A pilot study of differences in behavioral and psychological symptoms of dementia in nursing home residents in Sydney and Shanghai

2009 ◽  
Vol 21 (03) ◽  
pp. 476 ◽  
Author(s):  
Helen Zong Ying Wu ◽  
Lee-Fay Low ◽  
Shifu Xiao ◽  
Henry Brodaty
Keyword(s):  
Nursing Home ◽  
Pilot Study ◽  
Psychological Symptoms ◽  
Nursing Home Residents ◽  
Behavioral And Psychological Symptoms

Behavioral and Psychological Symptoms in Dementia in Nursing Home Residents: The Economic Implications

2000 ◽  
Vol 12 (S1) ◽  
pp. 51-57 ◽  
Author(s):  
Judith A. O'Brien ◽  
Lori A. Shomphe ◽  
J. Jaime Caro
Keyword(s):  
Nursing Home ◽  
Caregiver Burden ◽  
Behavioral Problems ◽  
Sleep Disturbances ◽  
Psychological Symptoms ◽  
Violent Behavior ◽  
Nursing Home Residents ◽  
Level Of Care ◽  
Economic Implications ◽  
Behavioral And Psychological Symptoms

A variety of behavioral and psychological symptoms are inherent to dementia, such as delusional thinking, hallucinations, agitation, violent behavior, verbal outbursts, wandering, sleep disturbances, and sexually inappropriate behavior (Jackson et al., 1989; Reisberg et al., 1987; Teri et al., 1992; Yeager et al., 1995). Although opinions in the literature differ concerning behavioral problems and how they relate to caregiver burden and institutionalization (Martinson et al., 1995; Mega et al., 1996; Reisberg et al., 1987), this analysis focuses on their role in increasing the level of care once the patient is placed in permanent residential care.

scholarly journals Person-Centered Care Plans for Nursing Home Residents With Behavioral and Psychological Symptoms of Dementia

2020 ◽  
Vol 46 (11) ◽  
pp. 17-27
Author(s):  
Justine S. Sefcik ◽  
Caroline Madrigal ◽  
Allison R. Heid ◽  
Sheila L. Molony ◽  
Kimberly Van Haitsma ◽  
...  
Keyword(s):  
Nursing Home ◽  
Psychological Symptoms ◽  
Nursing Home Residents ◽  
Care Plans ◽  
Person Centered Care ◽  
Centered Care ◽  
Behavioral And Psychological Symptoms

Treatment in Nursing Home versus Hospital for Patients with Behavioral and Psychological Symptoms of Dementia

GeroPsych ◽  
2012 ◽  
Vol 25 (2) ◽  
pp. 97-102 ◽  
Author(s):  
Stein-Arne Hval ◽  
Kari Midtbø Kristiansen ◽  
Bernhard Lorentzen ◽  
Lisbeth Fagerstrøm ◽  
Lars Tanum
Keyword(s):  
Nursing Home ◽  
Pilot Study ◽  
Hospital Admission ◽  
Psychological Symptoms ◽  
Intervention Group ◽  
Treatment Intervention ◽  
Neuropsychiatric Inventory ◽  
Treatment Groups ◽  
Significant Difference ◽  
Behavioral And Psychological Symptoms

Introduction: This article is concerned with the optimal treatment of behavioral and psychological symptoms present in patients with dementia. This pilot study compares the benefits of an ambulant treatment intervention in nursing homes to hospital admission. Material and Methods: Patients referred for hospital admission were randomized to either hospital admission or ambulant treatment intervention in their nursing home. Registration of behavioral and psychological symptoms of dementia (BPSD) together with the caregiver’s distress were assessed at T1, T2, and T3 using the Neuropsychiatric Inventory (NPI). Results: Both treatment groups showed a statistically significant reduction in BPSD, and there was no significant difference between the groups in total score of NPI. NPI-reported carer distress was reduced in both groups, and this was statistically significant for the intervention group.

