Do you work with the BPSD registry?

This article is translated with AI and is based on Swedish conditions. Hopefully, it can inspire those interested from other countries.

The BPSD registry is a registry that provides support in the work of creating good care when the resident develops behavioral or psychological symptoms in dementia. Many people who suffer from dementia at some point develop such symptoms. The BPSD registry can provide support when a resident with dementia develops symptoms that may be difficult to manage in the operation. There are checklists, training, assessments, and suggestions for actions to reduce the problems that may arise. The method can assist in developing response plans and other treatment intervention proposals. By understanding the basis for symptoms or behavioral changes, we can adapt our response and care to the resident's needs.

Foto: Mostphotos

What is the BPSD Registry?


The BPSD Registry is a quality registry designed to identify underlying causes of unrest. The registry also includes suggestions for measures to reduce the symptoms. Investigation and mapping can show how and when symptoms appear throughout the day and in which situations they arise. Appropriate actions are taken and then evaluated.

It is estimated that about 90% of all people with dementia at some point suffer from BPSD symptoms in the form of anxiety, aggression, hallucinations, sleep disorders, and delusions. The purpose of the BPDS registry has been to investigate the severity and frequency of BPSD symptoms in the individual. It could be pain that needs to be addressed, causes in the surrounding environment, or staff's treatment that gives rise to the behavior. The staff should work as a team to try to find possible causes of the behavioral disorder. Education in BPSD has led to changes in dementia care in recent years. Special educators are recruited from the operations and with the help of pedagogically designed training materials, many at the units are connected users of the registry.

Examples of measures based on the BPSD Registry


Measures to counteract BPSD symptoms may be, for example, outdoor activities, activities, music, massage, or gymnastics. Implemented measures should be evaluated. Symptoms of BPSD are graded and if the measures have been effective, it is seen in the follow-up registration.

The BPSD registration has led to the development of person-centered care and the national guidelines for dementia and teamwork have been developed and used in dementia care. The BPSD registration has also led to operational development and quality assurance by follow-ups being done.

Support for relatives


Relatives often need support and therefore it is good if they can be offered the opportunity to participate in training programs, psychosocial support programs and get the opportunity for relief. In case of deterioration, living for people with dementia should be offered. The environment in the home should be safe, homelike, and designed so that the resident has a meaningful everyday life.

Many operations today have one or more employees who are educated Silviasystrar with in-depth knowledge in dealing with and caring for people with dementia. Read more at BPSD.se

BPSD Reflection Questions
Care Staff:
- Do you have residents who display BPSD symptoms?
- How do you work to find ways that best help the resident?

Manager, Nurse, Occupational Therapist, and Physiotherapist:
- How do you work with residents who display BPSD symptoms?
- Do you have access to a BPSD team?
- Do you have anyone on the unit who has in-depth knowledge of BPSD?

Residents and Relatives:
- Have you heard of BPSD before?
- Have you noticed that a resident acts anxiously or disturbs other residents when they are not feeling well?
- Do you feel that the staff handle it in a good way?

Erland Olsson
Specialist nurse
Sofrosyne - Better care every day

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