Minimising psychotropic use for behavioural disturbance in residential aged care

Background With the ageing population there will be an increasing number of older Australians who have dementia and require residential care. Up to 90% of people with dementia in residential care show behavioural and psychological symptoms of dementia (BPSD). General practitioners (GPs) have an important role in managing these challenging behaviours. Psychotropic medications, although useful in certain clinical situations, can have significant side effects including increased risk of falls, over-sedation and increased mortality. Non-pharmacological strategies are first-line treatment for BPSDs. Objectives The aim of this article is to present the latest evidence in the management of BPSD in residential care. Discussion GPs can have a crucial role in managing the needs of people with dementia by providing regular reviews and supporting the implementation of simple, evidence-based, non-pharmacological strategies.