Journal Watch – 2 September 2015

Title: Diversional and Physical Nonpharmacological Interventions for Behavioral and Psychological Symptoms of Dementia
Author: Fitzsimmons, Suzanne; Barba, Beth; Stump, Maria.
Journal: Journal of Gerontological Nursing 41.2 (Feb 2015): 8-17

This article is the last of a four-part series addressing the use of nonpharmacological interventions for
older adults with behavioral and psychological symptoms of dementia (BPSD). These types of interventions are used to prevent, lessen, or eliminate BPSD, thereby reducing patient reliance on psychoactive medications. These interventions are easy to use, cost-effective, and simple to implement. The Centers for Medicare & Medicaid Services’ psychoactive medication reduction initiative encourages all staff to use nonpharmacological interventions to manage BPSD. As with any attempt to handle BPSD, health care professionals and staff need a toolbox of interventions, as what works one day may not work the next and what works with one older adult may not work with another. This article describes the categories of diversional and physical nonpharmalogical interventions, presents the evidence supporting their use, and provides information on effective implementation.

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