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Centre for Policy on Ageing | |
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Staff perceptions of successful management of severe behavioral problems in dementia special care units | Author(s) | Kristie Long Foley, S Sudha, Philip D Sloane |
Journal title | Dementia: the international journal of social research and practice, vol 2, no 1, February 2003 |
Pages | pp 105-124 |
Keywords | Aggression ; Dementia ; Management [care] ; Psychogeriatric units ; Nursing homes ; Attitude ; Care home staff ; Social surveys ; United States of America. |
Annotation | Factors that promote successful management of people with severe behavioural problems in special care units (SCUs) for dementia were evaluated. Using qualitative data from staff interviews conducted in 46 American nursing home SCUs, the study examined the relationships between demographic and behavioural characteristics of 70 residents, the staff's management techniques, and family participation in managing those with severe behavioural problems. Problem behaviours were often managed successfully in SCUs, although unpredictable aggression was particularly difficult to control and was a common reason for discharge. Use of multiple non-pharmacological techniques was associated with a greater likelihood of successful management, and physical restraints were seen as a last resort. SCU staff members also reported that large, physically aggressive men and residents with real or suspected psychiatric comorbidity were especially difficult to manage. Finally, family involvement and support were critical to resident success and often buffered against resident discharge. (RH). |
Accession Number | CPA-030220206 A |
Classmark | EPB: EA: QA: LDM: LHB: DP: QRM: 3F: 7T |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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