Pharmacological versus non-pharmacological approaches to managing challenging behaviours for people with dementia

British Journal of Community Nursing

Volumn 19, Issue 2, 2014, Pages 72-77

  Hungerford, Catherine ^a   Jones, Tony ^b   Cleary, Michelle ^c  

^a UNIVERSITY OF CANBERRA   (Australia)

^b Dementia Behaviour Management Advisory Service Alzheimer's ACT   (Australia)

^c UNIVERSITY OF WESTERN SYDNEY   (Australia)

Author keywords

Antipsychotic drugs; Behavioural and psychological symptoms of dementia; Dementia; Non pharmacological interventions; Nursing; Reflective practice

Indexed keywords

NEUROLEPTIC AGENT;

ANAMNESIS; ARTICLE; AUSTRALIA; CAREGIVER; COMMUNITY HEALTH NURSING; DEMENTIA; FEMALE; HUMAN; MALE; NURSING; ORGANIZATION AND MANAGEMENT; PATIENT EDUCATION; PSYCHOLOGICAL ASPECT;

ANTIPSYCHOTIC AGENTS; AUSTRALIA; CAREGIVERS; COMMUNITY HEALTH NURSING; DEMENTIA; FEMALE; HUMANS; MALE; MEDICAL HISTORY TAKING; PATIENT EDUCATION AS TOPIC;

EID: 84899566088     PISSN: 14624753     EISSN: None     Source Type: Journal    
DOI: 10.12968/bjcn.2014.19.2.72     Document Type: Article

References (58)

