#116 Geriatric Psychiatry: Sleep, Dementia, and Behavioral Disturbances

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 27 September 2018

⏱️ 30 minutes

🔗️ Recording | iTunes | RSS

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Summary

Geriatric psychiatry returns. We tackle sleep problems and behavioral disturbances in patients with dementia with returning guest, and Geriatric Psychiatrist Dennis Popeo MD, Clinical Associate Professor of Psychiatry at NYU Langone Medical Center. Topics include: pharmacologic and nonpharmacologic management of insomnia; treating agitation and irritability; medical management of psychotic symptoms and paranoia; ethical concerns about the treatment of challenging behaviors in dementia; and the shortage of geriatricians and geriatric psychiatrists.

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Credits

Written & Produced by: Jordana Kozupsky NP, Matthew Watto MD

Artwork by: Kate Grant MD

Hosts: Jordana Kozupsky NP, Matthew Watto MD

Editor: Matthew Watto MD

Guest: Dennis Popeo, MD

Time Stamps

00:00 Intro and guest bio
01:55 Case of sleep disturbance in a patient with dementia; medications for sleep disturbances; nonpharmacologic strategies for sleep
11:32 Irritability and agitation versus paranoia, or psychotic symptoms; benzodiazepines in older adults
15:40 Antipsychotic medications, the black box warning and ethical concerns
23:50 Geriatricians, geriatric psychiatrists in short supply; Behavioral interventions
28:16 Outro

Tags

psychiatry, psych, geri, geriatrics, dementia, paranoia, psychosis, sleep, insomnia, agitation, antipsychotics, atypical, black, box, warning, adverse, zolpidem, benzodiazepine, side, effects, therapy, mirtazapine, gabapentin, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student

Transcript

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0:00.0	The first time I've got this is for entertainment education and information purposes only.
0:09.2	And the topics discussed should not be used only by industry,
0:10.7	your orbit and industry is more conditioned.
0:12.0	But more than you would say it's expressed on this podcast for solo-dose,
0:13.7	should not be interpreted perfectly,
0:14.4	official policy or position of any entity,
0:15.5	the psychrompossil,
0:16.0	cash-like morons will end up in the outreach programs.
0:17.3	Indeed, there are any in fact there are none.
0:18.9	Pretty much we are responsible for this throughout,
0:19.9	which we should always do our homework and let's know when we're in.
0:21.3	Welcome back to the Curbsiders.
0:37.0	This is part two of our episode on geriatric psychiatry.
0:41.1	On this episode we will be focusing on behavior issues in dementia,
0:45.1	specifically how to treat sleep problems, how to treat agitation.
0:48.7	Should you or shouldn't you be using benzodiazepines,
0:51.7	anti-psychotic medications,
0:53.6	do behavioral interventions work?
0:55.8	I think you'll find Dr. Popios insights very useful.
0:59.6	Dr. Dennis M. Popio is an associate professor of psychiatry
1:03.9	at the New York University School of Medicine.
1:06.7	He grew up in upstate New York and attended Union College.
	...

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