Please forward this error screen to 66. It is increasingly recognised that pharmacological treatments for dementia should be used as a second-cognitive rehabilitation an integrative neuropsychological approach pdf approach and that non-pharmacological options should, in best practice, be pursued first.
This review examines current non-pharmacological approaches. It highlights the more traditional treatments such as behavioural therapy, reality orientation and validation therapy, and also examines the potential of interesting new alternative options such as cognitive therapy, aromatherapy and multisensory therapies. The current literature is explored with particular reference to recent research, especially randomised controlled trials in the area. Although many non-pharmacological treatments have reported benefits in multiple research studies, there is a need for further reliable and valid data before the efficacy of these approaches is more widely recognised.
Effective behavioral interventions for decreasing dementia-related challenging behavior in nursing homes. A randomized trial of a combined physical activity and environmental intervention in nursing home residents: do sleep and agitation improve? Reality orientation and reminiscence therapy. Aromatherapy as a safe and effective treatment for the management of agitation in severe dementia: the results of a double-blind, placebo-controlled trial with Melissa. Validation therapy with the demented elderly. Snoezelen and the care of older persons with dementia. Descriptive analysis of multiple response topographies of challenging behavior across two settings.
Effects of individualized versus classical “relaxation” music on the frequency of agitation in elderly persons with Alzheimer’s disease and related disorders. Bright light therapy and melatonin in motor restless behaviour in dementia: a placebo-controlled study. Cognitive therapy as a tool for caring for the elderly confused person. Effects of music on Alzheimer patients. Prevalence and pharmacological management of behavioural and psychological symptoms amongst dementia sufferers living in care environments.
A critique of research on the use of activities with persons with Alzheimer’s disease: a systematic literature review. Treatment of vocally disruptive behaviour of multifactorial aetiology. Can staff training reduce behavioural problems in residential care for the elderly mentally ill? A 2-year longitudinal study of depression among Alzheimer’s caregivers. Traditionally, cognitive problems have been the main focus of interest in treatment and research for people with dementia. It is becoming increasingly recognised, however, that a number of common non-cognitive symptoms also provide problems not only for the person with dementia and the carers, but also in relation to clinical management.