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Dementia: A NICE-SCIE Guideline on Supporting People With Dementia and Their Carers in Health and Social Care

Dementia: A NICE-SCIE Guideline on Supporting People With Dementia and Their Carers in Health and Social Care

NICE Clinical Guidelines - National Collaborating Centre for Mental Health (UK)

Version: 2007

THERAPEUTIC INTERVENTIONS FOR PEOPLE WITH DEMENTIA – NON-COGNITIVE SYMPTOMS AND BEHAVIOUR THAT CHALLENGES

Although it is the cognitive features of dementia that are its defining characteristic, other aspects contribute in large measure to the difficulties experienced, by both the person with dementia and the people that support him or her. Often these non-cognitive symptoms are described as neuropsychiatric symptoms or ‘behavioural and psychological symptoms of dementia’ (BPSD), terms that include delusions, hallucinations, depression, anxiety, apathy and a range of behaviours, such as aggression, wandering, disinhibition and agitation. It is suggested that these behaviours may occur in up to 90% of people with AD (Robert et al., 2005). Prevalence rates for features such as anxiety, apathy and depression are consistently high.

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