Agitation Among Elderly Persons at Adult Day-Care Centers: The Experiences of Relatives and Staff Members

Cohen‐Mansfield, Jiska; Werner, Perla; Watson, Valerie; Pasis, Sonia

doi:10.1017/s1041610295002195

Cited by 107 publications

(101 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most of the participants (86.5%) were Caucasian. The participants' demographic data were similar to those of the participants in a national survey of day care users although a greater proportion of the participants in this study were Caucasian as compared to the national survey and a greater proportion was disabled in the performance of ADL (3).…”

Section: Participantssupporting

confidence: 57%

Longitudinal Changes in Behavioral Problems in Old Age: A Study in an Adult Day Care Population

Cohen‐Mansfield

Werner

1998

The Journals of Gerontology Series A: Biological Sciences and M

View full text Add to dashboard Cite

show abstract

Section: Participantssupporting

confidence: 57%

Longitudinal Changes in Behavioral Problems in Old Age: A Study in an Adult Day Care Population

Cohen‐Mansfield

Werner

1998

The Journals of Gerontology Series A: Biological Sciences and M

View full text Add to dashboard Cite

show abstract

“…phrases). Subsequent research involving factor analysis led to the refinement of these syndromes by subdividing verbally agitated behaviors into: verbally aggressive (i.e., cursing) and verbally nonaggressive behaviors (i.e., negativism) [17]. However, there remains a strong interrelationship between these subdivisions [18].…”

Section: Introductionmentioning

confidence: 99%

Individualized Music Intervention for Agitation in Dementia Care and Disaster Preparedness

Gerdner¹

2015

GGM

View full text Add to dashboard Cite

beyond the organization's or local responder's abilities to cope. Disasters overwhelm natural defenses, established contingency plans, incapacitate people and/or deplete institutionalized resources [1,2]. Persons with Alzheimer's disease and related disorders (ADRD) are uniquely vulnerable during times of disaster. In part, this is attributed to a lowered tolerance to stress [3]. There are 5.3 million Americans diagnosed with Alzheimer's disease [4] with an estimated 44 million people throughout the world diagnosed with ADRD. This number is expected to triple by the year 2050 [5]. A number of resources have been written to guide family and health care providers in the care of these vulnerable older adults during and following a disaster [6][7][8]. All identify a decreased tolerance to stress in persons with Alzheimer's disease that leads to an increase in behavioral and psychological symptoms of dementia (BPSD), such as agitation. Levine and Kallymer [8] even provide actual case examples that spotlight the presentation of wandering and other agitated behaviors. Diversional activities have been recommended to alleviate these behaviors, but no specific guidelines have been provided. In addition, the Alzheimer's Association et al., [6] identify the importance of person-centered care to promote quality of life. Furthermore, Toner and Almai [9] emphasize the need to implement evidence-based interventions during times of disaster to promote quality of life.The purpose of this article is to supplement existing resources on the care of persons with ADRD during and following disaster, by providing a theory driven, evidence-based guideline for the use of individualized music for the management of agitation in this population. We begin by explaining the lowered tolerance to stress as experienced by persons with ADRD throughout the normal disease process with enhanced vulnerability during and following a disaster. The theory driven evidence-based guideline for individualized music is explained for the daily management of agitation in persons with ADRD. This content is conceptually applied to persons with ADRD for the management of agitation when confronted with overwhelming external stressors during and following a disaster. Agitation in Persons with DementiaADRD is characterized by cognitive impairment, a key antecedent to agitation [10][11][12]. Studies have reported agitation as high as 67.5% to 90% in persons with dementia [11,13]. This is attributed to a progressive decline in the stress threshold resulting in an increased susceptibility to anxiety, advancing to agitation and without intervention culminating in catastrophic behaviors [3].With a lowered stress threshold, person's with ADRD become especially vulnerable to both internal and external stressors [3,14,15] that include: fatigue; change of environment, caregiver, or routine; misleading or inappropriate stimulus levels; affective response to perception of loss; internal or external demands that exceed functional capacity; and physical stressors (i.e., pain, d...

show abstract

“…To achieve the goal, the study was conducted based on the background and proximal factors of the need-driven behavior model 19 developed to explain the causes of agitation in dementia patients. Regarding physical agitation, Cohen-Mansfield et al [34] showed cognitive function decreases with increasing physical non-aggressive behavior. Gang et al [10] did not find the effect of cognitive function on physical agitation, but found that the duration of dementia, visual acuity, sleep quality, and physiological discomfort influenced physical agitation.…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Verbal Agitation in Dementia Patients Living in Nursing Homes, South Korea

Kim¹,

박희옥²

2018

OJN

View full text Add to dashboard Cite

The purpose of this study using secondary data analysis was to identify factors affecting verbal agitation in patients with dementia staying at nursing home. This study is a secondary analysis of an existing original quantitative data set (n = 193). A total of 166 subjects' data were included in this current study after 27 subjects' data were excluded from the original data because they did not appear verbal agitation. Multiple regression analyses identified hallucination (β = 0.27), total number of physiologic discomforts (β = 0.19) and pain (β = 0.17) as significant predictors of verbal agitation and these factors explained 27.8% of the variance in the model. The findings of this study showed that hallucination, total number of physiologic discomforts and pain with dementia need to be considered when intervention programs to control verbal agitation in patients with dementia were developed.

show abstract

Agitation Among Elderly Persons at Adult Day-Care Centers: The Experiences of Relatives and Staff Members

Cited by 107 publications

References 8 publications

Longitudinal Changes in Behavioral Problems in Old Age: A Study in an Adult Day Care Population

Longitudinal Changes in Behavioral Problems in Old Age: A Study in an Adult Day Care Population

Individualized Music Intervention for Agitation in Dementia Care and Disaster Preparedness

Factors Affecting Verbal Agitation in Dementia Patients Living in Nursing Homes, South Korea

Contact Info

Product

Resources

About