Dr Miriam Stoppard revealed: “Patients with depression, excitability and aggression can benefit from early intervention and non-drug treatments that can yield real results for loved ones.
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Anyone who knows someone with dementia understands that the most distressing aspect of the condition is the psychiatric symptoms such as depression, anxiety, and agitation.
A review published in 2015 found that up to 90% of patients with dementia living at home have these symptoms.
They are important to recognize because they cause distress for caregivers and also mark earlier hospitalizations to nursing homes and earlier impairment of function for people with dementia.
For patients with agitation, aggression and DepressionAccording to Jennifer A Watt and colleagues in Toronto and Denmark, psychological treatments and environmental and social adjustment will yield good results.
Non-pharmacological treatments are equally, if not more effective, than drugs for reducing psychiatric symptoms.
The risk of falls and fractures is a feature of drugs such as antidepressants, so a skilled team should monitor medication administration, educate caregivers, inform and involve to family caregivers and friends, and provide regular medication reviews.
No two patients with dementia will have the same psychiatric symptoms, and they may include behavior as a manifestation of their mental disorder. So, for example, agitation and aggression can manifest as hitting, kicking, fidgeting, and screaming.
Depression can manifest as sadness, slowed movement or speech, early morning awakenings, and delusions.
Anxiety can mean shortness of breath, separation anxiety, and excessive worry or fear that something bad will happen. The disordered movement can lead to walking, restlessness, repetitive performance of the same activities, wandering, frequent nighttime awakenings, and excessive daytime napping.
There are also many factors that can influence a person’s psychiatric symptoms for good and for bad.
When someone feels protected by being in a familiar environment with a familiar caregiver, use glasses and Hearing Aid, and with proper care, the effect is positive.
There are also factors that make patients’ symptoms worse, such as impaired vision or hearing, over- or over-stimulating environments, and caregiver stress.
Psychiatric symptoms may be made worse by pain, hunger, thirst, medication changes, feeling too hot or too cold, and poor sleep.
Not surprisingly, massage and touch therapy nearly always improve symptoms of agitation and aggression.
The NICE guidelines also advise that psychotherapy and mindfulness as first-line therapy rather than medication should be reserved for certain situations that lead to distress or danger. dangerous.
But if the symptoms are causing the person with dementia or their caregivers distress, or potentially endangering themselves or others, medications such as antipsychotics may be needed. .
https://www.mirror.co.uk/lifestyle/health/it-vital-know-psychiatric-symptoms-26436949 'It's important to know the psychiatric symptoms of dementia - including anxiety' - Miriam Stoppard