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Centre for Policy on Ageing | |
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| Managing dementia agitation in residential aged care | | Author(s) | John W Bidewell, Esther Chang |
| Journal title | Dementia: the international journal of social research and practice, vol 10, no 3, August 2011 |
| Pages | pp 299-315 |
| Source | http://dem.sagepub.com/ |
| Keywords | Dementia ; Aggression ; Care homes ; Preventative medicine ; Behaviour modification. |
| Annotation | Agitation is a widespread and challenging problem among aged care residents with dementia. This study drew on empirical and theoretical literature to propose a model for preventing and treating agitation non-pharmacologically. A literature review found an agreed, coherent definition and measurement of agitation to be absent despite numerous agitation remedies having been suggested. However sufficient material was found to support evidence-based care planning. Agitation is revealed as resulting from a resident's interactions with the environment or their internal state, giving rise to unmet needs that attentive care can treat. A review of agitation treatments found no single effective remedy and a lack of quality evaluation. A higher-order, problem-solving approach is proposed. The described system consists of sequential diagnosis, decision making and treatment options, starting with individualised and institutional preventative measures removing environmental triggers, followed by individual remediation, with residents' unmet needs receiving priority consistent with patient-centred care. (JL). |
| Accession Number | CPA-111003013 A |
| Classmark | EA: EPB: KW: LK2: LODM |
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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