MANAGEMENT OF DEMENTIA-RELATED BEHAVIORAL DISTURBANCES - A NONPHARMACOLOGIC APPROACH

Objective: To describe practical nonpharmacologic approaches to dement ia-related behavioral problems for enhancement of the function and car e of elderly patients with dementia. Design: We reviewed the pertinent medical literature and summarized strategies and available resources for management of geriatric patients with dementia and behavior proble ms. Results: For optimal care of older patients with dementia, key con cepts of related behavior problems must be understood, Agitation and a ggression, resisting help with care, wandering, incontinence, sleep di sturbance, and emotional lability can become difficult management issu es with such patients, In some patients, these disruptions can lead to overmedication and nursing home placement. Herein, practical nonpharm acologic measures for management of behavior problems that arise among community-dwelling and institutionalized elderly patients with dement ia are discussed, Attention is directed to the medical, psychologic, e nvironmental, and social factors that may contribute to unwanted behav iors. Conclusion: Nonpharmacologic approaches can help ameliorate beha vioral problems and assist in the overall care of elderly patients wit h dementia.