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GeriPod: Management of Behavior Problems Associated with Progressive Dementia

CC BY-NC-SA

GeriPod: Management of Behavior Problems Associated with Progressive Dementia

Rowan University School of Osteopathic Medicine
Author(s):  
Pamela Basehore, FACN, Martin Forsberg, FACN, Anita Chopra, FACN
Sponsor: 
Health Resources and Services Administration (HRSA)
POGOe Id: 
20748
Date Posted: 
09/22/2010
Date Reviewed/Updated for Clinical Accuracy: 
09/22/2010
Ok Peer reviewed Peer reviewed
Abstract: 

The purpose of this podcast is to explore the development and progression of common behavioral problems associated with dementia.  Treatment strategies for managing these behaviors as well as looking at the evidence for and risks associated with a variety of pharmacologic treatment options are discussed.  Nonpharmacologic treatment options are discussed as alternative options for effective management of some of these common problems. 

Educational objectives: 
  1. Explore common behavioral problems associated with dementia.
  2. The types of behaviors and what triggers these problems as the disease progresses.
  3. Environmental and other non-pharmacological treatment strategies for managing behavior problems in the demented patient.
  4. The evidence for and risks of pharmacological treatments for behavior problems in the older adult.
  5. How behavior problems impact caregivers and the benefits of addressing their needs.
Additional information/Special implementation requirements or guidelines: 
The New Jersey Geriatric Education Center through the New Jersey Institute for Successful Aging (NJISA), University of Medicine and Dentistry of New Jersey, School of Osteopathic Medicine presents the first “GeriPod” podcast called “Use of Antipsychotics in the Treatment of Older Adults”. For more information on the GeriPod series, please visit the UMDNJ website at http://njisa.umdnj.edu/education/geripods/index2.html .
Content Categories: 
Learning resource types: 
Discipline/specialty: 
Estimated time to complete: 
30 minutes
Conflict of Interest Disclosure: 
No, I (we) have nothing to disclose.
Already Expired Email Date: 
Wednesday, February 28, 2018 - 1:55am
Already Expired Email 1 month date: 
Thursday, March 15, 2018 - 12:34pm
Expired Email Date: 
Friday, March 30, 2018 - 4:22pm
Contact Person/Corresponding Author:
DiVito Claire divitocl@umdnj.edu


Suggested Citation:
Dr. Martin Forsberg, Anita Chopra and Pamela Basehore. GeriPod: Management of Behavior Problems Associated with Progressive Dementia. POGOe - Portal of Geriatrics Online Education; 2010 Available from: https://pogoe.org/productid/20748

Comments

Submitted by Rob Anderson on

This 15 minute podcast should be required listening for every provider capable of prescribing medications for those suffering from dementia. Outstanding review of current situation. 

Submitted by bellamy8 on

It is unknown what causes specific behavioral problems associated with dementia, as they do not always occur and may manifest in different forms.  Problematic behavior can include running away, hitting, biting, and yelling. Often specific enviornments may trigger these problematic behaviors, and actions should be taken to reduce the stimuli of these behaviors. The best method for treating behavioral problems associated with dementia is not pharmacologic, but instead consist of things like therapy, pets, family interactions, music, meditation, and relaxation. Enviornmental protective methods should also be put in place like dead-bolts on doors, low0stimuli enviornments, stop signs, and safe-return plans. There are many risk factors and side effects with taking antipsychotics in the elderly, and research shown that they often increase dementia and behavioral problems more than they help and may increase risk of death. Under limited and specific conditions it may be useful to place a patient on risprodone. Behavior problems can be very demanding and detrimental to caregivers as well both physically and emotionally, so it is important to monitor caregivers also.