| |
Centre for Policy on Ageing | |
 | |
|
Individualized guidelines for the management of aggression in dementia - Part 2
— appraisal of current guidelines | | Author(s) | Victor Vickland, Natalie Chilko, Brian Draper |
| Journal title | International Psychogeriatrics, vol 24, no 7, July 2012 |
| Pages | pp 1125-1132 |
| Source | www.journals.cambridge.org/ipg |
| Keywords | Dementia ; Behaviour disorders ; Aggression ; Psychiatric treatment ; Standards of provision ; Evaluation ; Literature reviews. |
| Annotation | Individualized guidelines have the potential to offer clinicians assistance in decision-making at the point of consultation to improve health outcomes for patients. This project aims to develop individualised guidelines for the management of aggression in dementia. In Part 1, the authors developed a map of concepts to consider when managing aggression. The present study appraises paper-based guidelines for their representation of these concepts. Two reviewers used a four-point scale (absent, weak, moderate, strong) to rate the guidelines on their representation of concepts relating to the patient, the aggression and dementia disorder, the treatment, and the guidelines themselves. Consensus was reached on inconsistent scores. 16 guidelines published since 2005 were evaluated for their representation of 13 key concepts. Pharmacological and non-pharmacological interventions were strongly represented overall in the guidelines, in conjunction with a consideration of the individual characteristics of the patients and their environment. Recommendations based on the presentation of the aggressive symptoms, goals of treatment, and theory of the cause of the aggression were moderately represented in the guidelines. Recommendations for the principles of restraint use and emergency treatment, as well as a consideration of the personal history of the patient, were poorly represented. Only 6 of 16 guidelines gave details of the expected review. Concepts important to the management of aggression in dementia are missing in the majority of published guidelines on dementia. This limits the ability of these tools to guide clinical practice effectively. (RH). |
| Accession Number | CPA-121026095 A |
| Classmark | EA: EP: EPB: LP: 583: 4C: 64A |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|