PMID- 22067954
OWN - NLM
STAT- MEDLINE
DCOM- 20111213
LR  - 20161125
IS  - 1462-4753 (Print)
IS  - 1462-4753 (Linking)
VI  - 16
IP  - 9
DP  - 2011 Sep
TI  - Non-pharmacological management of behavioural symptoms of dementia.
PG  - 441-9
AB  - 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.
FAU - Khan, Farooq
AU  - Khan F
AD  - Black Country Partnerships NHS Trust . farooqkhandr@gmail.com
FAU - Curtice, Martin
AU  - Curtice M
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PL  - England
TA  - Br J Community Nurs
JT  - British journal of community nursing
JID - 9815827
RN  - 0 (Psychotropic Drugs)
MH  - Aged
MH  - Behavior Control/*methods
MH  - Behavioral Symptoms/*therapy
MH  - Dementia/*therapy
MH  - *Homes for the Aged
MH  - Humans
MH  - Inappropriate Prescribing
MH  - Inservice Training
MH  - *Nursing Homes
MH  - Nursing Staff/education
MH  - Pilot Projects
MH  - Program Development
MH  - Psychotherapy/*methods
MH  - Psychotropic Drugs
MH  - *Quality Improvement
MH  - United Kingdom
EDAT- 2011/11/10 06:00
MHDA- 2011/12/14 06:00
CRDT- 2011/11/10 06:00
PHST- 2011/11/10 06:00 [entrez]
PHST- 2011/11/10 06:00 [pubmed]
PHST- 2011/12/14 06:00 [medline]
AID - 10.12968/bjcn.2011.16.9.441 [doi]
PST - ppublish
SO  - Br J Community Nurs. 2011 Sep;16(9):441-9. doi: 10.12968/bjcn.2011.16.9.441.