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Severe AD is most often managed in nursing
home settings. The usefulness and safety of antipsychotic drugs
have been increasingly questioned (see previous issues of International
Abstracts in Alzheimer’s Disease & Other Dementias).
A report from Fossey et al demonsrates that person-centred care
reduces the need for psychotropic drugs. This is in line with
findings by Landreville et al for reduction of aggressive behaviour
using non-pharmacological interventions.
Effect of enhanced psychosocial care
on antipsychotic use in nursing home residents with severe dementia:
cluster randomized trial
(BMJ 2006; 332:756-761)
JANE FOSSEY,
CLIVE BALLARD,
EDMUND JUSZCZAK,
IAN JAMES,
ET AL,
oxford, uk
Non-pharmacological interventions
for aggressive behavior in older adults living in long-term
care facilities
(INTERNATIONAL PSYCHOGERIATRICS
2006;18:47-73)
PHILIPPE LANDREVILLE,
ANNICK BéDARD,
RENé VERREAULT,
JOHANNE DESROSIERS,
ET AL,
var ious centres, qc
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