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Assessment of BPSD Rajesh Tampi , MD Professor of Psychiatry

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Presentation on theme: "Assessment of BPSD Rajesh Tampi , MD Professor of Psychiatry"— Presentation transcript:

1 Assessment of BPSD Rajesh Tampi , MD Professor of Psychiatry
Case Western Reserve University School of Medicine

2 Obtaining important collateral information
Collateral information from caregivers and/or family members Robert PH,et al. Grouping for behavioral and psychological symptoms in dementia: clinical and biological aspects. Consensus paper of the European Alzheimer disease consortium. Eur Psychiatry. 2005;20(7):490-6.

3 Obtaining important collateral information
Onset Course Differential diagnosis Risk and prognosis Collateral information from caregivers and/or family members Robert PH,et al. Grouping for behavioral and psychological symptoms in dementia: clinical and biological aspects. Consensus paper of the European Alzheimer disease consortium. Eur Psychiatry. 2005;20(7):490-6.

4 Obtaining important collateral information
Environmental triggers Psychosocial stressors Collateral information from caregivers and/or family members Robert PH,et al. Grouping for behavioral and psychological symptoms in dementia: clinical and biological aspects. Consensus paper of the European Alzheimer disease consortium. Eur Psychiatry. 2005;20(7):490-6.

5 Rule out medical causes
Pain syndromes Dehydration Urinary tract infections Robert PH,et al. Grouping for behavioral and psychological symptoms in dementia: clinical and biological aspects. Consensus paper of the European Alzheimer disease consortium. Eur Psychiatry. 2005;20(7):490-6.

6 Rule out medical causes
Pain syndromes Dehydration Urinary tract infections Effective evaluation and management Reduction in frequency and severity of BPSD Robert PH,et al. Grouping for behavioral and psychological symptoms in dementia: clinical and biological aspects. Consensus paper of the European Alzheimer disease consortium. Eur Psychiatry. 2005;20(7):490-6.

7 Use of standardized assessments
Used for: Rating severity Tracking progression of BPSD over time Monitoring response to treatment Jeon YH, Sansoni J, Low LF, et al. Recommended measures for the assessment of behavioral disturbances associated with dementia. Am J Geriatr Psychiatry May;19(5):

8 Use of standardized assessments
Examples NPI: Neuropsychiatric Inventory BEHAVE-AD: Behavioral Pathology in Alzheimer’s Disease Rating Scale CERAD-BRSD: Consortium to Establish a Registry for AD- Behavior Rating Scale for Dementia DBSS: Dementia Behavior Disturbance Scale Jeon YH, Sansoni J, Low LF, et al. Recommended measures for the assessment of behavioral disturbances associated with dementia. Am J Geriatr Psychiatry May;19(5):

9 Use of standardized assessments
Examples NPI: Neuropsychiatric Inventory BEHAVE-AD: Behavioral Pathology in Alzheimer’s Disease Rating Scale CERAD-BRSD: Consortium to Establish a Registry for AD- Behavior Rating Scale for Dementia DBSS: Dementia Behavior Disturbance Scale (Most popular and reliable assessment tool ) Jeon YH, Sansoni J, Low LF, et al. Recommended measures for the assessment of behavioral disturbances associated with dementia. Am J Geriatr Psychiatry May;19(5):


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