| |
Centre for Policy on Ageing | |
 | |
|
The management of inappropriate vocalisation in dementia
— a hierarchical approach | | Author(s) | Sue Barton, David Findlay, Roger A Blake |
| Journal title | International Journal of Geriatric Psychiatry, vol 20, no 12, December 2005 |
| Pages | pp 1180-1186 |
| Source | http://www.interscience.wiley.com |
| Keywords | Behaviour disorders ; Dementia ; Literature reviews. |
| Annotation | Patients with dementia can demonstrate noisy behaviours such as screaming, repetitive speech, moaning and singing. Such behaviours can be grouped under the title of "inappropriate vocalisation", which is used in this article to describe any noise-making that is detrimental in impact on patients, families or those in a caring role. Inappropriate vocalisation is notoriously difficult to treat, and clinicians may have to rely on a "trial and error" approach. This paper applies a hierarchical approach to behavioural and psychological symptoms of dementia (BPSD) in attempting to tackle inappropriate vocalisation systematically. Nine steps are ranked within three stages, with evidence for each intervention being considered sequentially in terms of the likelihood for success. In a review of the literature based on a search of Medline, the authors found 53 reviews, research papers, case studies or letters; 36 are referenced in this article, the remaining references drawn from reading around the subject and related problems. Interventions for inappropriate vocalisation in dementia are not limited to medication. Environmental factors and behavioural approaches are considered ahead of pharmacotherapy as the concepts of underlying illness, hidden meaning and empirical treatments are used to structure consideration of important and sometimes overlooked issues including pain, depression and overall level of stimulation. (RH). |
| Accession Number | CPA-060313210 A |
| Classmark | EP: EA: 64A |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|