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Challenging behaviours in nursing home residents with dementia
 — a randomized controlled trial of multidisciplinary interventions
Author(s)Janet Opie, Colleen Doyle, Daniel W O'Connor
Journal titleInternational Journal of Geriatric Psychiatry, vol 17, no 1, January 2002
Pagespp pp 6-13
KeywordsDementia ; Behaviour disorders ; Nursing homes ; Psychiatric treatment ; Multi disciplinary ; Australia.
AnnotationA 4-member team comprising a psychiatrist, psychologist and nurses conducted detailed assessments of 99 Australian nursing home residents with advanced dementia who were rated by staff as having frequent, severe behavioural disturbances. Residents were then randomly assigned to an "early" or "late" intervention group and observed for 4 weeks. Interventions encompassed psychological strategies, nursing approaches, psychotropic medications and management of pain. Outcome measures indicated the frequency and severity of disruptive behaviours and assessment of changes by senior nursing home staff. While improvements in behaviour were noted in both groups from the outset of observation, pointing to a powerful Hawthorne effect, consultancies were associated with a modest but statistically significant decrease in challenging behaviours. The consultancies were also well-received by staff. (RH).
Accession NumberCPA-020212210 A
ClassmarkEA: EP: LHB: LP: 3DM: 7YA

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