Table 31.1—Behavioral Interventions for Dementia Care
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■ Treat underlying medical precipitants |
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■ Correct sensory deficits; replace poorly fitting hearing aids, eyeglasses, and dentures |
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■ Remove offending medications, particularly anticholinergic agents |
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■ Keep the environment comfortable, calm, and homelike with use of familiar possessions |
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■ Provide regular daily activities and structure; refer patient to adult day care programs, if needed |
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■ Monitor for new medical problems |
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■ Attend to patient’s sleep and eating patterns |
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■ Install safety measures to prevent accidents |
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■ Ensure that the caregiver has adequate respite |
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■ Educate caregivers about practical aspects of dementia care and about behavioral disturbances |
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■ Teach caregivers the skills of caregiving: communication skills, avoiding confrontational behavior management, techniques of ADL support, activities for dementia care |
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■ Simplify bathing and dressing with the use of adaptive clothing and assistive devices if needed |
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■ Provide access to experienced professionals and community resources |
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■ Refer family and patient to local Alzheimer’s Association |
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■ Consult with caregiving professionals, such as geriatric case managers |
NOTE: ADL = activity of daily living.