Non-Pharmacological Interventions in Dementia with Lewy Bodies

Lewy Cisimcikli Demansta İlaç Dışı Girişimler
  • It is important to train caregivers about probable behavioral problems. If not treated, these problems tend to increase, and therefore preventive treatments (e.g. Environmental and behavioral modification techniques) and early diagnosis are important.
  • Determine the triggers for behaviors and eliminate them. For instance: Pain, fear, hallucinations, delusions or specific environmental triggers…
  • Pain is a common trigger in patients who cannot utter their needs. Moreover, many sources of pain have no indications. Empirical treatment via simple analgesics (painkillers) is frequently an effective first-step treatment.
  • Non-pharmacological interventions, which increase social interactions, eliminate triggers and offer comfort, are effective. For instance, dementia patients at British patient care facilities have an interaction period less than two minutes at 6-hour intervals, and even the short periods that increase this interaction significantly reduces agitation.
  • The customized consultancy and training of caregivers have an effect size of 0.34 in the reduction of agitation, in comparison to pharmacological treatments.

Many behavioral disorder patients limit themselves at patient care facilities; it is usually appropriate to wait and observe carefully.

KAYNAK:
Boot, B. P., McDade, E. M., McGinnis, S. M., & Boeve, B. F. (2013). Treatment of dementia with lewy bodies. Current treatment options in neurology15(6), 738–764. https://doi.org/10.1007/s11940-013-0261-6

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