28a The care record shows that
service users who develop behavioural or psychological dementia
symptoms have a review of their care plan within 4 weeks.
28b There is a local system in place for a structured and
systematic response to the development of behavioural or
psychological dementia symptoms.
28c The care record shows that an appropriate assessment tool has
been used to assess the efficacy of medication.
Supporting material for standard 28:
Cognitive impairment is the core feature of dementia but it is
often behavioural and psychological changes which contribute more
to the difficulties experienced both by the person with dementia
and by their carers. Assessment and management approaches need to
reflect the range of possible causes of such behaviour and
especially the often complex interaction between biological,
psychosocial and environmental factors. A comprehensive assessment
is required to try to establish factors which may cause, aggravate
or improve behavioural problems and also to establish if the
problems are serious, and if so to whom.
Areas covered by the assessment should include:
- Physical health
- Pain or discomfort
- Medication side effects
- Psychotic symptoms
- Personality/ past experiences and interests
- Carer approach
- Behavioural analysis
The assessment should lead to the creation of an individual care
plan to help carers address the behavioural problems.