1. Australian Bureau of Statistics. (2004) Disability, ageing and carers, Australia: summary of findings, 2003. http://tinyurl.com/no2h8wa (accessed 27 November 2013)
2. Australian Government (2012) Medicare Home Medicines Review (HMR). http://tinyurl.com/qdrrzen (accessed 27 November 2013)
3. Australian Institute of Health and Welfare (2012). Dementia in Australia. http://tinyurl.com/ouozzcm (accessd 27 November 2013)
4. Ballard C (2006) Behavioural uutcomes. In: Rockwood K, Gauthier S, eds. Trial Designs and Outcomes in Dementia Therapeutic Research. Taylor & Francis, Oxon. pp. 135-48
5. Ballard C, Waite J, Birks J (2006) Atypical antipsychotics for aggression and psychosis in Alzheimer's disease. Cochrane Database of Systematic Reviews 1: CD003476
6. Banerjee S (2009). The Use of Antipsychotic Medication for People with Dementia: Time for Action. Department for Health, London. http://tinyurl.com/ pmxvufp (accessed 27 November 2013)
7. Barrow S, Harrison RA (2005). Unsung heroes who put their lives at risk? Informal caring, health and neighbourhood attachment. J Public Health 27(3): 292-7
8. Bird M, Llewellyn-Jones RH, Korten A (2009). An evaluation of the effectiveness of a case-specific approach to challenging behaviour associated with dementia. Aging Ment Health 13(1): 73-83
9. Bridges-Webb C, Giles B, Speechly C, Zurynski Y, Hiramanek N (2006) Patients with dementia and their carers in general practice. Aust Fam Physician 35(11): 923-4
10. Brodaty H, Low LF (2004) Making memories: pilot evaluation of a new program for people with dementia and their caregivers. Austral J Ageing 23(3): 144-6
11. Brodaty H, Draper B, Low L (2003a) Behavioural and psychological symptoms of dementia: a seven-tiered model of service delivery. Med J Aust 178(5): 231-4
12. Brodaty H, Green A, Koschera A (2003b) Meta-analysis of psychosocial inter ventions for caregivers of people with dementia. J Am Geriatr Soc 51(5): 657-64
13. Corbett A, Stevens, J, Aarsland D et al (2012) Systematic review of services providing information and/or advice to people with dementia and/or their caregivers. Int J Geriatr Psychiatry 27(6): 628-36
14. Dementia Behaviour Management Advisory Services (DBMAS) (2012) Dementia Behaviour Advisory Services: an Australian Government initiative. http://dbmas.org.au
15. Department of Health and Ageing (2013. Dementia. http://tinyurl.com/ o7u5umu (accessed 27 November 2013)
16. Feil NW (1967) Group therapy in a home for the aged. Gerontologist 7(3): 192-5.
17. Gallagher-Thompson D, Tzuang YM et al (2012) International perspectives on nonpharmacological best practices for dementia family caregivers: a review. Clin Gerontologist 35(4): 316-55
18. Gormley N, Lyons D, Howard R (2001) Behavioural management of aggression in dementia: a randomized controlled trial. Age Ageing 30(2): 141-5
19. Guerra SR, Mendes ÁF, Figueiredo DM, Sousa LX (2012) ProFamilies-dementia: a programme for elderly people with dementia and their families. Dementia 11(5): 589-96
20. Haight BK, Bachman DL, Hendrix S, Wagner MT, Meeks A, Johnson J (2003) Life review: treating the dyadic family unit with dementia. Clin Psychol Psychother 10(3): 165-74
21. Herrmann N (2005) Some psychosocial therapies may reduce depression, aggression, or apathy in people with dementia: commentary. Evidence-Based Mental Health 8(4): 104
22. Hicks-Moore SL, Robinson BA (2008) Favorite music and hand massage: two interventions to decrease agitation in residents with dementia. Dementia 7(1): 95-108
23. Holt FE, Birks TPH, Thorgrimsen LM, Spector AE, Wiles A, Orrell M (2009). Aroma therapy for dementia. Cochrane Database Syst Rev 1, 1-20, CD003150
24. Jean L, Bergeron ME, Thivierge S, Simard M (2010) Cognitive intervention programs for individuals with mild cognitive impairment: systematic review of the literature. Am J Geriatr Psychiatry 18(4): 281-96
25. Johnston J, Paley G (2013) Mirror mirror on the ward: who is the unfairest of them all? Reflections on reflective practice group in acute psychiatric setting. Psychoanalytic Psychother 27(2): 170-86
26. Jones E (2008) Reflective practice in dementia care. J Dementia Care 16(2): 19-20
27. Karpa J, Chernomas W (2013) Nurse educator's perspectives on student development of reflection of psychiatric mental health nursing practice. Int J Nurs Educ Scholarsh 10(1): 40.
28. Keady J, Jones L (2010) Investigating the causes of behaviours that challenge in people with dementia. Nurs Older People 22(9): 25-9
29. Khan F, Curtice M (2011) Non-pharmacological management of behavioural symptoms of dementia. Br J Community Nurs 16(9): 441-9
