Exploration of non-pharmacological interventions in the management of behavioural and psychological symptoms of dementia
Introduction: Behavioural and psychological symptoms of dementia (BPSD) are considered integral parts of dementia. While pharmacotherapy is reserved for severe symptoms of BPSD, the associated adverse effects can be detrimental. Therefore, non-pharmacological intervention is recommended as the first...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer – Medknow Publications
2023-08-01
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| Series: | Singapore Medical Journal |
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| Online Access: | https://journals.lww.com/10.11622/smedj.2021125 |
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| _version_ | 1823861390948958208 |
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| author | Nur Sabiha Md Hussin Mahmathi Karuppannan Yogheswaran Gopalan Kit Mun Tan Shubashini Gnanasan |
| author_facet | Nur Sabiha Md Hussin Mahmathi Karuppannan Yogheswaran Gopalan Kit Mun Tan Shubashini Gnanasan |
| author_sort | Nur Sabiha Md Hussin |
| collection | DOAJ |
| description | Introduction:
Behavioural and psychological symptoms of dementia (BPSD) are considered integral parts of dementia. While pharmacotherapy is reserved for severe symptoms of BPSD, the associated adverse effects can be detrimental. Therefore, non-pharmacological intervention is recommended as the first line of treatment in the management of BPSD. This study aimed to explore the non-pharmacological approaches for the management of BPSD and the strategies and barriers to implementing them in secondary care facilities in Malaysia.
Methods:
A qualitative study design was employed. Data were collected through observations and semi-structured interviews of 12 caregivers and 11 people with dementia (PWD) at seven secondary care facilities. Observations were written in the field notes, and interviews were audio-recorded and transcribed. All data were subjected to thematic analysis.
Results:
Some personalised non-pharmacological interventions, such as physical exercise, music therapy, reminiscence therapy and pet therapy, were conducted in several nursing care centres. Collaborative care from the care providers and family members was found to be an important facilitating factor. The lack of family support led to care providers carrying additional workload beyond their job scope. Other barriers to non-pharmacological interventions were cultural and language differences between the care providers and PWD, inadequate staff numbers and training, and time constraints.
Conclusion:
Although non-pharmacological approaches have been used to some extent in Malaysia, continuous education and training of healthcare providers and the family members of PWD is needed to overcome the challenges to their successful implementation. |
| format | Article |
| id | doaj-art-00f3deb540574ddd95ed964665c37521 |
| institution | Kabale University |
| issn | 0037-5675 2737-5935 |
| language | English |
| publishDate | 2023-08-01 |
| publisher | Wolters Kluwer – Medknow Publications |
| record_format | Article |
| series | Singapore Medical Journal |
| spelling | doaj-art-00f3deb540574ddd95ed964665c375212025-02-09T13:56:47ZengWolters Kluwer – Medknow PublicationsSingapore Medical Journal0037-56752737-59352023-08-0164849750210.11622/smedj.2021125Exploration of non-pharmacological interventions in the management of behavioural and psychological symptoms of dementiaNur Sabiha Md HussinMahmathi KaruppannanYogheswaran GopalanKit Mun TanShubashini GnanasanIntroduction: Behavioural and psychological symptoms of dementia (BPSD) are considered integral parts of dementia. While pharmacotherapy is reserved for severe symptoms of BPSD, the associated adverse effects can be detrimental. Therefore, non-pharmacological intervention is recommended as the first line of treatment in the management of BPSD. This study aimed to explore the non-pharmacological approaches for the management of BPSD and the strategies and barriers to implementing them in secondary care facilities in Malaysia. Methods: A qualitative study design was employed. Data were collected through observations and semi-structured interviews of 12 caregivers and 11 people with dementia (PWD) at seven secondary care facilities. Observations were written in the field notes, and interviews were audio-recorded and transcribed. All data were subjected to thematic analysis. Results: Some personalised non-pharmacological interventions, such as physical exercise, music therapy, reminiscence therapy and pet therapy, were conducted in several nursing care centres. Collaborative care from the care providers and family members was found to be an important facilitating factor. The lack of family support led to care providers carrying additional workload beyond their job scope. Other barriers to non-pharmacological interventions were cultural and language differences between the care providers and PWD, inadequate staff numbers and training, and time constraints. Conclusion: Although non-pharmacological approaches have been used to some extent in Malaysia, continuous education and training of healthcare providers and the family members of PWD is needed to overcome the challenges to their successful implementation.https://journals.lww.com/10.11622/smedj.2021125bpsdnon-pharmacological interventionsstrategies and barriers |
| spellingShingle | Nur Sabiha Md Hussin Mahmathi Karuppannan Yogheswaran Gopalan Kit Mun Tan Shubashini Gnanasan Exploration of non-pharmacological interventions in the management of behavioural and psychological symptoms of dementia Singapore Medical Journal bpsd non-pharmacological interventions strategies and barriers |
| title | Exploration of non-pharmacological interventions in the management of behavioural and psychological symptoms of dementia |
| title_full | Exploration of non-pharmacological interventions in the management of behavioural and psychological symptoms of dementia |
| title_fullStr | Exploration of non-pharmacological interventions in the management of behavioural and psychological symptoms of dementia |
| title_full_unstemmed | Exploration of non-pharmacological interventions in the management of behavioural and psychological symptoms of dementia |
| title_short | Exploration of non-pharmacological interventions in the management of behavioural and psychological symptoms of dementia |
| title_sort | exploration of non pharmacological interventions in the management of behavioural and psychological symptoms of dementia |
| topic | bpsd non-pharmacological interventions strategies and barriers |
| url | https://journals.lww.com/10.11622/smedj.2021125 |
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