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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.sgSi Ching LIM
Changi General Hospital, Singapore
Management of BPSD: From a Geriatrician’s perspective