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A study using descriptive data from an ongoing investigation (N=85, observations=2012) examined strategies, including pharmacological and nonpharmacological approaches, used in response to BSDs. Caregivers reported frequent nonpharmacological strategies (70–91%), yet medications were commonly used for safety-related, aggressive, and inappropriate behaviors. Neglectful responses to physical aggression were also observed (32.1%). Results suggest caregivers may switch to medications when aggression or inappropriate behaviors undermine nonpharmacological strategies, supporting education on improved nonpharmacological management and further work on PIM use influences.",{"@graph":69,"@context":127},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/understanding-elder-abuse-prevalence-disparities-and-pathways-to-prevention-paper/421890/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/understanding-elder-abuse-prevalence-disparities-and-pathways-to-prevention-paper/421890.png","ImageObject",300,407,{"name":92,"@type":93},"Adam","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",17,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119,123],{"name":110,"@type":111,"acceptedAnswer":112},"What behavioral symptoms of dementia are addressed in the study?","Question",{"text":113,"@type":114},"The study focuses on dementia behavioral symptoms (BSD) such as care refusals, delusions, mood difficulties, and inappropriate, compulsive, and safety-related behaviors.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How did family caregivers typically respond to BSD?",{"text":118,"@type":114},"Caregivers most often used nonpharmacological strategies (70–91%) as a first approach, but medications were also frequently used for safety-related, aggressive, and inappropriate behaviors.",{"name":120,"@type":111,"acceptedAnswer":121},"What do the findings suggest about when caregivers use medication?",{"text":122,"@type":114},"The findings indicate that aggression and inappropriate behaviors may disrupt nonpharmacological strategies, leading caregivers to revert to medication as an alternative.",{"name":124,"@type":111,"acceptedAnswer":125},"What prevention-focused takeaway does the study propose?",{"text":126,"@type":114},"The study suggests emphasizing education for family caregivers on nonpharmacological strategies that better manage aggressive behaviors and further research into factors driving potentially inappropriate medication use.","https://schema.org",{"og:url":83,"og:type":129,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":131,"canonical":83},"index,follow",{"doc_id":133,"site_id":62},421890,1791181450,{"code":4,"msg":5,"data":136},{"doc_id":133,"user_id":137,"nickname":92,"user_avatar":138,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":139,"file_id":140,"file_url":141,"file_type":142,"file_size":143,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":144,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":145,"faqs":146,"seo_title":147,"seo_description":67,"update_tm":148,"read_time":81,"preview_page_count":4},1374404737137,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","596 Innovation in Aging, 2025, Vol. 9, No. S2  \nSESSION 4465 (PAPER)   \nUNDERSTANDING ELDER ABUSE: PREVALENCE, DISPARITIES, AND PATHWAYS TO PREVENTION  \nAbstract citation ID: igaf122.2044  \nEVALUATING STRATEGIES USED BY FAMILY CAREGIVERS IN RESPONSE TO DAILY BEHAVIORAL  \nSYMPTOMS OF DEMENTIA.  \nWesley Browning, UTHealth Houston Cizik School of Nursing, Houston, Texas, United States  \nAlzheimer’s disease and related dementias (ADRD) are marked by behavioral symptoms (BSD) that often complicate their care by family members. These symptoms include care refusals, delusions, mood difficulties, along with inappropriate, compulsive, and safety-related behaviors (i.e., property damage, aggression, and suicidality). These behaviors are frequently associated with caregiving behaviors, including elder mistreatment, and ultimately, worse caregiving outcomes. Potentially inappropriate medication (PIM) use is one form of mistreatment that has been studied in long-term care settings, but has received little attention in family caregiving research. This study (N = 85, observations=2012) evaluated descriptive data from an ongoing study investigating daily caregiving strategies, including pharmacological and nonpharmalogical strategies, to determine what strategies were most commonly used in response to BSDs. Caregivers frequently reported using nonpharmacological strategies (70-91%) to manage BSDs; however, medications were frequently used to stop safety-related (19.9%), aggressive (27.2%), and inappropriate (29.6%) behaviors or make them easier to manage. Caregivers frequently engaged in neglectful behaviors in response to physical aggression by their relative with dementia (32.1%). These findings indicate that while caregivers are aware of nonpharmalogical strategies to manage BSDs, and frequently use them as their first treatment, aggression and inappropriate behaviors may result in a breakdown of these strategies, where caregivers are more likely to revert to using medications as an alternative. These findings suggest emphasis should be placed on educating family caregivers on nonpharmalogical strategies that better manage aggressive behaviors. Work is needed to determine how frequently caregivers provide medication to manage behaviors and what influences their use of PIM.","cbCaioTEwtX10a0G","https://ap.wps.com/l/cbCaioTEwtX10a0G","pdf",558234,"English","# Abstract\n## Behavioral symptoms and caregiving challenges\n## Study design and strategy evaluation\n## Reported nonpharmacological vs medication use\n## Implications for education and prevention","[{\"question\":\"What behavioral symptoms of dementia are addressed in the study?\",\"answer\":\"The study focuses on dementia behavioral symptoms (BSD) such as care refusals, delusions, mood difficulties, and inappropriate, compulsive, and safety-related behaviors.\"},{\"question\":\"How did family caregivers typically respond to BSD?\",\"answer\":\"Caregivers most often used nonpharmacological strategies (70–91%) as a first approach, but medications were also frequently used for safety-related, aggressive, and inappropriate behaviors.\"},{\"question\":\"What do the findings suggest about when caregivers use medication?\",\"answer\":\"The findings indicate that aggression and inappropriate behaviors may disrupt nonpharmacological strategies, leading caregivers to revert to medication as an alternative.\"},{\"question\":\"What prevention-focused takeaway does the study propose?\",\"answer\":\"The study suggests emphasizing education for family caregivers on nonpharmacological strategies that better manage aggressive behaviors and further research into factors driving potentially inappropriate medication use.\"}]","Understanding Elder Abuse - Prevalence, Disparities, and Pathways to Prevention - Paper | PDF",1790625781]