PMID- 30386856 OWN - NLM STAT- MEDLINE DCOM- 20190115 LR - 20190115 IS - 2737-5935 (Electronic) IS - 0037-5675 (Print) IS - 0037-5675 (Linking) VI - 59 IP - 10 DP - 2018 Oct TI - Managing challenging behaviours in dementia. PG - 514-518 LID - 10.11622/smedj.2018125 [doi] AB - Dementia is a condition marked by the progressive and irreversible clinical syndrome of cognitive decline that is eventually severe enough to interfere with daily living. Management of dementia is often complex and requires a multidisciplinary approach. This article discusses the behavioural and psychological symptoms of dementia (BPSD), such as agitation, insomnia, restlessness, hallucinations, anxiety and depressed mood, for which patients and their caregivers commonly seek medical advice from their primary care clinician. These symptoms can cause significant distress to patients, their families and caregivers, and may even lead to the patient being prematurely institutionalised. Management consists of assessment of BPSD and supporting the needs of the family, especially those of the caregiver, and can be both non-pharmacological and pharmacological. CI - Copyright: (c) Singapore Medical Association. FAU - Ooi, Chun How AU - Ooi CH AD - Department of Geriatric Medicine, Changi General Hospital, Singapore. FAU - Yoon, Peng Soon AU - Yoon PS AD - Department of Geriatric Medicine, Changi General Hospital, Singapore. FAU - How, Choon How AU - How CH AD - Care and Health Integration, Changi General Hospital, Singapore. AD - Family Medicine Academic Clinical Programme, SingHealth Duke-NUS Academic Medical Centre, Singapore. FAU - Poon, Ngar Yee AU - Poon NY AD - Department of Psychological Medicine, Changi General Hospital, Singapore. LA - eng PT - Journal Article PL - India TA - Singapore Med J JT - Singapore medical journal JID - 0404516 SB - IM MH - Aged MH - Aging MH - Anxiety/complications MH - Caregivers MH - Dementia/*complications/*psychology/therapy MH - Depression/complications MH - Hallucinations/complications MH - Humans MH - Mental Disorders/*complications/therapy MH - Primary Health Care/*methods MH - Sleep Initiation and Maintenance Disorders/complications PMC - PMC6199192 OTO - NOTNLM OT - behavioural symptoms OT - dementia OT - neurocognitive disorders OT - primary health care OT - treatment and management EDAT- 2018/11/06 06:00 MHDA- 2019/01/16 06:00 PMCR- 2018/10/01 CRDT- 2018/11/03 06:00 PHST- 2018/11/03 06:00 [entrez] PHST- 2018/11/06 06:00 [pubmed] PHST- 2019/01/16 06:00 [medline] PHST- 2018/10/01 00:00 [pmc-release] AID - j59/10/514 [pii] AID - SMJ-59-514 [pii] AID - 10.11622/smedj.2018125 [doi] PST - ppublish SO - Singapore Med J. 2018 Oct;59(10):514-518. doi: 10.11622/smedj.2018125.