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

journal contribution
posted on 01.01.2017, 00:00 authored by T E Davison, M P McCabe, M Bird, David MellorDavid Mellor, S MacPherson, David HallfordDavid Hallford, Melissa Seedy, D W O'Connor
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.].

History

Journal

Journal of gerontological nursing

Volume

43

Issue

1

Pagination

34 - 43

Publisher

Slack Inc

Location

Thorofare, N.J.

ISSN

0098-9134

Language

eng

Publication classification

C Journal article; C1 Refereed article in a scholarly journal

Copyright notice

2017, SLACK Incorporated