As you may know, people with the Lewy Body form of dementia are extremely sensitive to neuroleptics. I've seen even the smallest doses cause delerium and CNS depression. This makes pain contol very challenging. As you also may know that pain is also a key cause in agitation for people who cannot express their needs.
So that leads to the problem of pain control in people who have this condition where use of NSAIDS (even at their maximum doses) are not adequate for pain control. Does anybody have any clever solutions for this? With quality of life in mind of course.