Non-pharmacological management of behavioural symptoms of dementia.
Identifieur interne : 001448 ( Main/Exploration ); précédent : 001447; suivant : 001449Non-pharmacological management of behavioural symptoms of dementia.
Auteurs : Farooq Khan ; Martin CurticeSource :
- British journal of community nursing [ 1462-4753 ] ; 2011.
Descripteurs français
- KwdFr :
- Amélioration de la qualité (MeSH), Contrôle du comportement (méthodes), Démence (thérapie), Formation en interne (MeSH), Humains (MeSH), Maisons de repos (MeSH), Maisons de retraite médicalisées (MeSH), Mise au point de programmes (MeSH), Personnel infirmier (enseignement et éducation), Prescription inappropriée (MeSH), Projets pilotes (MeSH), Psychoanaleptiques (MeSH), Psychothérapie (méthodes), Royaume-Uni (MeSH), Sujet âgé (MeSH), Symptômes comportementaux (thérapie).
- MESH :
- enseignement et éducation : Personnel infirmier.
- méthodes : Contrôle du comportement, Psychothérapie.
- thérapie : Démence, Symptômes comportementaux.
- Amélioration de la qualité, Formation en interne, Humains, Maisons de repos, Maisons de retraite médicalisées, Mise au point de programmes, Prescription inappropriée, Projets pilotes, Psychoanaleptiques, Royaume-Uni, Sujet âgé.
English descriptors
- KwdEn :
- Aged (MeSH), Behavior Control (methods), Behavioral Symptoms (therapy), Dementia (therapy), Homes for the Aged (MeSH), Humans (MeSH), Inappropriate Prescribing (MeSH), Inservice Training (MeSH), Nursing Homes (MeSH), Nursing Staff (education), Pilot Projects (MeSH), Program Development (MeSH), Psychotherapy (methods), Psychotropic Drugs (MeSH), Quality Improvement (MeSH), United Kingdom (MeSH).
- MESH :
- chemical : Psychotropic Drugs.
- education : Nursing Staff.
- methods : Behavior Control, Psychotherapy.
- therapy : Behavioral Symptoms, Dementia.
- Aged, Homes for the Aged, Humans, Inappropriate Prescribing, Inservice Training, Nursing Homes, Pilot Projects, Program Development, Quality Improvement, United Kingdom.
Abstract
This article describes a 6-month pilot project in which a community mental health team provided a dementia inreach service into 4 care homes in Birmingham, UK. The project included analysis of the impact of the service at the end of the project as well as a literature review of dementia care in care homes, and especially the issue of antipsychotic medication use and non-pharmacological approaches in managing behavioural and psychological symptoms of dementia (BPSD). The project included training care home staff in the management of BPSD; 2 questionnaires distributed at the beginning of the project found that 65% of care home staff felt a need for education and awareness, practical problem-solving and counselling in managing BPSD. Self-reported knowledge of common mental health problems and dementia increased in care home staff at the end of the project by a margin of 7% and 11% respectively. Reported confidence in managing behavioural problems increased by 9% among care home staff at the end of the project. The project achieved regular monitoring of psychotropic medications, and enabled the discharge of 14 out of 63 existing patients in the selected homes. The project also provided guidance for non-pharmacological techniques for management of BPSD, which included relaxation techniques, distraction techniques, reality orientation, reminiscence work, needs led therapy, music therapy, person-centred approach and behaviour therapy.
DOI: 10.12968/bjcn.2011.16.9.441
PubMed: 22067954
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term>
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<term>Homes for the Aged (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Inappropriate Prescribing (MeSH)</term>
<term>Inservice Training (MeSH)</term>
<term>Nursing Homes (MeSH)</term>
<term>Nursing Staff (education)</term>
<term>Pilot Projects (MeSH)</term>
<term>Program Development (MeSH)</term>
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<term>United Kingdom (MeSH)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Amélioration de la qualité (MeSH)</term>
<term>Contrôle du comportement (méthodes)</term>
<term>Démence (thérapie)</term>
<term>Formation en interne (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Maisons de repos (MeSH)</term>
<term>Maisons de retraite médicalisées (MeSH)</term>
<term>Mise au point de programmes (MeSH)</term>
<term>Personnel infirmier (enseignement et éducation)</term>
<term>Prescription inappropriée (MeSH)</term>
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<term>Psychoanaleptiques (MeSH)</term>
<term>Psychothérapie (méthodes)</term>
<term>Royaume-Uni (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Symptômes comportementaux (thérapie)</term>
</keywords>
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<keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Nursing Staff</term>
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<keywords scheme="MESH" qualifier="enseignement et éducation" xml:lang="fr"><term>Personnel infirmier</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Behavior Control</term>
<term>Psychotherapy</term>
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<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Contrôle du comportement</term>
<term>Psychothérapie</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Behavioral Symptoms</term>
<term>Dementia</term>
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<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Démence</term>
<term>Symptômes comportementaux</term>
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<term>Homes for the Aged</term>
<term>Humans</term>
<term>Inappropriate Prescribing</term>
<term>Inservice Training</term>
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<term>Prescription inappropriée</term>
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<front><div type="abstract" xml:lang="en">This article describes a 6-month pilot project in which a community mental health team provided a dementia inreach service into 4 care homes in Birmingham, UK. The project included analysis of the impact of the service at the end of the project as well as a literature review of dementia care in care homes, and especially the issue of antipsychotic medication use and non-pharmacological approaches in managing behavioural and psychological symptoms of dementia (BPSD). The project included training care home staff in the management of BPSD; 2 questionnaires distributed at the beginning of the project found that 65% of care home staff felt a need for education and awareness, practical problem-solving and counselling in managing BPSD. Self-reported knowledge of common mental health problems and dementia increased in care home staff at the end of the project by a margin of 7% and 11% respectively. Reported confidence in managing behavioural problems increased by 9% among care home staff at the end of the project. The project achieved regular monitoring of psychotropic medications, and enabled the discharge of 14 out of 63 existing patients in the selected homes. The project also provided guidance for non-pharmacological techniques for management of BPSD, which included relaxation techniques, distraction techniques, reality orientation, reminiscence work, needs led therapy, music therapy, person-centred approach and behaviour therapy.</div>
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