Formal Nursing Home Caregivers’ Dementia Knowledge, Empathy, and Burden of Care from Behavioral and Psychological Symptoms of Dementia

Agitated behaviors occur frequently in patients with dementia. These behaviors affect the quality of life of the dementia sufferers and their caregivers. For example, these behaviors can greatly complicate everyday management in familiar surroundings and in institutional care, and they predict premature nursing home admission.

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

International Psychogeriatrics ◽

10.1017/s1041610200006761 ◽

2000 ◽

Vol 12 (S1) ◽

pp. 51-57 ◽

Cited By ~ 13

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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Influence of Behavioral and Psychological Symptoms on Pain in Nursing Home Residents with Cognitive Impairment

Journal of the Korean society for Wellness ◽

10.21097/ksw.2016.02.11.1.107 ◽

2016 ◽

Vol 11 (1) ◽

pp. 107 ◽

Cited By ~ 1

Author(s):

Young-Mi Lee

Keyword(s):

Nursing Home ◽

Cognitive Impairment ◽

Psychological Symptoms ◽

Nursing Home Residents ◽

Behavioral And Psychological Symptoms

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Effectiveness of treatment in wards for patients with dementia and issues associated with this treatment: A prospective analysis

Dementia ◽

10.1177/1471301217730213 ◽

2017 ◽

Vol 18 (5) ◽

pp. 1751-1763 ◽

Cited By ~ 1

Author(s):

Shogo Taniguchi ◽

Teruyuki Matsuoka ◽

Takeshi Hikawa ◽

Atsushi Machihara ◽

Keisuke Shibata ◽

...

Keyword(s):

Nursing Home ◽

Length Of Stay ◽

Scale Score ◽

Psychological Symptoms ◽

Prospective Analysis ◽

Neuropsychiatric Inventory ◽

Clinical Dementia Rating ◽

Severity Of Dementia ◽

Distress Scale ◽

Behavioral And Psychological Symptoms

In order to optimize the treatment in wards for patients with dementia, we investigated predictors of the length of stay in the ward for patients with dementia. A prospective analysis of 72 patients with dementia was conducted in two wards for patients with dementia. Severity of dementia was assessed by the Clinical Dementia Rating, basic activities of daily living were evaluated using the Physical Self-Maintenance Scale, and severity of behavioral and psychological symptoms of dementia and caregiver distress were determined with the Nursing Home version of the Neuropsychiatric Inventory. Stepwise regression analysis was used to identify predictors of the length of stay. Fewer patients were discharged to home compared to those discharged to institutions or transferred to a different hospital or ward. The mean length of stay was 92.0 days. Clinical Dementia Rating and total distress scale score on the Nursing Home version of the Neuropsychiatric Inventory were significant independent predictors of the length of stay. The total Nursing Home version of the Neuropsychiatric Inventory score and total distress scale score on the Nursing Home version of the Neuropsychiatric Inventory were significantly improved through treatment. Our results suggest that treatment in the wards for patients with dementia is effective for improvement of behavioral and psychological symptoms of dementia. However, some patients could not be discharged to their home despite improvement of behavioral and psychological symptoms of dementia, and this may be related to caregiver burden at admission.

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