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Notes:

Journal of Brain and Neurology | Volume 3

allied

academies

March 14-16, 2019 | London, UK

12

th

International Conference on

8

th

International Conference on

Vascular Dementia and Dementia

Neurological Disorders and Stroke

Joint Event

&

D

ementia is becoming an expensive disease worldwide and

its prevalence is on the rise, particularly in the developing

countries.Thenon-cognitivesymptomsofdementia,alsoknown

as neuropsychiatric symptoms or behavioral and psychological

symptoms of dementia (BPSD) is particularly challenging for

the caregivers resulting in significant caregiver stress, leading to

burnout and institutionalization. BPSD occurs in >90% of people

with Alzheimer’s disease at some point during the course of

their illness. There are currently no agreed pharmacological

guidelines on management of BPSD. As a geriatrician, the first

line of management is non-pharmacological approach since

psychotropic medications are associated with adverse events

like sedation and falls. An overview of BPSD including the

spectrum of behavioral problems encountered, aetiology of

BPSD, and approach to treatment of BPSD focusing on Person

Centered Care (PCC) will be presented. For healthcare workers,

particularly the ones not trained in Geriatric and Gerontology,

BPSD is challenging and stressful. The majority of caregivers

will end up restraining- either physically or chemically, the

patients for their safety. Restraining the elderly comes with

complications like physical deconditioning, DVT, UTI, urinary

retention, constipation, pneumonia, pressure sore, etc.

Speaker Biography

Si Ching LIM is a senior consultant, Geriatrician at Changi General Hospital (CGH),

Singapore. She has a special interest in dementia care particularly in patients with

behavioural and psychological symptoms of dementia. She is in charge of a 20 bedded

dementia ward in CGH. She is responsible for developing the ward and training the

staff in managing elderly with delirium and dementia with challenging behaviours. She

is also teaching the nurses in the management of elderly patients in CGH to better

manage elderly with behavioural symptoms without using physical restraints. She

graduated from the Bristol University and completed her postgraduate training in

General Medicine in London. She is also a visiting consultant in Ang Mo Kio Community

Hospital. Currently, she collaborates with the department of General Surgery on

management of elderly post-operative care, created a recipe book for elderly who

eat poorly using oral nutritional supplements. She is in the process of developing a

dysphagia cup and a second recipe book for persons with severe dementia.

e:

si_ching_lim@cgh.com.sg

Si Ching LIM

Changi General Hospital, Singapore

Management of BPSD: From a Geriatrician’s perspective