An 84-year-old woman with moderate Alzheimer's disease has become verbally aggressive during personal care. She is constipated, has dental pain and

Question

An 84-year-old woman with moderate Alzheimer's disease has become verbally aggressive during personal care. She is constipated, has dental pain and recently moved rooms in the care home. She is not physically violent and staff request risperidone. What is the most appropriate management?

Accepted Answer

Assess pain, constipation and environmental triggers before antipsychotic treatment

Answer

Prescribe diazepam before washing each morning

Answer

Start risperidone as routine first-line treatment

Answer

Stop personal care until behaviour settles

Answer

Move her to a locked unit immediately

Behavioural symptoms in dementia — DGM MCQ

An 84-year-old woman with moderate Alzheimer's disease has become verbally aggressive during personal care. She is constipated, has dental pain and recently moved rooms in the care home. She is not physically violent and staff request risperidone. What is the most appropriate management?