Discuss a minimum of two possible approaches to treatment for dementia-related psychosis, and select a minimum of one pharmacological and one nonpharmacological approach.

  

 

Effectively managing dementia-related psychosis requires a combination of pharmacological and non-pharmacological strategies. Antipsychotic medications, though sometimes necessary, must be used with caution in elderly patients due to the risk of severe side effects. In some cases, cholinesterase inhibitors (e.g., donepezil) or memantine may help mitigate psychotic symptoms by enhancing cognitive function (Stahl, 2021).

 

Non-pharmacological interventions are the first-line approach, focusing on reducing distress and improving quality of life. Techniques such as validation therapy and reminiscence therapy can help manage delusions and hallucinations by providing emotional reassurance and engaging patients in familiar memories (Agüera-Ortiz et al., 2022). These strategies offer a safer alternative or complement to medication, emphasizing individualized, person-centered care.

 

Identify at least two strategies to suggest to family or staff for a client who is experiencing dementia-related psychotic behavior at home and in the long-term care environment.

 

Personalized Care Plans: Incorporate the client’s background into tailored activities and communication. For example, a former teacher may benefit from structured tasks like reading or leading discussions. Rotating caregivers can also prevent burnout, improving interactions during psychotic episodes.

 

De-escalation Techniques: Train staff and family members to use a calm tone, and non-threatening body language, and maintain physical space to help reduce agitation. Educate caregivers to view behaviors as expressions of unmet needs rather than deliberate actions.

 

References

 

Agüera-Ortiz, L., Babulal, G. M., Bruneau, M.-A., Creese, B., D’Antonio, F., Fischer, C. E., Gatchel, J. R., Ismail, Z., Kumar, S., McGeown, W. J., Mortby, M. E., Nuñez, N. A., de Oliveira, F. F., Pereiro, A. X., Ravona-Springer, R., Rouse, H. J., Wang, H., & Lanctôt, K. L. (2022). Psychosis as a treatment target in dementia: A roadmap for designing interventions. Journal of Alzheimer’s Disease, 88(4), 1203–1228. https://doi.org/10.3233/jad-215483Links to an external site.