Topical Collection

Behavioral Symptoms of Dementia

Editor

Ladislav Volicer, MD, PhD

Courtesy Full Professor, School of Aging Studies, College of Arts and Sciences, University of South Florida, Tampa, FL, 33620, USA
External Professor, 3rd Medical Faculty, Charles University, Prague, Czech Republic

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Research Interests: Dementia; Alzheimer's disease; Palliative care; Medical ethics; Behavioral symptoms of dementia

Topical Collection Information

Behavioral symptoms in persons with progressive degenerative dementias are often more disabling and more difficult to manage than cognitive impairments. Therefore, there is a need for more information about this topic and the planned special issue will provide it. It is important to differentiate between two main syndromes: agitation and rejection of care. Agitation often happens when the person with dementia is solitary and not interacting with other people. Rejection of care happens during care activities when the person with dementia does not recognize the intent of the care provider and the need for care. If the care provider insists on providing care, the person with dementia defends himself/herself from unwanted attention and may become combative. The person may then be labeled as assaultive or aggressive, while he/she perceives the care provider as an aggressor. The distinction between agitation and rejection of care/aggression is important because different non-pharmacological strategies are needed for managing these behavioral symptoms. Agitation is often caused by boredom and can be prevented by provision of meaningful activities. Aggression is best managed by improved communication and by modification of care strategies. There is disagreement among the experts if aggression should be considered part of agitation. I am sure that the special issue will provide different points of view that will address this controversy.

Publication (8 papers)