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Behavioral symptoms of dementia that present management difficulties in nursing homes: staff perceptions and their concordance with informant scales

Davison, Tanya E, McCabe, Marita P, Bird, Michael, Mellor, David, MacPherson, Sarah, Hallford, David, Seedy, Melissa and O'Connor, Daniel W 2017, Behavioral symptoms of dementia that present management difficulties in nursing homes: staff perceptions and their concordance with informant scales, Journal of gerontological nursing, vol. 43, no. 1, pp. 34-43, doi: 10.3928/00989134-20160928-01.

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Title Behavioral symptoms of dementia that present management difficulties in nursing homes: staff perceptions and their concordance with informant scales
Author(s) Davison, Tanya E
McCabe, Marita P
Bird, Michael
Mellor, DavidORCID iD for Mellor, David orcid.org/0000-0001-5007-5906
MacPherson, Sarah
Hallford, David
Seedy, Melissa
O'Connor, Daniel W
Journal name Journal of gerontological nursing
Volume number 43
Issue number 1
Start page 34
End page 43
Total pages 10
Publisher Slack Inc
Place of publication Thorofare, N.J.
Publication date 2017-01
ISSN 0098-9134
Keyword(s) dementia
nursing homes
behavioral symptoms
behavioral and psychological symptoms of dementia (BPSD)
neuropsychiatric symptoms
care
science & technology
life sciences & biomedicine
geriatrics & gerontology
gerontology
nursing
long-term care
older-adults
prevalence
facilities
residents
people
aggression
disorders
agitation
Summary The current study aimed to profile behaviors associated with dementia that pose management difficulties for staff and determine whether existing rating scales capture these reported behaviors. Staff in 17 nursing homes described the behavioral symptoms of 229 residents with predominantly moderate-severe dementia associated with management difficulties. Behaviors were categorized by an expert clinical panel and compared to items in four dementia behavior rating scales. Staff reported 59 discrete behavioral symptoms, with physically agitated, aggressive verbal, non-aggressive verbal, and aggressive physical behaviors most common, followed by resistance to care and inappropriate social and sexual behaviors. Results suggested that some scales omit important behaviors reported by staff for residents with particularly challenging behaviors. The current study highlights the clinical complexity faced by nursing home staff in managing residents with behavioral symptoms of dementia. [Journal of Gerontological Nursing, 43(1), 34-43.].
Language eng
DOI 10.3928/00989134-20160928-01
Field of Research 111099 Nursing not elsewhere classified
1110 Nursing
Socio Economic Objective 970117 Expanding Knowledge in Psychology and Cognitive Sciences
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2017, SLACK Incorporated
Persistent URL http://hdl.handle.net/10536/DRO/DU:30091324

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
School of Nursing and Midwifery
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