scholarly journals A PILOT STUDY TO TEST METHODS FOR DATA COLLECTION ON NURSES CARING FOR RESIDENTS WITH DEMENTIA IN THE NURSING HOME

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S451-S451
Author(s):  
Rebekah Perkins ◽  
Elizabeth Cashdan ◽  
Katherine Supiano
Keyword(s):  
Nursing Home ◽  
Pilot Study ◽  
Psychological Symptoms ◽  
Nursing Home Residents ◽  
Test Methods ◽  
Structured Interviews ◽  
Home Setting ◽  
Interview Method ◽  
Expert Nurses ◽  
Nursing Home Setting

Abstract Nurses draw from their experiences and intuition to detect changes in patient condition, patterns of patient behaviors, and evidence of distress. In the nursing home setting, nurses care for residents with dementia and manage challenging behavioral and psychological symptoms of dementia (BPSD), and may rely on informed intuition to assess and capably respond to such behaviors. To date, no observational method has been developed to discern nurse-resident interactions that identify expert nurses who effectively address BPSD. It is not known if or how nurses in this setting use intuition to make clinical judgments and decisions to manage BPSD events. Using an ethogram approach, we developed an observational tool and spot interview method to discern BPSD events, background and proximal factors and nurse responses to BPSD. Pilot observations took place over three nursing shifts to identify nurse-resident interactions during BPSD events using the observation tool. Nurse-resident interactions were followed by spot interviews with each nurse to clarify their responses to BPSD. Semi-structured interviews were conducted with nurse participants to further develop an interview guide and identify elements of nurse intuition. The pilot study affirmed the feasibility of gaining access to facilities with residents with BPSD, of nurse comfort with field observation and interviews, and established preliminary construct validity of the “expert nurse.” Verification of the utility of this observation and interview method permit further examination of effective nurse engagement with nursing home residents with BPSD, informs our understanding of nurse intuition and permits further exploration of the broader context of BPSD.

scholarly journals A systematic review of non-pharmacological interventions for BPSD in nursing home residents with dementia: from a perspective of ergonomics

2018 ◽  
Vol 31 (08) ◽  
pp. 1137-1149 ◽  
Author(s):  
Gubing Wang ◽  
Armagan Albayrak ◽  
Tischa J. M. van der Cammen
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Nursing Home ◽  
Psychological Symptoms ◽  
Nursing Home Residents ◽  
Inclusion Criteria ◽  
Pharmacological Interventions ◽  
Quality Of Evidence ◽  
Behavioral And Psychological Symptoms

ABSTRACTBackground:Non-pharmacological interventions for Behavioral and Psychological Symptoms of Dementia (BPSD) have been developed; however, a systematic review on the effectiveness of this type of intervention from a perspective of ergonomics is lacking. According to ergonomics, the capabilities of Persons with Dementia (PwD) should be considered in the interventions for the outcomes to be reliable. We aimed to systematically review the non-pharmacological interventions for BPSD in nursing home residents with an additional assessment criterion based on ergonomics, specifically, capability consideration.Methods:The electronic databases MEDLINE, EMBASE, and PsycINFO were searched for non-pharmacological interventions treating BPSD in nursing homes. The interventions were categorized according to the capabilities of PwD required to participate. Study quality was assessed by National Health and Medical Research Council (NHMRC) evidence hierarchy and the capability consideration.Results:Sixty-four clinical trials met the inclusion criteria; 41 trials reported a significant reduction in at least one BPSD symptom; 20 trials reported no significant reduction in BPSD symptoms; three trials reported adverse effects after the intervention. Interventions were categorized into sensory-, cognition-, and movement-oriented. Capabilities of PwD were not considered in 28 trials, especially for sensory capabilities.Conclusions:The majority of the clinical trials reported a significant reduction in BPSD. The quality of evidence for nonpharmacological interventions in these trials is low due to the lack of capability consideration, data inhomogeneity, and inadequate study design and reporting. Future studies should focus on improving the quality of evidence by including capability consideration and examining if a relationship between capability consideration and effectiveness of non-pharmacological interventions exists.

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