Response to Managing Behavioral Disturbances in Progressive Dementia- Common Symptoms and Treatment Options
Hello Jessica Kofman,
This is a great post, Jessica. Agree with you; the disturbances that come along with progressive dementia, such as memory lapses, can be managed using non-pharmacological approaches. However, in this case, approaches such as using Post-it notes and organizing the patient’s spaces can only be effective if the patient has enough and readily available social support. Additionally, the immediate social contacts and environment, such as the family, can help the dementia patient manage their life and live satisfactorily throughout their illness. Accordingly, home-cared dementia patients, even if they have access to the recommended medications, can greatly benefit from a supportive social environment such as family members or qualified social workers. According to Kims et al. (2020), social support has been shown to have an impact on depression, loneliness, and the ability to engage in activities of daily living in older adults with dementia.
Hello Darrel J,
Thank you, Darrel. This is a very informative post. As you have noted, behavioral disturbances are common and the most feared disorders accompanying progressive dementia. Most of these behavioral disorders predispose the patient and the caregiver to a lot of pressure, leading to hospitalization. I agree with you; non-pharmacological interventions should be considered before prescribing medications. Medications, due to their side effects, can worsen behavioral disturbances. Before considering whether to use non-pharmacological or any pharmacological interventions, independently or combined, it is essential to consider the predisposing and precipitating factors that influence the development of such behavioral disturbances. Understanding such factors can help structure the best-fit approach to manage such behavioral disturbances and ensure the safety of both the patient and the caregivers. According to Livingston et al. (2020), most of the risk factors for dementia and related behavioral outcomes can be modifiable. They can be prevented or delayed with cost-effective approaches that can greatly improve the quality of life for the patient and caregivers.
References
Kim, S., Choe, K., & Lee, K. (2020). Depression, loneliness, social support, activities of daily living, and life satisfaction in older adults at high risk of dementia. International journal of environmental research and public health, 17(24), 9448.
Livingston, G., Huntley, J., Sommerlad, A., Ames, D., Ballard, C., Banerjee, S., & Mukadam, N. (2020). Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. The Lancet, 396(10248), 413-446.
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Question 
A Minimum of (2) two Peer Posts, at least one on a different day than the initial post. Responding to your instructor is not considered a peer response. If the instructor asks you a question, you must answer the question to receive full credit
Length: A minimum of 150 words per post, not including references
Citations: At least one high-level scholarly reference in APA per post from within the last 5 years
1. Jessica Kofman,
Mrs. William’s daughter is concerned about the behavioral disturbances that can be associated with progressive dementia. Discuss at least two disturbances associated with progressive dementia and their treatment recommendations. Please provide one medication and a trade and generic name for each of the behavioral disturbances you list.
Response to Managing Behavioral Disturbances in Progressive Dementia- Common Symptoms and Treatment Options
Disease progression is characterized by disturbances seen throughout the early, middle, and late stages. On such disturbance associated with progressive dementia is memory lapses, such as forgetting familiar words or the location of everyday objects. Treatment recommendations include keeping an organized environment that supports healthy habits and measures to reduce error. Examples include having a designated place to store valuable items such as car and house keys. Keeping a pill organizer box for medications with labels on what days/times to take designated drugs. Post-it notes should be used on visible areas such as the fridge or bathroom mirror and/or any frequently utilized areas in one’s daily routine. Focusing on healthy routines, including a daily exercise program such as walking or performing aerobic stretches along with eating sustainable foods with quality nutrients, are essential measures for helping to sustain energy and overall mood. Galantamine is one such medication used to treat mild to moderate forms of dementia. It is also known as Reminyl, which is its familiar brand name. Other associated disturbances with progressive dementia are confusion, frustration, and anger. This is a more moderate form of dementia that can buffered by aiding in participation in daily activities and finding ways to simplify tasks. Donepezil (also known as Aricept) is a recommended drug treatment for the following disturbance.
2. Darrel J