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Important Notice: The Forum does not endorse any medical
product or therapy. ALL medications and supplements
should be taken ONLY under the supervision of a physician,
due to the possibility of side-effects, drug interactions,
etc.
Nonpharmacologic Management of Behavioral Disturbances
Many behavioral "problems" in demented patients are not directly caused
by cognitive decline, but instead may be attributed to other factors such as health,
medication and physical and social environment. Coexisting illnesses, impaired vision
or hearing, psychotropic medications, understimulation or overstimulation, lack
of familiar cues in the environment and lack of meaningful activities and social
relationships can causes a wide variety of responses in demented patients, including
wandering, anxiety, paranoia, difficulty with personal care, incontinence, sleep
difficulties and aggression. The Mayo clinic article by
Carlson, et al., 1995, explains how "problem" behavior is often
an attempt to communicate by patients who are losing language and reasoning skills.
This useful article lists many nonpharmacologic strategies for managing behavioral
disturbances by identifying and addressing the causes.
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