Behavioral and Psychological Symptoms of Dementia at the End of Life: An Integrated Palliative Care Approach
Challenging clinical care needs for palliative and end of life patients and their families
In addition to progressive cognitive and functional decline, up to 80 percent of patients with dementia present with noncognitive neuropsychiatric or behavioral and psychological symptoms (BPSD). This presentation will demonstrate a practical, clinical approach to assessment and management of behavioral issues in late stage dementia and end of life. Assessment of pain and symptom behaviors in the cognitively impaired patient will be discussed. An integrated framework of psychosocial, behavioral, and pharmacologic interventions will be emphasized.
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1) To demonstrate the spectrum of cognitive dysfunction and non-cognitive neuropsychiatric or behavioral and psychological symptoms (BPSD) in the elderly and late life.
2) To illustrate a practical, clinical approach to assessment and management of behavioral issues in late stage dementia and the end of life.
3) To integrate a framework of psychosocial, behavioral and pharmacologic interventions, including a sequential drug treatment algorithm for BPSD.
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