoms: circadian rhythm & appetite disturbances, sexual disinhibition, motor hyperactivity or retardation.
3. Causes: delirium, medications, pain, constipation, excess noise, temperature extremes, separation from family, unmet needs, past trauma.
4. Rating scales: Neuropsychiatric Inventory (NPI), Cornell Scale for Depression in Dementia, Pain Assessment in Advanced Dementia (PAINAD).
5. Start a behavioural monitoring chart: can see patterns emerging.
Reference(s)
Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].
