#GSWDS2020

Assessing and Treating Symptoms with Non-Pharmacological Treatments in the Older Adult with Dementia at End-of-Life

27 Feb 2020
12:15 pm

Assessing and Treating Symptoms with Non-Pharmacological Treatments in the Older Adult with Dementia at End-of-Life

Description

With the growing elderly population, dementia is increasing and more families are reaching out to hospice for end-of-life support. Dementia affects 50 million individuals with a growth of 10 million new diagnosis annually. Dementia is projected to reach 82 million individuals in 2030. More than 1.4 million Americans are receiving hospice care every year. Psychotropic medications have conventional efficacy and may lead to undesired side effects; however, the medications continue to be frequently used to relieve behavioral and psychological symptoms of dementia. Non-pharmacological interventions present fewer side effects and are safer options. Non-pharmacological alternatives, including music therapy, pet therapy, art therapy, behavioral therapy, aromatherapy, physical activities, and tailored activities, are promising results for managing behavioral and psychological symptoms of dementia.

Objectives

  1. Distinguish the common types of dementia.

  2. Analyze the effectiveness of various non-pharmacological interventions for pain based on the pain etiology.

  3. Identify neuropsychiatric symptoms of dementia and their usual presentation.

  4. Recognize potential causes of neuropsychiatric symptoms in older adults with dementia and manage symptoms. 

Sources

Douglas, S., James, I. & Ballard, C. (2004). Non-pharmacological interventions in dementia. Advances in Psychiatric Treatment, vol. 10, 171-179

Inouye, S., van Dyck, C., Alessi, C., Balkin, S, Siegal, A. & Horwitz, R. (1990). Clarifying confusion: The confusion assessment method. Annals of Internal Medicine, 113(12), 941-948.

Martini de Oliveira, A., Radanovic, M., Cotting Homen de Mello, P., Cardoso Buchain, P., Dias Barbisa Vizzitto, A., Celestino, D.L., Stella, F., Piersol, C.V. & Forlenza, O.V. (2015). Nonpharmacological Interventions to Reduce Behavioral ad Psychological Symptoms of Dementia: A Systematic Review. BioMed Research International. 2015 Nov 29. doi: 10.1155/2015/218980

National Hospice and Palliative Care Organization. (n.d.). Hospice Facts & Figures. Retrieved from  https://www.nhpco.org/research/

World Health Organization. (n.d.). Dementia. Retrieved from https://www.who.int/news-room/fact-sheets/detail/dementia