Difficult behaviors in long-term care patients with dementia.

Journal Article (Journal Article;Review)

Difficult behaviors are relatively common challenges that can occur throughout the natural progression of dementia, but are particularly common in the mid to late stages of disease. These behaviors can be challenging to manage in nursing and assisted care facilities, and can cause distress to the caregivers and to the patients themselves. Our ability to manage these symptoms can have a profound effect on the patient's quality of life. This article reviews the appropriate assessment of behavioral and psychological symptoms of dementia (BPSD) and the literature supporting various nonpharmacologic and pharmacologic treatments. Nonpharmacologic approaches should be the initial focus for treatment of most BPSD, but should these prove inadequate, a variety of medications are available with varying degrees of clinical research to support their use in ameliorating BPSD.

Full Text

Duke Authors

Cited Authors

  • Buhr, GT; White, HK

Published Date

  • March 2007

Published In

Volume / Issue

  • 8 / 3 Suppl 2

Start / End Page

  • e101 - e113

PubMed ID

  • 17352973

Electronic International Standard Serial Number (EISSN)

  • 1538-9375

Digital Object Identifier (DOI)

  • 10.1016/j.jamda.2006.12.012


  • eng

Conference Location

  • United States