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A systematic evidence review of non-pharmacological interventions for behavioral symptoms of dementia / O'NEIL, Maya ; collab. FREEMAN, Michele ; [et al].
Washington, DC : Department of veterans affairs, 2011, iii, 69 p.

http://www.ncbi.nlm.nih.gov/books/NBK54971/pdf/TOC.pdf (06-02-2013)
Collection : Evidence-based synthesis program (ESP)
Format de fichier : Adobe Acrobat PDF
Droits d'auteur : La reproduction de ce document à des fins non commerciales est autorisée à condition que la source soit dûment mentionnée.

Mots-clés principaux
:
Symptomes psychologiques et comportementaux de la démence
Approche non pharmacologique
Errance
Agitation
Comportement perturbateur

Mots-clés secondaires : Réminiscence ; Thérapie de la validation ; Acupuncture ; Aromathérapie ; Luminothérapie ; Toucher thérapeutique ; Massothérapie ; snoezelen ; Musicothérapie ; Thérapie assistée par l'animal ; Activité physique ; Télésurveillance

Résumé :

The behavioral symptoms that are associated with dementia, such as agitation/aggression, wandering, and sleep disturbances, are associated with increased caregiver burden, decreased quality of life for the patient, and increased healthcare costs. It is estimated that behavioral symptoms occur in as many as 90 percent of people with Alzheimer's disease (AD). Moreover, it is the behavioral symptoms that are most often cited by caregivers as the reason for the placement of individuals with dementia into residential care.

Psychotropic medications are commonly used to reduce the frequency and severity of the behavioral symptoms of dementia. There is little evidence, however, that such interventions are effective, and their potential side effects are frequent and often hazardous. It has been reported that the use of atypical and typical antipsychotic medication is associated with the increased risk of death.

Because of the limited benefits and the potential harms associated with psychotropic medications, non-pharmacological interventions for the behavioral symptoms associated with dementia may be an attractive alternative to pharmacological treatment. The purpose of this report is to review systematically the evidence on non-pharmacological treatments for behavioral symptoms of dementia.

Langue : Anglais
Doc n° : 30095
NumRec : 6422403
30095.pdf
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