MD, CCFP, FRCPC
Division of Geriatric Psychiatry, Glenrose Rehabilitation Hospital and Consultant Psychiatrist, Continuing Care Psychiatric Consult Services
Dr. William Chimich is a geriatric psychiatrist at the Glenrose Rehabilitation Hospital. He also consults to the Continuing Care Psychiatric Consulting Service. He is an Associate Clinical Professor at the University of Alberta. His clinical interests include mood disorders, spirituality in the elderly, and end of life care.
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.
3 Learning Objectives
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.