Document Detail


[Psychological and behavioural symptoms of dementia: prevention, diagnosis and treatment].
MedLine Citation:
PMID:  23143961     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: The psychological and behavioural symptoms of dementia (BPSD) [corrected] give rise to personal suffering, are the cause of added deterioration and worsen the economic and social cost of dementias.
AIM: To offer a systematic approach to the prevention, diagnosis and treatment of BPSD. [corrected].
DEVELOPMENT: The study adopts a global perspective that takes into account biological, psychological and social factors in an attempt to avoid both excessive medicalisation and a purely psychology-based attitude. Satisfying basic needs, treating medical and psychiatric comorbidity, the adaptation of the setting, and the specific pharmacological treatment of dementia, as well as offering patients and their caregivers the counselling and support they need, all contribute to prevent the onset of BPSD. [corrected]. The diagnosis of BPSD [corrected] is based on the patient's medical history and on observation. It is useful to identify a primary or destabilising BPSD [corrected] on which to deploy hypotheses and specific treatments based on modifying the environment, drugs, non-pharmacological therapies and continuous assessment. Any action taken must be integrated within a person-focused care plan aimed at accomplishing the patients' and their caregivers' welfare and quality of life.
CONCLUSIONS: BPSD [corrected] are the result of biological, psychological and social factors. In the present scenario, in which there are no curative treatments in most cases of dementia, a systematic and multidisciplinary approach aimed at preventing and treating BPSD [corrected] is a highly cost-effective therapeutic opportunity in both personal and social terms.
Authors:
J Olazaran-Rodriguez; L F Aguera-Ortiz; R Muniz-Schwochert
Publication Detail:
Type:  English Abstract; Journal Article; Review    
Journal Detail:
Title:  Revista de neurologia     Volume:  55     ISSN:  1576-6578     ISO Abbreviation:  Rev Neurol     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-12     Completed Date:  2013-05-28     Revised Date:  2013-09-18    
Medline Journal Info:
Nlm Unique ID:  7706841     Medline TA:  Rev Neurol     Country:  Spain    
Other Details:
Languages:  spa     Pagination:  598-608     Citation Subset:  IM    
Affiliation:
Hospital General Universitario Gregorio Maranon, Madrid, Espana. javier@mariawolff.es
Vernacular Title:
Sintomas psicologicos y conductuales de la demencia: prevencion, diagnostico y tratamiento.
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MeSH Terms
Descriptor/Qualifier:
Dementia / complications*,  diagnosis,  psychology*
Humans
Mental Disorders / diagnosis,  etiology*,  prevention & control,  therapy
Comments/Corrections
Erratum In:
Rev Neurol. 2013 Jun;56(12):640

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