A 75-year-old woman in a residential aged care facility with advanced dementia becomes increasingly agitated and verbally aggressive in the evenings. ...

Question

A 75-year-old woman in a residential aged care facility with advanced dementia becomes increasingly agitated and verbally aggressive in the evenings. Non-pharmacological strategies have been trialled but are insufficient. According to the Silver Book, what is the most appropriate approach to antipsychotic use?

Accepted Answer

Use the lowest effective dose for the shortest possible time with regular review and consent from substitute decision-maker

Answer

Start long-term high-dose antipsychotic therapy for staff convenience

Answer

Avoid antipsychotics completely irrespective of risk

Answer

Use PRN benzodiazepines instead of antipsychotics

Answer

Commence dual antipsychotic therapy to ensure control of symptoms

au-amc MCQ (SBA): Behavioural and psychological symptoms of dementia