30. Klages K, Zecevic A, Orange JB, Hobson S (2011) Potential of Snoezelen room multisensory stimulation to improve balance in individuals with dementia: a feasibility randomized controlled trial. Clin Rehabil 25(7): 607-16
31. Koger SM, Brotons M (2000) Music therapy for dementia symptoms. Cochrane Database Systematic Rev 2: CD001121
32. Kolanowski A, Fick D, Waller JL, Ahern F (2006) Outcomes of antipsychotic drug use in community-dwelling elders with dementia. Arch Psychiatr Nurs 20(5): 217-25
33. Laitinen ML, Bell JS, Lavikainen P, Lönnroos E, Sulkava R, Hartikainen S (2011) Nationwide study of antipsychotic use among community-dwelling persons with Alzheimer's disease in Finland. Int Psychogeriatr 23(10): 1623-31
34. Lin Y, Chu H, Yang C, Chen C (2011) Effectiveness of group music intervention against agitated behaviour in elderly persons with dementia. J Geriatr Psychiatry 26(7): 670-8
35. Liu-Ambrose T, Donaldson MG (2009) Exercise and cognition in older adults: is there a role for resistance training programmes? Br J Sports Medicine 43(1): 25-7
36. McCurry SM, Gibbons LE, Logsdon RG, Vitiello MV, Teri L (2005) Nighttime insomnia treatment and education for Alzheimer's disease: a randomized, controlled trial. J Am Geriatr Soc 53(5): 793-802
37. National Health and Hospitals Reform Commission (2009) A Healthier Future for All Australians. Attorney-General's Department. http://tinyurl.com/nvquzyj (accessed 27 November 2013)
38. Neal M, Briggs M (2003) Validation therapy for dementia. Cochrane Database Syst Rev 3: CD001394
39. Neil W, Bowie P (2008) Carer burden in dementia: assessing the impact of behavioural and psychological symptoms via self-report questionnaire. Int J Geriatr Psychiatry 23(1): 60-4
40. Neil W, Curran S, Wattis J (2003) Antipsychotic prescribing in older people. Age Ageing 32(5): 475-83
41. NSW Health (2011) NSW Dementia Services Framework, 2010-2015. http://tinyurl.com/pflo8xn (accessed 27 November 2013)
42. Patton D (2006) Reality orientation: its use and effectiveness within older person mental health care. J Clin Nurs 15(11): 1440-9
43. Reid J, Lloyd C, de Groot J (2005) The psychoeducation needs of parents who have an adult son or daughter with a mental illness. Australian e-Journal for the Advancement of Mental Health 4(2): 1-13
44. Rinaldi P, Spazzafumo L, Mastriforti R et al (2005) Predictors of high level of burden and distress in caregivers of demented patients: results of an Italian multicenter study. Int J Geriatr Psychiatry 20(2): 168-74
45. Robinson L, Hutchings D, Corner L et al (2006) A systematic literature review of the effectiveness of non-pharmacological interventions to prevent wandering in dementia and evaluation of the ethical implications and acceptability of their use. Health Technol Assess 10(26), iii, ix-108
46. Snowdon J, Day S, Baker W (2005) Why and how antipsychotic drugs are used in 40 Sydney nursing homes. Int J Geriatr Psychiatry 20(12): 1146-52
47. Snyder M, Tseng YH, Brandt C et al (2001) A glider swing intervention for people with dementia. Geriatr Nurs 22(2): 86-90
48. Spector A, Davies S, Woods B, Orrell M (2000) Reality orientation for dementia: a systematic review of the evidence of effectiveness from randomized controlled trials. Gerontologist 40(2): 206-12
49. Stallings JW (2010) Collage as a therapeutic modality for reminiscence in patients with dementia. Art Therapy 27(3): 136-40
50. Stewart E (2004) Art therapy and neuroscience blend: working with patients who have dementia. Art Therapy 21(3): 148-55
51. Taylor B (2010) Reflective Practice for Healthcare Professionals, 3rd edn. Open University Press, Berkshire, U.K.
52. Thomas AJ (2011) Antipsychotic drugs in dementia: a necessary evil? Maturitas 68(2): 109-10
53. Trifirò G (2011) Antipsychotic drug use and community-acquired pneumonia. Curr Infect Dis Rep 13(3): 262-8
54. van der Maarel-Wierink CD, Vanobbergen JNO, Bronkhorst EM, Schols JMGA, de Baat C (2011) Risk factors for aspiration pneumonia in frail older people: a systematic literature review. J Am Med Dir Assoc 12(5): 344-54
55. Vance D (2004) Procedural and emotional religious activity therapy: connecting cognition and affective aspects of Alzheimer's disease. Activities, Adaptation and Aging 29(1): 27-45
56. Wilkinson C, McAndrew S (2008) 'I'm not an outsider, I'm his mother!' A phenomenological enquiry into carer experiences of exclusion from acute psychiatric settings. Int J Ment Health Nurs 17(6): 392-401
57. Woods B, Spector A, Jones C, Orrell M, Davies S (2005) Reminiscence therapy for dementia. Cochrane Database Syst Rev (2): CD001120
58. Zheng L, Mack W, Dagerman K et al (2009) Metabolic changes associated with second-generation antipsychotic use in Alzhiemer's disease patients: the CATIE-AD study. Am J Psychiatry 166(5): 583-90