Assessment of BPSD Rajesh Tampi , MD Professor of Psychiatry

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Presentation transcript:

Assessment of BPSD Rajesh Tampi , MD Professor of Psychiatry Case Western Reserve University School of Medicine

Obtaining important collateral information Collateral information from caregivers and/or family members Robert PH,et al. Grouping for behavioral and psychological symptoms in dementia: clinical and biological aspects. Consensus paper of the European Alzheimer disease consortium. Eur Psychiatry. 2005;20(7):490-6.

Obtaining important collateral information Onset Course Differential diagnosis Risk and prognosis Collateral information from caregivers and/or family members Robert PH,et al. Grouping for behavioral and psychological symptoms in dementia: clinical and biological aspects. Consensus paper of the European Alzheimer disease consortium. Eur Psychiatry. 2005;20(7):490-6.

Obtaining important collateral information Environmental triggers Psychosocial stressors Collateral information from caregivers and/or family members Robert PH,et al. Grouping for behavioral and psychological symptoms in dementia: clinical and biological aspects. Consensus paper of the European Alzheimer disease consortium. Eur Psychiatry. 2005;20(7):490-6.

Rule out medical causes Pain syndromes Dehydration Urinary tract infections Robert PH,et al. Grouping for behavioral and psychological symptoms in dementia: clinical and biological aspects. Consensus paper of the European Alzheimer disease consortium. Eur Psychiatry. 2005;20(7):490-6.

Rule out medical causes Pain syndromes Dehydration Urinary tract infections Effective evaluation and management Reduction in frequency and severity of BPSD Robert PH,et al. Grouping for behavioral and psychological symptoms in dementia: clinical and biological aspects. Consensus paper of the European Alzheimer disease consortium. Eur Psychiatry. 2005;20(7):490-6.

Use of standardized assessments Used for: Rating severity Tracking progression of BPSD over time Monitoring response to treatment Jeon YH, Sansoni J, Low LF, et al. Recommended measures for the assessment of behavioral disturbances associated with dementia. Am J Geriatr Psychiatry. 2011 May;19(5):403-15.

Use of standardized assessments Examples NPI: Neuropsychiatric Inventory BEHAVE-AD: Behavioral Pathology in Alzheimer’s Disease Rating Scale CERAD-BRSD: Consortium to Establish a Registry for AD- Behavior Rating Scale for Dementia DBSS: Dementia Behavior Disturbance Scale Jeon YH, Sansoni J, Low LF, et al. Recommended measures for the assessment of behavioral disturbances associated with dementia. Am J Geriatr Psychiatry. 2011 May;19(5):403-15.

Use of standardized assessments Examples NPI: Neuropsychiatric Inventory BEHAVE-AD: Behavioral Pathology in Alzheimer’s Disease Rating Scale CERAD-BRSD: Consortium to Establish a Registry for AD- Behavior Rating Scale for Dementia DBSS: Dementia Behavior Disturbance Scale (Most popular and reliable assessment tool ) Jeon YH, Sansoni J, Low LF, et al. Recommended measures for the assessment of behavioral disturbances associated with dementia. Am J Geriatr Psychiatry. 2011 May;19(5):403-15.