Abstract
The majority of patients in long-term care settings (nursing homes) have a diagnosis of dementia. Dementia is associated with a high prevalence of behavioral and psychiatric disorders. In fact, behavioral and psychiatric symptoms of dementia are the major reason patients are placed in long-term care settings [1]. Symptoms such as psychosis, depression, and agitation including aggressiveness, can be overwhelming to patients, families, and staff alike. These difficult symptoms may lead to overmedication with limited benefit and potential side effects. Improved management of patients suffering from dementia can lead to marked improvements for patients, families, and staff, leading to greater optimism and quality of life. In fact, treating this population can be extremely rewarding. This article reviews the management of dementia patients in the longterm care setting, with a focus on correctly diagnosing the reasons for behavioral problems and appropriate treatment strategies
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