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Psychiatric Disorders Late in Life pp 329–344Cite as

Special Management Problems

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Abstract

More than two-thirds of individuals with dementia experience behavioral and psychological symptoms of dementia (BPSD) including wandering, sundowning, shadowing, hoarding, aggression, stubbornness and uncooperativeness with care, inappropriate sexual behavior, and repetitive and vocally disruptive behaviors. These behaviors can pose a significant health and safety risk to the older adults as well as to their caregivers. Due to the adverse risk of psychotropic medications in the older adults, individualized non-pharmacological interventions are preferred treatments based on patient-specific history and the needs of the caregivers. In this chapter we review in detail the different management problems in older adults especially among those individuals with dementia.

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Authors and Affiliations

  1. Department of Nursing, The MetroHealth System, Cleveland, OH, USA

    Rosanne M. Radziewicz MSN, APRN-CNS. & Cheryl Bradas PhDc, APRN, CHPN, CNRN

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  1. Rosanne M. Radziewicz MSN, APRN-CNS.
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Correspondence to Rosanne M. Radziewicz MSN, APRN-CNS. .

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Editors and Affiliations

  1. Professor of Psychiatry, Case Western Reserve University School of Medicine, Vice Chairman for Education and Faculty Development, Residency Program Director and Chief of Geriatric Psychiatry, MetroHealth, Cleveland, Ohio, USA

    Rajesh R. Tampi

  2. Executive Vice President, Clinical Services, Diamond Healthcare, Richmond, Virginia, USA

    Deena J. Tampi

  3. Associate Clinical Professor of Psychiatry, University of Wisconsin School of Medicine and Public Health Program Director, Geriatric Psychiatry Fellowship, Madison, Wisconsin, USA

    Lisa L. Boyle

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Radziewicz, R.M., Bradas, C. (2018). Special Management Problems. In: Tampi, R., Tampi, D., Boyle, L. (eds) Psychiatric Disorders Late in Life. Springer, Cham. https://doi.org/10.1007/978-3-319-73078-3_30

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