Dementia Without Losing Aspiration Common Behavioral and Psychological Symptoms of Dementia (英文版)

簡介

自2022年5月起搭配國衛院研究計畫於北、中、南各地進行多場『照護失智症合併精神行為問題症狀(PCBPSD)訓練課程』，我們接觸到許多因為失智症者行為問題症狀造成照顧困難的家庭照顧者，也從家屬與照顧服務人員的口中進一步認識失智症者在居家可能表現出各式各樣的行為問題。於是開始思考是否可從失智症者的個性、生活習慣、居住環境及問題發生的當下了解個案想要傳達什麼樣的訊息等角度，找出可能解決行為問題的方法與態度。兩年多來我們蒐集到許多行為問題症狀，透過家屬及專業講師課堂分享與經驗交流，目前彙整出二十五個常見的行為問題個案，以深入淺出的文字與生動有趣的插圖向讀者傳遞認識失智症合併精神行為問題與可能的因應方式。

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目次

Table of Contents

Preface ....................................................................................................................... ii
Acknowledgements ....................................................................................................iii
Common Behavioral and Psychological Symptoms of Dementia (BPSD) Cases and Potential Coping Strategies .................................................................................1
Illustration Descriptions ..............................................................................................2
Case 1: Resistance to Brushing Teeth .......................................................................3
Case 2: Refusal of Care from Nonfamily Caregivers..................................................5
Case 3: Repeated Requests for Food ...................................................................... 11
Case 4: Wandering ...................................................................................................14
Case 5: Decline in Self-Care Abilities .......................................................................17
Case 6: Delirium (Acute Brain Dysfunction) .............................................................19
Case 7: Hallucinations and Delusions ......................................................................22
Case 8: Inability to Tell Time and Date (1) ...............................................................25
Case 9: Inability to Tell Time and Date (2) ...............................................................26
Case 10: Irregular Daily Routines.............................................................................28
Case 11: Unusual Nighttime Behaviors ....................................................................29
Case 12: Repetitive Questioning ..............................................................................30
Case 13: Repeated Purchases.................................................................................31
Case 14: Loss of Interest..........................................................................................33
Case 15: Hoarding....................................................................................................36
Case 16: Refusal to Shower .....................................................................................39
Case 17: Suspicions of Theft (1) ..............................................................................41
Case 18: Suspicions of Theft (2) ..............................................................................42
Case 19: Forgetting Passwords and Insisting on Managing Personal Finances .....44
Case 20: Spitting Saliva ...........................................................................................47
Case 21: Smearing Feces ........................................................................................49
Case 22: Inability to Fasten Buttons .........................................................................51
Case 23: Complaints and Verbal Abuse ...................................................................53
Case 24: Easily Distracted .......................................................................................56
Case 25: Sundown Syndrome ..................................................................................58