STAFF PERCEPTIONS OF BEHAVIORAL PROBLEMS IN NURSING HOME RESIDENTS WITH DEMENTIA: THE ROLE OF TRAINING

1993 ◽  
Vol 19 (7) ◽  
pp. 683-694 ◽  
Author(s):  
Deborah J. Monahan
Keyword(s):  
Nursing Home ◽  
Behavioral Problems ◽  
Nursing Home Residents ◽  
Staff Perceptions

scholarly journals The process of transprofessional collaboration: how caregivers integrated the perspectives of rehabilitation through working with a physical therapist

2020 ◽  
Vol 8 (4) ◽  
pp. e000378
Author(s):  
Ryohei Goto ◽  
Junji Haruta
Keyword(s):  
Nursing Home ◽  
Action Research ◽  
Physical Therapist ◽  
Nursing Home Residents ◽  
Research Approach ◽  
Action Research Approach ◽  
Informal Interview ◽  
Trial Basis ◽  
Field Notes

ObjectivesTo clarify the process of how caregivers in a nursing home integrate the perspectives of rehabilitation into their responsibilities through working with a physical therapist.DesignThis study was conducted under an action research approach.SettingThe target facility was a nursing home located in Japan. The researcher, a physical therapist, worked at the nursing home once a week from April 2016 to March 2017. During the study period, he created field notes focused on the dialogue and action of caregivers regarding care, responses of caregivers to the physical therapist and reflections as a physical therapist. Caregivers were also given a short informal interview about their relationship with the nursing home residents. For data analysis, two researchers discussed the content based on the field notes, consolidating the findings.ParticipantsThe participants were caregivers who worked at the target facility. Thirty-eight caregivers agreed to participate. Average age was 39.6±11.1 years, 14 (37%) were male and average caregiver experience was 9.8 years.ResultsTwo cycles of action research were conducted during the study period. There were four stages in the process of how caregivers in the nursing home integrated the perspectives of rehabilitation through their work with the physical therapist. First, caregivers resisted having the rehabilitation programme carried out in the unit because they perceived that rehabilitation performed by a physical therapist was a special process and not under their responsibility. However, the caregivers were given a shared perspective on rehabilitation by the physical therapist, which helped them to understand the meaning of care to adapt the residents’ abilities to their daily life. They practised resident-centred care on a trial basis, although with a sense of conflict between their new and previous role, which emphasised the safety of residents’ lives and personhood. The caregivers increased their self-efficacy as their knowledge and skills were supplemented by the physical therapist and his approval of their attempted care. They were then able to commit to their newly conceived specialty of care as a means of supporting the lives of residents.ConclusionsThe process of working with a physical therapist led to a change in caregivers’ perception and behaviours, which occurred in four stages: resistance to incorporation, recapture of other perspectives, conflicts and trials in the role of caregiver and transformation to a resident-centred perspective.

Advocacy for The Mentally Impaired Elderly: A Case Study Analysis

1989 ◽  
Vol 14 (4) ◽  
pp. 353-376 ◽  
Author(s):  
Jeanie Kayser-Jones ◽  
Marshall B. Kapp
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Self Advocacy ◽  
State Laws ◽  
Case Study Analysis ◽  
Appropriate Treatment ◽  
Mentally Impaired ◽  
And Training

The authors present a case study to illustrate how a mentally impaired but socially intact nursing home resident, who had no one to act as an advocate for her, was denied appropriate treatment for an acute illness which ultimately resulted in her death. The case raises important questions about advocacy for the mentally-impaired, acutely-ill institutionalized patient. This Article explores the role of the advocate, how advocates are selected, what qualities and talents they should possess, and what responsibilities should be assigned to them. The authors suggest that nursing home residents should be encouraged to engage in self-advocacy to the greatest extent possible. The competent elderly should be urged to name their preferred advocates. Individuals who serve in advocacy roles should be advised to seek information regarding the patient's wishes from those who know the patient well. Furthermore, there is a need for quality education and training of those who serve in advocacy roles on behalf of nursing home residents, and state laws need to specify the responsibilities of persons who serve as advocates.

scholarly journals Psychiatric and behavioral problems and well-being in gerontopsychiatric nursing home residents

2019 ◽  
pp. 1-9
Author(s):  
Elja van der Wolf ◽  
Susan A. H. van Hooren ◽  
Wim Waterink ◽  
Lilian Lechner
Keyword(s):  
Nursing Home ◽  
Behavioral Problems ◽  
Nursing Home Residents ◽  
Well Being

scholarly journals Mood and behavioral problems are important predictors of quality of life of nursing home residents with moderate to severe dementia: A cross-sectional study

PLoS ONE ◽  
2019 ◽  
Vol 14 (12) ◽  
pp. e0223704 ◽  
Author(s):  
Marinda Henskens ◽  
Ilse M. Nauta ◽  
Susan Vrijkotte ◽  
Katja T. Drost ◽  
Maarten V. Milders ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Nursing Home ◽  
Behavioral Problems ◽  
Nursing Home Residents ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Severe Dementia ◽  
Cross Sectional

Predictors of the Level of Care assigned to New Nursing Home Residents

1985 ◽  
Vol 4 (1) ◽  
pp. 38-46 ◽  
Author(s):  
Peter R. Grant
Keyword(s):  
Nursing Home ◽  
Activities Of Daily Living ◽  
Behavioral Problems ◽  
Daily Living ◽  
Stressful Life Event ◽  
Nursing Home Residents ◽  
Level Of Care ◽  
Admission Data ◽  
Major Predictor ◽  
High Level

ABSTRACTAdmission data from 159 residents of four Saskatchewan nursing homes were analysed in order to identify predictors of level of care. Multiple regression analyses showed that a high level of care was assigned to those who were unable to perform various activities of daily living, those who had behavioral problems, and those who had recently experienced a stressful life event; with these variables and a nursing home variable explaining 47.2% of the variance. Appropriately, the most important predictor is activities of daily living. The other major predictor is behavioral problems which, the results suggest, are caused by either an organic psychotic disorder or a high level of stress. It is recommended that, following admission, new residents with behavioral problems caused by stress should be the recipients of programs designed to help them cope with this stress and mitigate their behavioral problems. Then, they should be reassessed and, where appropriate, reassigned to a lower level of care.

Prevalence of Pain in Nursing Home Residents: The Role of Dementia Stage and Dementia Subtypes

2017 ◽  
Vol 18 (6) ◽  
pp. 522-527 ◽  
Author(s):  
Janine van Kooten ◽  
Martin Smalbrugge ◽  
Johannes C. van der Wouden ◽  
Max L. Stek ◽  
Cees M.P.M. Hertogh
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Prevalence Of Pain

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.

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