A systematic review of appropriateness and effectiveness of management strategies used for the Behavioural and Psychological Symptoms of Dementia in the residential care setting.

M. Kowald, Melissa Saliba
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Abstract

Review question/objective The aim of this review is to identify and synthesise the best available evidence of the appropriateness and effectiveness of different strategies used to manage Behavioural and Psychological Symptoms of Dementia (BPSD) in the residential care setting. What is the appropriateness of different strategies used to manage Behavioural and Psychological Symptoms of Dementia (BPSD) in the residential care setting? What is the effectiveness of different strategies used to manage Behavioural and Psychological Symptoms of Dementia (BPSD) in the residential care setting? Inclusion criteria Types of participants This review will consider studies that look specifically at people who reside in Residential Aged Care Facilities (RACFs) who exhibit the behavioural and psychological symptoms of dementia in all of their forms. The behaviours only need to require management to be of interest to this study. The participants of interest for this review will be people 65 years and older, regardless of gender, ethnicity, co-morbidities. This will not include acute psycho-geriatric inpatient studies as these studies do not fit with the residential aged care model and are more akin to acute psychiatric care areas. For this systematic review, the following definitions will be used: Residential Aged Care Facilities (RACFs) are defined as a facility which has been subsidised and sanctioned to provide care to older people (over 65 years commonly) who can no longer live independently.1 Behavioural and Psychological Symptoms of Dementia (BPSD) is an umbrella term that embraces a heterogeneous group of non-cognitive symptoms and behaviours that occur in people with dementia. 9 TRUNCATED AT 350 WORDS This is to be a comprehensive systematic review; as the current research literature available on this topic covers different kinds of evidence.
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系统回顾了在寄宿护理环境中用于痴呆行为和心理症状的管理策略的适当性和有效性。
综述问题/目的本综述的目的是识别和综合现有的最佳证据,以证明在寄宿护理环境中用于管理痴呆行为和心理症状的不同策略的适当性和有效性。在院舍环境中,管理痴呆行为和心理症状(BPSD)的不同策略的适宜性是什么?在院舍环境中,不同策略用于管理痴呆症的行为和心理症状(BPSD)的有效性是什么?纳入标准参与者类型本综述将考虑专门针对居住在老年护理机构(racf)中表现出各种形式的痴呆行为和心理症状的人的研究。这些行为只需要要求管理层对本研究感兴趣。本综述感兴趣的参与者为65岁及以上的人群,不分性别、种族、合并症。这将不包括急性精神-老年住院病人研究,因为这些研究不适合住院老年护理模式,更类似于急性精神护理领域。在此系统检讨中,我们将使用以下定义:安老院舍(安老院舍)是指获政府资助及批准,为不能再独立生活的长者(一般超过65岁)提供照顾的设施痴呆症的行为和心理症状(BPSD)是一个总称,包括痴呆症患者出现的各种非认知症状和行为。这是一篇全面的系统综述;由于目前关于这一主题的研究文献涵盖了不同类型的证据。
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