Psychosocial nursing care for the elderly with Behavioral and Psychological Symptoms of Dementia
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Abstract
The symptoms of Behavioral and Psychological Symptoms of Dementia (BPSD) commonly occur in subjects with dementia at all stage and are often the cause of hospitalization rather than dementia itself. The symptoms are not directly caused by cognitive decline but rather by multi-faceted factors including bio-environmental factors of the patient or caregiver, and side effect of medicines. The predominant symptoms of BPSD are agitation, physical aggression, screaming, repetitive movements, hallucination, sleep disturbance, and apathy. However, many studies have shown empirical proof that psychosocial intervention, without drugs, is a safe and effective BPSD treatment among patients with dementia. The article presents psychosocial activities which is a part of the study of Development of a Psychosocial Nursing Care Model for Elderly with Dementia.
The results yield in reducing aforementioned BPSD symptoms as well as forging meaningful relationships and establishing daily routines such as 1) physical exercise; 2) gardening; 3) brain exercise; 4) reality orientation; and 5) sensory stimulation. Nurses who are responsible for all the patients thus play significant role in providing clinical assessment, diagnosis, planning, intervention implementation, and care evaluation. Moreover, the nurses also coach families of the patients’ to carry over psychosocial activities at home effectively to reduce further adverse impact.
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บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
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