Dementia: Management of Behavioural and Psychological Symptoms

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Dementia is a syndrome characterized by cognitive and non-cognitive symptoms. This book focuses on the clinically distinct categories of non-cognitive symptoms. These are grouped together under the umbrella term Behavioural and Psychological Symptoms in Dementia (BPSD). BPSD include agitation (describing a cluster of related symptoms including anxiety, irritability and motor restlessness, often leading to behaviours such as wandering, pacing, aggression, shouting and night-time disturbances), psychosis ...
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Overview


Dementia is a syndrome characterized by cognitive and non-cognitive symptoms. This book focuses on the clinically distinct categories of non-cognitive symptoms. These are grouped together under the umbrella term Behavioural and Psychological Symptoms in Dementia (BPSD). BPSD include agitation (describing a cluster of related symptoms including anxiety, irritability and motor restlessness, often leading to behaviours such as wandering, pacing, aggression, shouting and night-time disturbances), psychosis (referring to three main categories of symptoms: hallucinations, delusions and delusional misidentification) and mood disorders (depression, anxiety and hypomania). Other symptoms include sexual disinhibition, eating problems and abnormal vocalizations (shouting, screaming and demanding attention). There are many reasons why a patient with dementia may develop BPSD. Because of these potential different aetiologies, a full and careful assessment of possible physical, psychological and environmental factors is essential. This book will inform all of those responsible for caring for the patient with dementia about the identification of BPSD, the nature of the symptoms, assessment of their severity and recommends a structured and sequential approach to management. The authors are internationally respected, combining expertise from the fields of clinical research, psychiatry and clinical psychology to provide an integrated approach to the topic.
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Product Details

  • ISBN-13: 9780192631756
  • Publisher: Oxford University Press, USA
  • Publication date: 4/28/2001
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 328
  • Product dimensions: 9.10 (w) x 6.40 (h) x 0.90 (d)

Table of Contents

1 Background - behavioural and psychological symptoms in dementia 1
2 Identification and management of behavioural and psychological symptoms in dementia 3
3 Psychosis in dementia 17
4 Depression 37
5 Wandering and restlessness 51
6 Aggression 61
7 Other behavioural and biological symptoms in dementia 79
8 The person and the environment 91
9 Depression and burden in dementia carers: the role of behavioural and psychological symptoms 109
10 Psychological therapies and approaches to dementia 121
11 Cognitive therapy formulations and interventions for treating distress in dementia 143
12 Training carers in behavioural management skills 169
13 Managing carers' psychological needs 195
14 Alternative therapies: other non-pharmacological therapies 203
15 Side effects of psychotropic medication 219
16 Pharmacological treatment of psychosis 233
17 Pharmacotherapy of depression 247
18 Pharmacotherapy of agitation, aggression and restlessness 259
19 Management of behavioural and psychological symptoms in dementia 275
20 Management of behavioural and psychological symptoms in residential and nursing home care 285
21 An integrated treatment approach 301
Index 309
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