BPSD Case: Pharmacological Treatment for 86-year-old Male with Dementia
About the Lecture
The lecture BPSD Case: Pharmacological Treatment for 86-year-old Male with Dementia by Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C is from the course Management of Neurocognitive Conditions in the Older Adult (release in progress).
Included Quiz Questions
An 82-year-old patient with moderate Alzheimer's disease exhibits agitation and aggressive behavior. Which clinical feature would most strongly indicate the need for pharmacological intervention?
- The behaviors cause significant distress and have not improved with non-pharmacological interventions
- The patient occasionally paces in the evening hours
- The caregiver reports mild anxiety about the patient's condition
- The patient has difficulty remembering recent events
- The patient shows increased confusion in unfamiliar environments
Which medication is most appropriate as initial pharmacological treatment for severe agitation in an 86-year-old patient with Alzheimer's dementia?
- Brexpiprazole at 0.5mg daily
- Lorazepam 0.5mg three times daily
- Diphenhydramine 25mg at bedtime
- Haloperidol 2mg twice daily
- Quetiapine 100mg daily
After initiating pharmacological treatment for agitation in a dementia patient, what is the most appropriate initial monitoring approach?
- Evaluate target behaviors and adverse effects within days and reassess medication need weekly
- Check cognitive function monthly
- Obtain baseline and monthly EKG
- Monitor blood pressure every 3 months
- Assess medication adherence quarterly
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Author of lecture BPSD Case: Pharmacological Treatment for 86-year-old Male with Dementia
Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C
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