As we move forward into the twenty-first century we need to develop better approaches to challenging behaviors in patients who are experiencing neuropsychiatric symptoms associated with delirium or dementia. Commonly, physical and/or pharmacologic restraints are being used without clear evidence of greater benefit than harm. We believe that a highly personalized approach can be successful in limiting these symptoms while minimizing harm to patient and empowering caregivers. During this session multiple challenging cases from our practice will be presented and the audience will be asked to help develop a plan to deescalate certain situations.

Learning Objectives

  • Differentiate delirium from dementia and agitation from restlessness.
  • Increase familiarity with non-pharmacologic approaches to address troubling neuropsychiatric symptoms of delirium and dementia.
  • Discuss the use of physical restraints in cognitively impaired patients and the treatment of neuropsychiatric symptoms with antipsychotics.