Medical treatment and management of patients with dementia
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Medical treatment and management of patients with dementia

Tom Dening Professor of dementia research, Institute of Mental Health, University of Nottingham, Nottingham, England
Malarvizhi Babu Sandilyan Consultant in old age psychiatry, Berkshire Healthcare NHS Foundation Trust, Reading, England

This article, the fifth in a series on dementia, discusses the principles of management and treatment of people with dementia. It describes how to proceed after a diagnosis of dementia has been made in the early stages of the condition, and general measures to maintain physical and mental health. Drug therapy for cognitive dysfunction is explained in the context of the National Institute for Health and Care Excellence guidance, and strategies for managing depression and psychotic symptoms are outlined. Non-pharmacological approaches are often effective. For behavioural problems such as agitation and aggression, it is important to try to understand any underlying factors. In general, the most important strategy is to avoid excessive prescribing.

Nursing Standard. 29, 45,43-49. doi: 10.7748/ns.29.45.43.e9424


Peer review

All articles are subject to external double-blind peer review and checked for plagiarism using automated software.

Received: 31 July 2014

Accepted: 01 September 2014