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Dr Himalee Abeya

DEMYSTIFYING BPSD (Behavioural and Psychological Symptoms of dementia) AND THE ROLE OF DBMAS & BASIS. Dr Himalee Abeya. Dementia. B PSD. A ctivities of daily living. C ognitive deficits. Behavioural and Psychological Symptoms of Dementia:

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Dr Himalee Abeya

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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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