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Identifying patterns of disruptive behavior in long-term care residents
Author(s)Elaine Souder, Kim Heithoff, Patricia S O'Sullivan
Journal titleJournal of the American Geriatrics Society, vol 47, no 7, July 1999
Pagespp 830-836
KeywordsBehaviour disorders ; Aggression ; Dementia ; Residents [care homes] ; Long term ; United States of America.
AnnotationThe authors undertook a detailed prospective investigation to determine what specific disruptive behaviours (DBs) occur and co-occur in older people in long-term care. They recruited a sample of 240 patients (mean age 72.8) from 8 LTC units and an acute/admission unit of a large US Veterans Administration Medical Center (VAMC). Residents had dementia, a psychiatric diagnosis, or mixed dementia and psychiatric diagnoses. In a 24-hour period, the average frequency was 3.6 DBs per subject. 41.2% of DBs occurred during the day shift, 39.2% during the evening shift, and 19.6 during the night shift. In 32% of observed occurrences, only one DB occurred within the hour. In the remaining 68% of observations, two or more DBs occurred within the same hour. Several characteristic patterns were noted, e.g. physically aggressive behaviours rarely co-occurred with verbal DBs. Physically non-aggressive behaviours seemed to occur most frequently with other physically non-aggressive behaviours and, to a lesser extent, with verbal DBs. These findings lend support to the existence of patterns of DBs in long-term care patients, a useful step toward targeting interventions early in the behavioural sequence. (RH).
Accession NumberCPA-990825323 A
ClassmarkEP: EPB: EA: KX: 4Q: 7T

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