Treatment Management of behavior disorders associated with dementia is one of the most controversial areas of geriatric medicine. Only a few small, controlled studies have examined the effectiveness of treatments, and no well-designed studies have compared types of drugs. However, because of traditional training and reimbursement policies, physicians usually prescribe drugs rather than attempt nonpharmacologic management. Environmental intervention is often the most successful, least expensive, and safest form of treatment. The institutional environment should be safe and flexible to accommodate behaviors that are not dangerous.
Signs can help patients find their way.
Sexual activity should be allowed and facilitated as long as other residents and staff members are protected from unwanted encounters. Couples should room together, in double beds, if they want. Frequent brief visits by staff members can prevent yelling. Physical activity should be encouraged because it often helps patients sleep without the use of drugs and may reduce the incidence of wandering, noisiness, hitting, and throwing. Similar interventions to improve the physical and interpersonal environment can be used at home.