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학습 자료 둘러보기 →For acute agitation in dementia, non-pharmacological interventions are the first-line standard of care. Initiate validation therapy by acknowledging the client's emotional reality and redirecting with familiar objects or activities before considering medication or restraints.
Sundowning is triggered by disrupted circadian rhythms and environmental overstimulation. Reducing noise, closing blinds, and offering a consistent routine in the late afternoon can prevent escalation.
Avoid benzodiazepines like lorazepam in older adults with dementia unless absolutely necessary; they increase the risk of paradoxical agitation, falls, and delirium. Physical restraints are a last resort and require frequent reassessment.
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