PMID- 29413393
OWN - NLM
STAT- MEDLINE
DCOM- 20191111
LR  - 20191111
IS  - 1538-9375 (Electronic)
IS  - 1525-8610 (Linking)
VI  - 19
IP  - 2
DP  - 2018 Feb
TI  - The Broken Lens of BPSD: Why We Need to Rethink the Way We Label the Behavior of 
      People Who Live With Alzheimer Disease.
PG  - 177-180
LID - S1525-8610(17)30636-9 [pii]
LID - 10.1016/j.jamda.2017.11.009 [doi]
AB  - For the past 20 years, the behaviors of people who live with dementia (PLWD) that 
      others find challenging or problematic have primarily been ascribed to Alzheimer 
      disease and related dementias and have been assessed through the biomedical lens 
      of Behavioral and Psychological Symptoms of Dementia (BPSD). This has led to the 
      root causes of these behaviors being overlooked, which in turn leaves them 
      unaddressed. Further, using the artificial construct of BPSD has led to many PLWD 
      being inappropriately prescribed (off-label) medications that are largely 
      ineffective in resolving the behaviors because they do nothing to remedy the 
      underlying psychosocial and environmental causes. The fact that many of the 
      behaviors we call BPSD are normal human responses to particular sets of 
      circumstances can be relatively easily demonstrated by directly observing the 
      individual behaviors of PWLD, and putting them in context, as well as by asking 
      ourselves how we would respond under similar conditions. Re-evaluating the use of 
      the construct of BPSD, and replacing it with a person-centered rather than 
      disease-focused approach will result in better care as well as healthier and 
      happier long-term care residents and staff.
CI  - Copyright (c) 2017 AMDA - The Society for Post-Acute and Long-Term Care Medicine. 
      Published by Elsevier Inc. All rights reserved.
FAU - Macaulay, Susan
AU  - Macaulay S
AD  - Quebec, Canada. Electronic address: susan@myalzheimersstory.com.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Am Med Dir Assoc
JT  - Journal of the American Medical Directors Association
JID - 100893243
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Alzheimer Disease/*diagnosis
MH  - Behavioral Symptoms/*diagnosis
MH  - Geriatric Assessment/*methods
MH  - Humans
MH  - *Neuropsychological Tests
MH  - *Symptom Assessment
OTO - NOTNLM
OT  - Alzheimer disease
OT  - BPSD
OT  - antipsychotics
OT  - behavior
EDAT- 2018/02/08 06:00
MHDA- 2019/11/12 06:00
CRDT- 2018/02/08 06:00
PHST- 2017/11/07 00:00 [received]
PHST- 2017/11/08 00:00 [accepted]
PHST- 2018/02/08 06:00 [entrez]
PHST- 2018/02/08 06:00 [pubmed]
PHST- 2019/11/12 06:00 [medline]
AID - S1525-8610(17)30636-9 [pii]
AID - 10.1016/j.jamda.2017.11.009 [doi]
PST - ppublish
SO  - J Am Med Dir Assoc. 2018 Feb;19(2):177-180. doi: 10.1016/j.jamda.2017.11.009.