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Employing staff with knowledge
and experience about dementia and the management of difficult behavior
Limited evidence suggests that special care units may
offer more optimal care than traditional units.
As already described, it
is important to consider the risk of side effects, periodically
reevaluate the use of antipsychotics and consider alternatives,
and appropriately document decision making.
A structured education program for staff may help to
both manage patients' behavior and decrease the use of
Reasons for the use of physical
restraints should be carefully documented.
The need for restraints can be decreased by environmental changes
that decrease the risk of falls or wandering and by careful assessment
and treatment of possible causes of agitation.