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Yıl:2013; Cilt: 3; Sayı: 3>> Özet
Psikiyatride Güncel; 2013;3(3):263-268
Demansta ilaç dıșı tedaviler ve pratik öneriler
Ö Yacı
Gediz Devlet Hastanesi, Kütahya
Günümüzde demansın önlenmesinin ya da tam olarak tedavi edebilme olanağının olmaması ilaç dışı tedavilerin de demans belirtilerine etkinliliğinin araştırılması gerektiğini düşündürmektedir. Klinik çalışmalar yetersiz olsa da ürün ya da uygulamaların doğal olması ve ciddi yan etkilerinin olmaması ilaç dışı tedavileri çekici kılmaktadır. Demansta ilaç dışı uygulamalar olarak bitkisel tıp, gün ışığı tedavisi, sanat terapisi, aromaterapi, müzik tedavisi, hareket terapisi, hafıza alıştırmaları, gerçeklik oryantasyonu, geçerlilik terapisi, davranışsal ve çevre terapileri sayılabilir. Bu yöntemler belli bir belirtiye yönelik olabileceği gibi kalan becerileri geliştirmek için de uygulanabilmektedir. Ayrıca bakım verenlerin çeşitli sorunlarla baş etmek için pratik yöntemler konusunda bilgilendirilmeleri ile hem ilaç gereksiniminin azaldığı, hem de bakım verenin yükünün hafiflediği gözlemlenebilecektir.
Non-drug treatments and practical points for dementia
Today, because of being impossible the prevention of dementia or to treat fully dementia, investigation of the efficiency of non-drug therapies on dementia is required. Although insufficient clinical studies, product or applications of non-drug treatments is attractive because of the absence of serious side effects and being natural. Non-pharmaceutical applications of dementia include herbal medicine, daylight therapy, art therapy, aromatherapy, music therapy, movement therapy, memory exercises, reality orientation, validation therapy, behavioral and environmental treatments. These methods can be directed at a particular symptom and also applied to develop the remaining skills. Caregivers are informed about practical methods to cope with various problems cause decreasing need for the drugs as well as caregiver burden.

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