Pharmacological management of behavioural and psychological symptoms of dementia in hospital

Principal Advisor: Dr Emily Gordon

Organisational unit: Centre for Health Services Research

Almost all people living with dementia will develop at least one behavioural and psychological symptoms of dementia (BPSD), such as agitation, aggression and wandering, at some point. First line treatment of BPSD should include non-pharmacological strategies, such as multidisciplinary, individualised, psychosocial approaches. Yet, people living with dementia are commonly prescribed psychotropic medications for the treatment of BPSD despite their associated risks, including falls, stroke and death.

BPSD can be precipitated by unfamiliar and highly stimulating environments such as hospitals, introducing barriers to the patient’s diagnosis and/or care. However, there is limited guidance regarding best practices for the pharmacological management of BPSD in hospital setting, particularly for severe symptoms.

This PhD project will review the clinical practice guidelines for pharmacotherapy in severe BPSD and will explore prescribing practices and behaviours for BPSD in inpatient setting. It is anticipated that the PhD candidate will have the opportunity to develop skills in qualitative and quantitative research methodologies and will be supported by experts in quality use of medicines and ageing research.