Nursing Care for Patients with Behavioral and Psychological Symptoms of Dementia at Home: Nursing Case Study Experience
Abstract
This article aims to share the experience of nursing care for behavioral and psychological symptoms of dementia, a common mental health issue, including delusions, hallucinations, apathy, anxiety, depression, and deviant emotions, perceptions, and behaviors. These issues can have significant impacts on patients, families, caregivers, and healthcare costs. If caregivers lack understanding and adaptability, they may experience stress, feelings of burden, and stigma. The case study findings highlight the importance of caregivers' and families' adaptation and acceptance of the patient's condition as the key to providing quality care and improving the patient's quality at the end of life. It is hoped that this article will be beneficial for readers, particularly caregivers.
References
World Health Organization. Dementia [Internet]. 2025 [cited 2025 Dec 16]. Available from: https://shorturl.asia/2T3Hu
กรมการแพทย์ กระทรวงสาธารณสุข. สมองเสื่อม [อินเทอร์เน็ต]. 2568 [เข้าถึงเมื่อวันที่ 16 ธันวาคม 2568]. เข้าถึงได้จาก: https://shorturl.asia/0hdQt
Pimkrai A, Nantawang P, Muangkaew R, Threetippayaruk A, Tipayajak N, et al. Cost of dementia disease in Chiang Mai Province [Internet]. Chiang Mai: Chiangmai Neurological Hospital; 2024 [cited 2025 Dec 16]. Available from: https://shorturl.asia/tQfOz
Kostelnick C. Longterm care nursing assistants. 8th ed. Iowa: Elsevier; 2020.
Sukying J, Nakawiro D. Dementia in psychiatry Ramathibodi using DSM-5. 4th ed. Bangkok: Department of Psychiatry, Faculty of Medicine Ramathibodi Hospital, Mahidol University; 2015.
Imkome E. Nurses in caring for older persons with dementia. In: Mental health and psychiatric nursing: application to selected cases. 5th ed. Bangkok: Thammasat University Press; 2022.
สุทิศา ปิติญาณ. คู่มือการพยาบาลผู้ป่วยสมองเสื่อมที่มีปัญหาพฤติกรรมและอารมณ์. กรุงเทพฯ: งานการพยาบาลอายุรศาสตร์และจิตเวชศาสตร์ ฝ่ายการพยาบาล โรงพยาบาลศิริราช คณะแพทยศาสตร์ศิริราชพยาบาล มหาวิทยาลัยมหิดล; 2562.
Kwon YC, Lee B. Prevalence of behavioral and psychological symptoms of dementia in community-dwelling dementia patients: a systematic review. Front Psychiatry. 2021;12:1–20.
Sakunwiroad W, Junsirimongkol B, Khaektao P, Sommaluan S, Srikirin T, Doungyota T, Tomood C. Prevalence and factors associated with behavioral and psychological symptoms in elderly people with dementia at Thailand tertiary care hospitals. J Ment Health Thai. 2024;32(3):176–88.
Cloak N, Schoo C, Khalili YA. Behavioral and psychological symptoms in dementia [Internet]. NCBI Bookshelf. 2024 [cited 2025 Dec 16]. Available from: https://www.ncbi.nlm.nih.gov/books/.
Anantapong K, Jiraphan A, Aunjisakul W, Sathaporn K, Werachattawan N, Teetharatkul T, et al. Behavioral and psychological symptoms of people with dementia in acute hospital settings: a systematic review and meta-analysis. Age Ageing. 2025;54:1–12.
Sittironnarit G. Behavioral and Psychological Symptoms of Dementia (BPSD): concept and treatment. J Psychiartr Assoc Thailand. 2011;56:449-60.
Srisuwan P. Holistic care plan for dementia. KKU Journal of Medicine. 2018;4(3):27-35.
Pattapat W. Nurse’s role for Behavioral and Psychological Symptoms of Dementia; BPSD. Chonburi Hospital Journal. 2021;46:159-64.
Sributdee P. Nursing care in elderly patients with dementia. Appropriate physical activity for the elderly with dementia through the reducing disability in Alzheimer : DRAD. Journal of Environmental Health. 2022;7:247-58.
Poosri P, Booranarek S. Nursing care for older persons with dementia using evidence-based care in caring. JOPN. 2023;16(2):420-8.
Dewey J. Adaptation model of nursing [Internet]. EBSCO Information Services; 2023 [cited 2025 Nov 18]. Available from: https://www.ebsco.com/research-starters/nursing-and-allied-health/adaptation-model-nursing
ปรวีร์ ปราโมทย์สิริ, ศิรสา เรืองฤทธิ์ชาญกุล. ภาวะเหนื่อยล้าในผู้ดูแลผู้สูงอายุ. เวชสารแพทย์ทหาร. 2567;77(1):57-63.
Downloads
Published
Issue
Section
License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพิ์เป็นลิขสิทธิ์ของวารสารโรงพยาบาลชลบุรี