The management of behavioural and psychological symptoms of dementia in residential homes: Does Tai Chi have any role for people with dementia?

Dementia is a common illness that is increasing in frequency and set to challenge the resources and expertise of health and social care services over the coming years. Increasingly, there has been interest in the management of behavioural and psychological symptoms of dementia (BPSD), as they are bo...

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Bibliographic Details
Published in:Dementia (London, England) England), 2013-03, Vol.12 (2), p.268-279
Main Authors: Tadros, George, Ormerod, Sara, Dobson-Smyth, Penny, Gallon, Mark, Doherty, Donna, Carryer, Angela, Oyebode, Jan, Kingston, Paul
Format: Article
Language:English
Subjects:
Aged
Dementia - rehabilitation
Health Problems
Homes for the Aged
Humans
Knowledge
Management
Morbidity
Mortality Rates
Nursing Homes
Physical Fitness
Qigong
Senility
Social Services
Symptoms
Tai Ji
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Summary:Dementia is a common illness that is increasing in frequency and set to challenge the resources and expertise of health and social care services over the coming years. Increasingly, there has been interest in the management of behavioural and psychological symptoms of dementia (BPSD), as they are both common and associated with a range of negative outcomes. BPSD are associated with the admission of people with dementia to care homes. Limited resources and lack of knowledge in permanent care settings often lead to BPSD being managed with antipsychotic medications, which are associated with significant morbidity and mortality. There is evidence for the benefits of exercise within care home settings, although only a few studies include those with cognitive impairment. Tai Chi is a mind-body exercise combining relaxed physical movement and meditation, and has been suggested to have many health benefits. This article discusses the rationale and available options for treating BPSD and the current practice and reviews theliterature regarding the benefits of exercise and, in particular, Tai Chi in the management ofBPSD.
ISSN:1471-3012
1741-2684
DOI:10.1177/1471301211422769