Journal of Dementia Care, 16(5), September 2008, pp.30-33.
Publisher:
Hawker
A case study is used to demonstrate the support model used by the Newcastle Challenging Behaviour Service. The case study illustrates how an elderly man, whose agitated behaviour in the evenings caused problems for care staff and other residents, was helped using the model. The model conceptualises residents' behaviours as strategies employed by a person to meet an unfulfilled or 'unmet' need.
A case study is used to demonstrate the support model used by the Newcastle Challenging Behaviour Service. The case study illustrates how an elderly man, whose agitated behaviour in the evenings caused problems for care staff and other residents, was helped using the model. The model conceptualises residents' behaviours as strategies employed by a person to meet an unfulfilled or 'unmet' need.
Subject terms:
intervention, models, older people, residents, unmet need, challenging behaviour, care homes, dementia, agitation;
International Journal of Geriatric Psychiatry, 14(10), October 1999, pp.831-844.
Publisher:
Wiley
This American research examines longitudinal predictors of physical and verbally non-aggressive inappropriate behaviours in older people attending day centres. Results found that physically non-aggressive behaviours were predicted mainly by good health and cognitive impairment. Depression also emerged as a predictor of physically non-aggressive behaviours. Verbally non-aggressive behaviours were predicted by depression and pain. Understanding the aetiologies of non-aggressive problem behaviours can aid in developing appropriate care for this population.
This American research examines longitudinal predictors of physical and verbally non-aggressive inappropriate behaviours in older people attending day centres. Results found that physically non-aggressive behaviours were predicted mainly by good health and cognitive impairment. Depression also emerged as a predictor of physically non-aggressive behaviours. Verbally non-aggressive behaviours were predicted by depression and pain. Understanding the aetiologies of non-aggressive problem behaviours can aid in developing appropriate care for this population.
Aging and Mental Health, 8(2), March 2004, pp.126-132.
Publisher:
Taylor and Francis
... with relatively calm behaviour and progresses through a prescribed sequence of behaviours that end in violence. This article presents two studies, a descriptive study and an intervention study that examine the escalation and de-escalation patterns of BPSD. Results of the descriptive study indicate a dominant pattern of agitation, aggression, and agitation while results of the intervention study, using
Behavioural and psychological symptoms of dementia (BPSD) may be framed within the Needs Driven Dementia-Compromised Behavior (NBD) Model. Current literature suggests that BPSD may escalate. Several researchers have described a sequence of behavioural escalation that has a clear starting point and ending point. This 'ideal' or concatenated sequence is used to explain behavior that begins with relatively calm behaviour and progresses through a prescribed sequence of behaviours that end in violence. This article presents two studies, a descriptive study and an intervention study that examine the escalation and de-escalation patterns of BPSD. Results of the descriptive study indicate a dominant pattern of agitation, aggression, and agitation while results of the intervention study, using sequential analysis indicate persistence of behavior from one 20-minute period to another. The persistence of vocalization at intensity level 2 changed from pre-intervention (mean conditional probability 29%) to post-intervention (mean conditional probability 13%). Taken together these studies shed light on the pattern of escalation and de-escalation of BPSD and suggest an intervention to alter behaviour persistence. This article discusses methodological challenges of measuring the escalation and de-escalation of BPSD and offers suggestions for analysis and design such as time series and sequential analysis.