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Understanding BPSD in Dementia: The Role of DBMAS & BASIS

Explore the diverse range of symptoms and behaviors in dementia patients, and the importance of managing BPSD for improved quality of life. Learn about DBMAS and BASIS services, nonpharmacological therapies, and effective behavioral management techniques.

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Understanding BPSD in Dementia: The Role of DBMAS & BASIS

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  1. DEMYSTIFYING BPSD (Behavioural and Psychological Symptoms of dementia)AND THE ROLE OF DBMAS & BASIS Dr Himalee Abeya

  2. Dementia BPSD Activities of daily living Cognitivedeficits Behavioural and Psychological Symptoms of Dementia: A heterogeneous range of psychological reactions, psychiatric symptoms and behaviours resulting from the presence of dementia

  3. What is BPSD • "Symptoms of disturbed perception, thought content, mood, behaviour frequently occurring in patients with dementia".

  4. Symptoms of BPSD On Interview: • Anxiety • depression, • hallucinations • delusions Behavioural observation: • Aggression, Screaming • Restlessness, Agitation • Wandering • Culturally-inappropriate behaviours • Sexual disinhibition • Hoarding • Cursing

  5. Why Are BPSD Important? • They result in: • excess disability • increased hospitalization • premature institutionalization • suffering for patient and caregiver • substantial increase in financial costs Finkel 1996

  6. Behaviour Assessment and Intervention Service (BASIS) • A service that assesses and establishes behaviour management plans for people with severe and persistent BPSD/MI. • It is for people over the age of 65, or for those under 65 years who also have age related issues.

  7. Dementia Behaviour Management Advisory Service (DBMAS) • Australian Government initiative • aims at helping people living in the community or in aged care facilities with severe and persistent BPSD. • NSCCAHS DBMAS Clinical Nurse Consultants (CNC), utilise a person centred evidence based approach to the assessment and management of BPSD.

  8. BPSD: Nonpharmacologic Therapy • Environmental modifications such as music, white noise, plants, animals • Speak slowly, keep commands simple and positive, use gestures, gentle touch • Behavioral management techniques • Structured activities and use of schedules • Massage, exercise

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