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Clinical Resources - Behavioural and Psychological Symptoms of Dementia
Here is a listing of Clinical Resources about the topic of Behavioural and Psychological Symptoms of Dementia (BPSD), organized into the following categories:
Primary Care Clinical Resources
- Introduction to Behavioural and Psychological Symptoms of Dementia (BPSD): A Handbook for Family Physicians
- Behavioural and Psychological Symptoms of Dementia (BPSD) Toolkit
- Key Issues - Brain and Behaviour
- Key Issues - Delirium and BPSD
- Key Issues - Evolving an Approach to BPSD
- Key Issues - Management of BPSD
Introduction to Behavioural and Psychological Symptoms of Dementia (BPSD): A Handbook for Family Physicians
This handbook has been developed primarily for clinicians and physicians who contribute actively to the education of families, care providers, and other physicians. We hope that this handbook will assist physicians in these important educational and capacity building roles. In addition, we hope that the resources, tools, and frameworks of this handbook will also be used to improve individual family physician’s practice through personal and group learning projects and activities. The original handbook was published in November 2008. Several chapters have been revised based on feedback and incorporated into this second edition. The toolkit has also been revised based on initial feedback since its publishing in March 2009. If you wish you may download entire handbook or individual chapters.
Download Individual Chapters [available in PDF format - click on links to download]
Introduction
- Overview of the U.R.A.F. Approach and the P.I.E.C.E.S. Framework
- Aperçu de la démarche U.R.A.F. et du cadre P.I.E.C.E.S.
(Dr Marie-France Rivard)
Chapter 1
- BPSD Problem-Solving Framework and Collaborative Care Approach (U.R.A.F.)
- Cadre de résolution de problèmes SCPD et démarche de soins collaboratifs (U.R.A.F.)
(Dr. John Feightner and Dr. Sid Feldman)
Chapter 2
- Brain and Behaviour
- Cerveau et comportement
(Dr. John Puxty, Dr. Marie-France Rivard, Dr. Ken Le Clair)
Chapter 3
- Early Detection of Cognitive Impairment
- Détection précoce de déficience cognitive
(Dr. William Dalziel)
Chapter 4
- BPSD: Acute Decline: A Focus on Delirium
- SCPD : Déclin grave : Concentration sur le delirium
(Dr. John Puxty, Dr. Marie-France Rivard, Dr. Ken Le Clair)
Chapter 5
- BPSD: Behavioural Problems throughout the Course of Dementia
- SCPD : Problèmes de comportement pendant l’évolution de la démence
(Dr. John Puxty, Dr. William Dalziel, Dr. Ken Le Clair, Dr. Marie-France Rivard)
Chapter 6
- BPSD: Focus on Mood and Anxiety Disturbance
- SCPD : Accent sur les troubles anxieux et de l’humeur
(Dr. Marie-France Rivard and Dr. Catherine Shea)
Chapter 7
- BPSD: Psychosis in Dementia
- SCPD : La psychose dans la démence
(Dr. Ken Le Clair, Dr. Marie-France Rivard)
Chapter 8
- BPSD and the Use of Psychotropics
- SCPD et l'utilisation de médicaments psychotropes
(Dr. Ken Le Clair, Dr. Marie-France Rivard)
Behavioural and Psychological Symptoms of Dementia (BPSD) Toolkit
The intention of this toolkit is to enable primary care providers with a ready to use reference in the detection, assessment and management of cognitive impairment/dementia and co-morbid chronic mental and physical health disorders. The recommended tools are to be used in consideration of the unique clinician, setting, and patient.
- BPSD Toolkit - Entire Toolkit [5.3 MB]
- BPSD Toolkit - Tools linked from Table of Contents [2.7 MB]
Key Issues - Brain & Behaviour
Changes in the brain can affect a person’s behaviour.
Information Sheets [PDF]
- Anosognosia - no knowledge of illness
- Anosognosie - Méconnaissance de sa maladie
- Altered Perception - loss of sensory perceptions
- Altération de la perception - perte de perceptions sensorielles
A Structural-Functional Interpretation of BPSD
- The Frontal Lobe - executive function
- Le lobe frontal - les fonctions d’exécution
- The Parietal Lobe - perception and analysis of sensory information
- Le lobe pariétal - la perception et analyse de l’information sensorielle
- The Temporal Lobe - language comprehension and memory
- Le lobe temporal - la compréhension du langage et la mémoire
- The Occipital Lobe - vision and depth perception
- Le lobe occipital - la vision et la perception de la profondeur
- The Limbic System - connecting behaviour with memories, memory retrieval, emotional control and auto-regulatory functions - including sleep and appetite
- La région limbique - relier le comportement et les souvenirs; emmagasiner de nouveaux souvenirs; contrôle émotionnel; contrôle des fonctions auto-régulatrices, par example l'éveil-sommeil et l'appétit
- The Cerebellum and Brain Stem - voluntary movement, balance and coordination, swallowing and the regulation of involuntary thought processes
- Le cervelet, le tronc cérébral et les régions sous-corticales - le contrôle du mouvement volontaire, l’équilibre et la coordination, la déglutition et la régulation des processus involontaires de la pensée
Key Issues - Delirium & BPSD
Delirium is a frequent complication of dementia and may present as a new or worsening behaviour and/or psychological symptom in an individual with dementia.
Information Sheets [PDF]
Key Issues - Evolving an Approach to BPSD
The approach to BPSD is rarely linear, and often requires several attempts at information gathering, assessment and adjustment to care plans. The U.R.A.F. (Understand, Reflect, Action, and Follow-up) template has been developed as a way to explicitly link the five key questions.
Information Sheets [PDF]
Key Issues - Management of BPSD
There are pharmacological and non-pharmacological options for the management of BPSD.
Information Sheets [PDF]
- Cognitive Enhancers - Monitoring Side Effects
- Crisis Intervention - Non-Pharmacological
- Psychotropic Aids - Collaborators
- Psychotropic Aids - Physicians
- Eight Non-Pharmalogical Approaches
Long-Term Care Clinical Resources
- BPSD in Long-Term Care Resource Tool Kit - Click here
- BPSD in Long-Term Care Resource Manual - Click here
- BPSD Resource Guide for Staff in LTC and Complex Continuing Care [PDF] - Click here