Journal of Alzheimers Disease & Parkinsonism
Open Access

Abstract

The management of behavioral problems in LTC is a complex issue requiring clinical practice guidelines to guide assessment and treatment. However, the most commonly referenced guidelines address in detail protocols for psychotropic medication which have serious side effects and can lead to death in elderly patients. The guidelines also lack behavioral interventions other than two main categories: redirection and distraction. These categories do not take into consideration the residentAAAAÃ?Â?s individual needs, ethnicity and cultural beliefs and the applicability to the environment. Seldom, if ever, is implementation issues such as staff education and buy-in mentioned in the guidelines.Providers must consider multiple factors when assessing and treating behavioral problems. The management of behavior is a complex issue that is influenced by the biology of the disease, the environment in which the resident resides, psychosocial factors and the staffaAAAÃ?Â?s knowledge and expertise in managing the behavior.The project began with the development of an evidence-based guideline for general management of behavioral problems for completion of DNP degree. The project has continued through a fellowship with Stanford University Geriatric Education Center to add culturally specific interventions. The guideline is being vetted by the University of Michigan for publication and dissemination in summer 2015.

Biography

Email: nursenan1@earthlink.net