Propranolol for Disruptive Behaviors in Nursing Home Residents With Probable or Possible Alzheimer Disease

2005 ◽  
Vol 19 (1) ◽  
pp. 23-28 ◽  
Author(s):  
Elaine R Peskind ◽  
Debby W Tsuang ◽  
Lauren T Bonner ◽  
Marcella Pascualy ◽  
Robert G Riekse ◽  
...  
Keyword(s):  
Nursing Home ◽  
Alzheimer Disease ◽  
Nursing Home Residents ◽  
Disruptive Behaviors

Neuroleptic Use and Behavioral Disturbance in Nursing Homes: A 1-Year Study

1995 ◽  
Vol 7 (4) ◽  
pp. 535-545 ◽  
Author(s):  
Lynda C. Burton ◽  
Barry W. Rovner ◽  
Pearl S. German ◽  
Larry J. Brant ◽  
Rebecca D. Clark
Keyword(s):  
Nursing Home ◽  
Problem Behaviors ◽  
Rating Scale ◽  
Nursing Home Residents ◽  
Disruptive Behaviors ◽  
Nursing Assistants ◽  
Behavioral Disturbance ◽  
Nursing Facilities ◽  
Medication Knowledge ◽  
Skilled Nursing

This article discusses a longitudinal study of change in disruptive behaviors among nursing home residents treated with neuroleptics compared with those not treated with neuroleptics. Observations were made of 201 participants on admission to and after 1 year in eight skilled nursing facilities. Nine disruptive behaviors were measured using the Psychogeriatric Dependency Rating Scale with nursing assistants. Neuroleptic use was documented from medication records. Odds ratios are reported for the association of behavior at baseline and use of neuroleptics on nine problem behaviors. For those who received neuroleptics during the year, there was greater change in both developing and resolving disruptive behaviors than for those not receiving neuroleptics. For both groups, restless or pacing behavior and belligerent behavior manifested by refusing instructions changed the most, both in developing and in apparently resolving. Our results show that change in disruptive behaviors occurs among nursing home residents regardless of neuroleptic use, but it occurs more frequently among those who receive neuroleptic medication. Knowledge of which disruptive behaviors are most likely to resolve or develop is important in training nursing home staff to cope with the behaviors as well as in planning interventions that may modify such behaviors.

Excess Disability During Morning Care in Nursing Home Residents With Dementia

2000 ◽  
Vol 12 (2) ◽  
pp. 267-282 ◽  
Author(s):  
Joan C. Rogers ◽  
Margo B. Holm ◽  
Louis D. Burgio ◽  
Chuanchieh Hsu ◽  
J. Michael Hardin ◽  
...  
Keyword(s):  
Nursing Home ◽  
Activities Of Daily Living ◽  
Usual Care ◽  
Daily Living ◽  
Nursing Home Residents ◽  
Disruptive Behaviors ◽  
Cognitively Impaired ◽  
Functional Rehabilitation

Excess disability was examined in 17 nursing home residents with dementia by comparing their performance of morning care tasks under two activities of daily living (ADL) caregiving approaches—a dependence-supportive one under usual care and an independence-supportive one under functional rehabilitation. The results suggest that excess disability in severely cognitively impaired and functionally disabled residents can be reduced by increasing opportunities for independent activity, and substituting nondirective and directive verbal assists for physical assists. Further, the findings indicate that increased independence in ADL can be achieved without increasing disruptive behaviors and can foster appropriate requests for task-related help during caregiving. Functional rehabilitation, however, requires more time than usual care.

Divalproex Sodium in Nursing Home Residents With Possible or Probable Alzheimer Disease Complicated by Agitation

2005 ◽  
Vol 13 (11) ◽  
pp. 942-949 ◽  
Author(s):  
Pierre N. Tariot ◽  
Rema Raman ◽  
Laura Jakimovich ◽  
Lon Schneider ◽  
Anton Porsteinsson ◽  
...  
Keyword(s):  
Nursing Home ◽  
Alzheimer Disease ◽  
Nursing Home Residents ◽  
Divalproex Sodium
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