Managing agitation and difficult behavior in dementia

被引:12
作者
Gray, KF
机构
[1] Univ Texas, SW Med Ctr, Dept Psychiat & Neurol, Dallas, TX 75235 USA
[2] Vet Affairs N Texas Hlth Care Syst, Geriatr Neuropsychiat Clin, Dallas, TX 75216 USA
关键词
D O I
10.1016/j.cger.2003.11.003
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Clinical guidelines for management of agitation and difficult behavior in dementia are presented. Assessment of agitation and difficult behaviors is reviewed. Nonpharmacologic principles are summarized from a clinical perspective. Pharmacotherapies including cholinesterase inhibitors, anti depressants, conventional and atypical antipsychotics, anticonvulsants, anxiolytics, and hormonal modifications are referenced for treatment of behavioral and psychologic symptoms of dementia.
引用
收藏
页码:69 / +
页数:15
相关论文
共 74 条
[1]   Cognitive, psychiatric and motor response to galantamine in Parkinson's disease with dementia [J].
Aarsland, D ;
Hutchinson, M ;
Larsen, JP .
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, 2003, 18 (10) :937-941
[2]  
Adams Bryan E, 2003, J Am Med Dir Assoc, V4, P61
[3]   Reversible parkinsonism and cognitive impairment with chronic valproate use [J].
Armon, C ;
Shin, C ;
Miller, P ;
Carwile, S ;
Brown, E ;
Edinger, JD ;
Paul, RG .
NEUROLOGY, 1996, 47 (03) :626-635
[4]   Effectiveness of rapid initial dose escalation of up to forty milligrams per day of oral olanzapine in acute agitation [J].
Baker, RW ;
Kinon, BJ ;
Maguire, GA ;
Liu, H ;
Hill, AL .
JOURNAL OF CLINICAL PSYCHOPHARMACOLOGY, 2003, 23 (04) :342-348
[5]   Donepezil as add-on treatment of psychotic symptoms in patients with dementia of the Alzheimer's type [J].
Bergman, J ;
Brettholz, I ;
Shneidman, M ;
Lerner, V .
CLINICAL NEUROPHARMACOLOGY, 2003, 26 (02) :88-92
[6]   Psychosis, depression and behavioural disturbances in Sydney nursing home residents: prevalence and predictors [J].
Brodaty, H ;
Draper, B ;
Saab, D ;
Low, LF ;
Richards, V ;
Paton, H ;
Lie, D .
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, 2001, 16 (05) :504-512
[7]   Alprazolam as an alternative to low-dose haloperidol in older, cognitively impaired nursing facility patients [J].
Christensen, DB ;
Benfield, WR .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1998, 46 (05) :620-625
[8]   Challenges to the use of nonpharmacologic interventions in nursing homes [J].
Cody, M ;
Beck, C ;
Svarstad, BL .
PSYCHIATRIC SERVICES, 2002, 53 (11) :1402-1406
[9]  
Cohen-Mansfield J, 1996, Int Psychogeriatr, V8, P233, DOI 10.1017/S104161029600261X
[10]   A DESCRIPTION OF AGITATION IN A NURSING-HOME [J].
COHENMANSFIELD, J ;
MARX, MS ;
ROSENTHAL, AS .
JOURNALS OF GERONTOLOGY, 1989, 44 (03) :M77-M84