Practical recommendations on preventing aggression in dementia patients by screening for and treating predictive factors.

Modern Medicine

Geriatrics
Persons with dementia often present with non-cognitive clinical symptoms, such as aggression, which can be distressing and dangerous to both caregiver and patient. Depression, pain, caregiver burden, and the quality of the caregiver-patient relationship can contribute to the onset of aggression. Given the risks involved with medication, there is a strong need for preventive and nonpharmacological interventions before such behaviors occur. This article gives practical recommendations for primary care physicians on how to prevent aggression in dementia patients by screening for and treating predictive factors. Clinically useful assessment instruments and treatment options are discussed, in addition to referral sources.
Nguyen VT, Love AR, Kunik ME. Preventing aggression in persons with dementia. Geriatrics. 2008;63(10)21-26.
Key words: aggression, dementia, geriatric assessment, pain, depression, caregiver, psychotherapy
Drugs discussed: acetaminophen, citralopram, sertraline
Dementia is a major public health concern, especially with the growing aging population. The incidence of dementia increases with age, and it was estimated to affect 24.3 million individuals worldwide in 2005 and predicted to rise to 81.1 million by 2040.1
Dementia is a multidimensional...read the whole article