Les causes biopsychologiques des symptômes comportementaux et psychologiques de la démence

Authors: Haïdara, Lalla Mariam
Advisor: Voyer, Philippe
Abstract: The behavioral and psychological symptoms of dementia (BPSD) are becoming more and more prominent and often denote an underlying problem that needs to be addressed. This retrospective study describes the biopsychological causes of BPSD identified during nursing clinical assessment and the non-pharmacological interventions planned by nursing staff to target these causes. Clinical data were collected from the files of people with dementia followed by nurses from the CEVQ mentoring team. The data extracted from 110 of these files indicate that the most common biopsychological causes of BPSD are signs of anxiety, pain, social isolation, boredom or need for social contact, pre-morbid personality or significant biographical event, physiological instability, depression, and dehydration. Having identified these causes, nurses were able to plan non-pharmacological interventions that proved effective (p < .0001). Optimal communication was the most frequent planned intervention, followed closely by medical procedures, diversion, differential reinforcement, pain or discomfort management interventions and activity therapy and recreation. These results suggest that it is effective to intervene on the causes of BPSD. These results support Algase’s Need-driven dementia-compromised behavior model and of the guidelines for BPSD, which highlight the importance of intervening on the underlying causes of BPSD. Keywords: Dementia, behavioral and psychological symptoms of dementia, biopsychological causes, nursing clinical examination, non-pharmacological interventions
Document Type: Mémoire de maîtrise
Issue Date: 2019
Open Access Date: 28 October 2019
Permalink: http://hdl.handle.net/20.500.11794/37089
Grantor: Université Laval
Collection:Thèses et mémoires

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