Table 31.1—Behavioral Interventions for Dementia Care

 

      Treat underlying medical precipitants

 

      Correct sensory deficits; replace poorly fitting hearing aids, eyeglasses, and dentures

 

      Remove offending medications, particularly anticholinergic agents

 

      Keep the environment comfortable, calm, and homelike with use of familiar possessions

 

      Provide regular daily activities and structure; refer patient to adult day care programs, if needed

 

      Monitor for new medical problems

 

      Attend to patient’s sleep and eating patterns

 

      Install safety measures to prevent accidents

 

      Ensure that the caregiver has adequate respite

 

      Educate caregivers about practical aspects of dementia care and about behavioral disturbances

 

      Teach caregivers the skills of caregiving: communication skills, avoiding confrontational behavior management, techniques of ADL support, activities for dementia care

 

      Simplify bathing and dressing with the use of adaptive clothing and assistive devices if needed

 

      Provide access to experienced professionals and community resources

 

      Refer family and patient to local Alzheimer’s Association

 

      Consult with caregiving professionals, such as geriatric case managers

NOTE: ADL = activity of daily living.