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Self-injurious behaviour in nursing home residents with dementia
Author(s)Adrienne P de Jonghe-Rouleau, Anne Margriet Pot, Jos F M de Jonghe
Journal titleInternational Journal of Geriatric Psychiatry, vol 20, no 7, July 2005
Pagespp 651-657
Sourcehttp://www.interscience.wiley.com
KeywordsAggression ; Evaluation ; Dementia ; Drugs ; Residents [care homes] ; Nursing homes ; Cross sectional surveys ; Netherlands.
AnnotationSelf-injurious behaviour (SIB) can be defined as any intentional or deliberate act that results in organ or tissue damage, regardless of motivation or mental state. In this Dutch cross-sectional study of of 110 nursing home patients with dementia, nurses' ratings of SIB and other behavioural disturbances were compared to independent resident physician ratings of medical chart data pertaining to dementia type and severity, prescribed psychotropic drugs, immobility and measures to restrain the patient. Instruments used were the Overt Aggression Scale (OAS, modified), Behaviour Rating Scale for Psychogeriatric Patients (GIP), and Rating Scale for Older Patients (BOP).SIB was observed in 22% of the dementia patients. Pinching or scratching oneself and banging one's fist against objects were most frequently reported; 5 patients showed a combination of two types of SIB. As expected, SIB was related to aimless repetitive behaviour and aggression; no association was found between SIB and apathy. Correlates of SIB were prescribed psychotropics (e.g. benzodiazepines) and measures to restrain the patient. (RH).
Accession NumberCPA-050906211 A
ClassmarkEPB: 4C: EA: LLD: KX: LHB: 3KB: 76H

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