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Agitation or purposeless activity, which includes restlessness, pacing, repetitive vocalisations, and verbally or physically aggressive behaviours,

is one of the most common neuropsychiatric symptoms in dementia.

Such behaviours are unpleasant for the person with dementia,

can cause family distress and subsequent inability to continue to care at home,

can precipitate care home admission and, in care homes, are strongly associated with quality of life.

Agitation accounts for about 12% of dementia health and social care costs, and increases costs for care home residents.

Most care home residents have dementia and complex needs, and around 50% of individuals with moderate or severe dementia have clinically significant agitation.

Agitation is associated with dementia severity and might also be associated with physical conditions (such as untreated or undertreated delirium or pain or medication side-effects), or other unmet needs such as boredom and social isolation. Activities in care homes are not necessarily attended by individuals with agitation.

Intensive multicomponent interventions in which physical, social, or occupational activities are implemented, and staff are trained to ensure people with dementia and agitation participate, had some success in reducing agitation in care home residents with dementia immediately after the intervention,

with a similar magnitude of effect to……………….continue reading

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