Question

A 78-year-old woman in residential aged care with advanced dementia becomes increasingly agitated and aggressive. Staff request medication to "calm her down". There is no evidence of infection, pain or other reversible causes after assessment. According to the RACGP Silver Book, what is the most appropriate approach to managing her behavioural and psychological symptoms of dementia (BPSD)?

Accepted Answer

Use non-pharmacological strategies tailored to her needs and consider short-term antipsychotic only if there is risk of harm

Answer

Start regular antipsychotic medication long-term as first-line

Answer

Commence benzodiazepines regularly

Answer

Apply physical restraints routinely

Answer

Transfer to hospital for immediate sedation

Practice question