| Issues facing home-based medical support services. | |
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MedLine Citation:
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PMID: 20738813 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The first part of the present review describes the current status of elderly people with behavioral and psychological symptoms of dementia (BPSD) in the community and basic viewpoints for differentiating between different forms of dementia. Specifically, it focuses on four points among the data and research related to determining the current status of elderly people with BPSD. We also propose basic concepts for differentiating between the core symptoms of dementia and BPSD, BPSD and delirium, and agitation and delirium. In the second part of the present review, various aspects of the symptom 'agitation' are discussed based on the experience of our home visit medical service for people with dementia by describing two cases. In cases such as Case 1, where the subject was given high doses of antipsychotics, we believe the problem was that the physicians immediately abstracted all of the abnormal behavior in the subject's life as 'agitation', and provided treatment to the subject accordingly. In Case 2, where the subject had dementia with Lewy bodies (DLB), we propose that it is crucial to differentiate clearly between agitation and delirium. Both of these cases show the risks of focusing treatment simply on agitation. When BPSD occurs in a person with dementia, the burden on caregivers increases. At such times, physicians tend to side with the family rather than with the patient. However, medical care is intended to be for the afflicted person, and physicians should base their plans for medical intervention on this principle. |
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Authors:
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Toru Kinoshita; Hiroo Hanabusa |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society Volume: 10 ISSN: 1479-8301 ISO Abbreviation: Psychogeriatrics Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-08-26 Completed Date: 2010-12-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101230058 Medline TA: Psychogeriatrics Country: England |
Other Details:
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Languages: eng Pagination: 90-4 Citation Subset: IM |
Affiliation:
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Kodama Clinic, Shinagawa, Tokyo, Japan. toruk@yha.att.ne.jp |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Antipsychotic Agents / therapeutic use Caregivers Delirium / diagnosis, drug therapy, psychology* Dementia / diagnosis, drug therapy, psychology* Diagnosis, Differential Home Care Services* House Calls Humans Indans / therapeutic use Lewy Body Disease Male Nootropic Agents / therapeutic use Piperidines / therapeutic use Psychomotor Agitation / diagnosis, drug therapy, psychology* Tokyo |
| Chemical | |
Reg. No./Substance:
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0/Antipsychotic Agents; 0/Indans; 0/Nootropic Agents; 0/Piperidines; 120011-70-3/donepezil |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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