Contextual factors in the assessment and management of aggression in dementia patients

Fisher, Jane E.; Swingen, Diane N.

doi:10.1016/s1077-7229(97)80017-x

Cited by 14 publications

(12 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Even assuming that psychoactive medication could sedate the patient to reduce the behavior to a level lower than that of a placebo, is that the way we should treat these unmet needs? Indeed, reducing the behavior via sedation with psychoactive medication can be detrimental because it robs people with dementia of the very limited resources they have in either expressing or attending to their needs 12,17,18 and thereby diminishes the ability of caretakers to detect and address the true underlying need. In summary, the evaluation and care of unmet needs is always the guiding principle of good patient care.…”

mentioning

confidence: 99%

Time for Change: The Role of Nonpharmacological Interventions in Treating Behavior Problems in Nursing Home Residents With Dementia

Cohen‐Mansfield¹,

Mintzer²

2005

Alzheimer Disease &Amp; Associated Disorders

109

View full text Add to dashboard Cite

This paper discusses the etiology of behavior problems in dementia and concludes that a substantial portion of such behaviors arise when care does not appropriately address the underlying causes. The needs of persons with dementia are frequently unrecognized and not addressed because of a combination of factors including communication problems, the multidimensional nature of etiologies and needs, the discounting of the needs of the patient with dementia, an environment that lacks knowledge and resources, and the improper allocation of resources on the part of policy makers, clinicians, and caregivers. The paper delineates some of the steps that are needed to move toward a more appropriate treatment of persons with dementia who manifest behavior problems.

show abstract

mentioning

confidence: 99%

Time for Change: The Role of Nonpharmacological Interventions in Treating Behavior Problems in Nursing Home Residents With Dementia

Cohen‐Mansfield¹,

Mintzer²

2005

Alzheimer Disease &Amp; Associated Disorders

109

View full text Add to dashboard Cite

show abstract

“…For example, aggressive behaviors occur most frequently during ADLs such as bathing, dressing, and toileting, which naturally involve physical touch from a caregiver. [23][24][25] In these circumstances, the PWD may feel vulnerable and scared, while also being unable to express their distress verbally. Therefore, from this perspective aggression is conceptualized as self-protective behavior that functions to terminate and/or escape an unpleasant situation.…”

Section: Prevalence Of Aggression In Pwdsmentioning

confidence: 99%

“…Instead, aggressive behavior most often occurs during ADLs that require caregivers to have physical contact with PWDs. [23][24][25] Also, as mentioned previously, long-term care staff report aggression during ADLs as highly distressing, and there is an increased risk of injury to both caregivers and PWDs. [14,15] In our previous review, only 6 of 18 studies specifically targeted aggression during ADLs and it was recommended that additional studies address this important issue.…”

Section: Targets Of Interventionsmentioning

confidence: 99%

Non-pharmacological interventions for aggression in persons with dementia: A 10-year follow-up review of the literature

Kinskey

Buchanan

2018

CNS

View full text Add to dashboard Cite

Aggression is a common behavior in persons with dementia (PWDs). Nursing staff report that aggression is the most distressing behavior they face on the job. In addition, aggression may result in the prescription of psychotropic medications, which are largely ineffective and have dangerous side effects. Therefore, non-pharmacological interventions are necessary to safely manage aggressive behaviors and target the underlying cause of aggression. The current paper is a 10-year follow-up to Buchanan and colleagues' 2007 literature review of non-pharmacological interventions for aggression in PWDs. This paper has three primary purposes: (1) To update the review of the empirical literature in this area; (2) To examine how limitations in the literature have been addressed over the past 10 years; and (3) To suggest areas of future inquiry. Findings suggest that comprehensive staff training interventions and distraction-based interventions during activities of daily living (ADLs) show the most promise for managing aggression in PWDs.

show abstract

“…Caregivers must provide nearly constant monitoring and cannot ignore the behavior if it occurs, regardless of the potential function of the behavior. Researchers such as Namazi, Rosner, and Calkins (1989) have lamented the fact that physical and chemical restraints have commonly been used to decrease wandering, even though restraints may limit an individual's mobility and independence and may cause side effects such as akathesia and postural instability (Fisher & Swingen, 1997).…”

mentioning

confidence: 99%

Decreasing Entry Into a Restricted Area Using a Visual Barrier

Feliciano¹,

Vore²,

LeBlanc³

et al. 2004

J of App Behav Analysis

View full text Add to dashboard Cite

show abstract

Contextual factors in the assessment and management of aggression in dementia patients

Cited by 14 publications

References 34 publications

Time for Change: The Role of Nonpharmacological Interventions in Treating Behavior Problems in Nursing Home Residents With Dementia

Time for Change: The Role of Nonpharmacological Interventions in Treating Behavior Problems in Nursing Home Residents With Dementia

Non-pharmacological interventions for aggression in persons with dementia: A 10-year follow-up review of the literature

Decreasing Entry Into a Restricted Area Using a Visual Barrier

Contact Info

Product

Resources

About