Prevalence and Treatment of Neuropsychiatric Symptoms in Advanced Dementia
| Autor: | Kathryn L. Hicks, David M. Blass, Karan S. Kverno, Betty S. Black, Peter V. Rabins |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Behavior Control
Male Safety Management medicine.medical_specialty MEDLINE Behavioral Symptoms Article Lethargy mental disorders Prevalence Humans Medicine Dementia health care economics and organizations General Nursing Depression (differential diagnoses) Aged Retrospective Studies Aged 80 and over Health Services Needs and Demand Psychotropic Drugs Maryland business.industry Aggression Medical record technology industry and agriculture Retrospective cohort study medicine.disease Nursing Homes Advanced dementia Emergency medicine Female medicine.symptom business Gerontology |
| Zdroj: | Journal of Gerontological Nursing. 34:8-14 |
| ISSN: | 1938-243X 0098-9134 |
| DOI: | 10.3928/00989134-20081201-03 |
| Popis: | Neuropsychiatric symptoms (NPS) are common in dementia, although little is known about their prevalence and treatment near the end of life. This study used a retrospective review of the medical records of 123 hospice-eligible nursing home residents with advanced dementia to investigate the prevalence of NPS and NPS-targeted pharmacological and non-pharmacological treatments. The most prevalent NPS were agitation or aggression (50.4%), depression (45.5%), and withdrawal/lethargy (43.1%). Of the 105 (85.4%) residents who exhibited one or more NPS, 90.5% were receiving at least one NPS-targeted treatment, yet 41.9% received no documented nonpharmacological NPS-targeted care. The majority of documented nonpharmacological care focused on safety and explanations or instructions given to residents. Given the high prevalence of comorbidities, associated risks for medication interactions or serious side effects, and potential low-risk benefits of psychobehavioral care, these findings raise concerns about how to best increase the provision and documentation of nonpharmacological care in advanced dementia. |
| Databáze: | OpenAIRE |
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