‘Working away in that Grey Area…’A qualitative exploration of the challenges general practitioners experience when managing behavioural and psychological symptoms of dementia.

This paper by Jennings et al. (2017) reports the findings of semi structured interviews with GPs on the challenges they experience managing behavioural and psychological symptoms of dementia (BPSD). Overall participants were pessimistic about dementia and management of BPSD. Many described ethical struggles and difficulty maintaining their role as patient advocate in the face of competing expectations from family members and nursing home staff. A lack of clinical guidance was highlighted as was a lack of alternative resources e.g. provision of non-pharmacological therapies. GPs lacked confidence when it came to non-pharmacological approaches with some feeling it was not their role to recommend such therapies. Overall insufficent resourcing was a key issue, from clinical guidance to service provision and supports, and adequately staffed nursing homes. The findings from this study will inform the development of an intervention for managing BPSD in general practice.
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‘Working away in that Grey Area…’A qualitative exploration of the challenges general practitioners experience when managing behavioural and psychological symptoms of dementia.
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2017
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Jennings, A.A., Foley, T., McHugh, S., Browne, J.P. and Bradley, C.P., 2017. ‘Working away in that Grey Area…’A qualitative exploration of the challenges general practitioners experience when managing behavioural and psychological symptoms of dementia. Age and ageing, pp.1-9