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Just how challenging can older people be?
 — Part 2: Making the case for specialist services for risky and aggressive behaviour
Author(s)Inga Stewart, Caroline Knight, Chrissie Johnson
Journal titlePSIGE Newsletter, no 103, April 2008
PublisherPsychologists' Special Interest Group in Elderly People - PSIGE, British Psychological Society, April 2008
Pagespp 66-75
Sourcehttp://www.psige.org.uk
KeywordsAggression ; Behaviour disorders ; Psychogeriatric patients ; Psychiatric treatment ; Evaluation ; Northampton.
AnnotationThe myth that older patients are not challenging permeates the image of older adult services, yet a growing literature suggests aggressive behaviour amongst this population exists. The Overall Aggression Scale Modified for Neurorehabilitation (OAS-MNR) is a means of measuring aggressive behaviour in people with acquired brain injury (ABI), and similarities to ABI and older patients indicates that the OAS-MNR may be useful within the latter. The utility of the OAS-MNR was evaluated across all wards within St Andrews Healthcare - Townsend, Northampton. All overt aggression over a 3-month period was recorded using the OAS-MNR, including the frequency, severity and antecedents to aggression as well as staff interventions in this in-patient setting. The data captured 2753 episodes of aggression, adding to the prevalence literature. Indeed, the severity of aggression was comparable with ABI populations. Physical aggression against others was most frequently observed, followed by verbal aggression. The majority of incidents followed agitation or distress, no obvious antecedent, or a direct verbal prompt. Staff predominantly responded with less intrusive interventions. These data are also considered according to neurological versus forensic groups of patients. It is suggested that the OAS-MNR could be used effectively to guide service provision, with valuable feedback to patients, staff, relatives and purchasers. (RH).
Accession NumberCPA-080428210 A
ClassmarkEPB: EP: LF:E: LP: 4C: 8NAD

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