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Behavioural symptoms of dementia — CCFP MCQ

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HardGeriatricsBehavioural symptoms of dementiaCCFP

A person with dementia becomes agitated in a care home. There is no immediate danger. What is the best initial response?

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Correct answer: B — Assess reversible causes and use non-drug approaches initially

The best answer is “Assess reversible causes and use non-drug approaches initially”. For agitation in dementia without immediate danger, first identify contributors such as pain, infection, medication effects, sleep disruption, dehydration and changes in routine, then use individualized non-drug approaches with family input. Antipsychotics are reserved for severe distress or risk when these measures fail or are unsuitable.

Reference: Choosing Wisely Canada: Geriatrics recommendations: https://choosingwiselycanada.org/recommendation/geriatrics/