Search results for ‘Subject term:"alzheimers disease"’ Sort:
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Wayfinding difficulties among elders with dementia in an assisted living residence
- Author:
- CASPI Eilon
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 13(4), 2014, pp.429-450.
- Publisher:
- Sage
The concerning phenomena of spatial disorientation and wayfinding difficulties among elders with Alzheimer’s disease or a related dementia in assisted living residences are understudied. This qualitative study aimed to identify the types of wayfinding difficulties as experienced by residents with memory-loss in two special care units of an assisted living residence. The data collection period included participant observation complemented by semi-structured interviews with care staff and managers and review of clinical records. A wide spectrum of wayfinding difficulties was identified as experienced by six residents. The residents experienced difficulties reaching several destinations on the units. The implications of the findings to practice, architectural design, and policy are discussed. (Publisher abstract)
Aggressive behaviors between residents with dementia in an assisted living residence
- Author:
- CASPI Eilon
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 14(4), 2015, pp.528-546.
- Publisher:
- Sage
This study examines the circumstances, sequence of events, and triggers that lead to aggressive behaviour between residents with dementia in long-term care residences. Data were collected during 10 months in two special care units of an assisted living residence. Participant observation was used as the primary data collection strategy, complemented by review of clinical records and semi-structured interviews with care staff and managers. Grounded Theory informed by Miles and Huberman’s approach was used as the analytic framework. In a substantial number of the reported 85 incidents, observable early warning signs were identified. In the majority of cases observable causes or triggers prior to the aggressive acts were identified. The majority of incidents were situational-reactive (circumstance-driven) and therefore potentially modifiable. Twelve effective staff prevention strategies were identified. It is suggested that the study findings could be incorporated into care staff training programs. (Edited publisher abstract)
Does self-neglect occur among older adults with dementia when unsupervised in assisted living? An exploratory, observational study
- Author:
- CASPI Eilon
- Journal article citation:
- Journal of Elder Abuse and Neglect, 26(2), 2014, pp.123-149.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The phenomenon of older adults with dementia who develop behavioural expressions when they are unsupervised in assisted living residences is understudied. This qualitative study aimed to bridge this gap in the literature by focusing on 12 residents in various stages of dementia. Grounded Theory was followed to guide data collection and analysis. Data were collected in two special care units of an assisted living residence for 10 months. Participant observation was the primary data collection strategy. Semistructured interviews with staff and managers and review of clinical records augmented the observation data. While unsupervised, residents exhibited a wide spectrum of negative emotional states, behavioural expressions, functional difficulties, wayfinding difficulties, serious hygiene problems, and safety risks. More than half of the identified incidents represented self-neglectful behaviours. The study highlights the need for enhanced supervision and targeted interventions for residents with dementia who are susceptible to self-neglect. (Publisher abstract)