scholarly journals Behavioral Interventions in Long-Term Care Facilities during the COVID-19 Pandemic: A Case Study

Geriatrics ◽  
2021 ◽  
Vol 7 (1) ◽  
pp. 1
Author(s):  
Carlos Dosil-Díaz ◽  
David Facal ◽  
Romina Mouriz-Corbelle
Keyword(s):  
Behavioral Interventions ◽  
Long Term Care ◽  
Therapeutic Options ◽  
Mixed Dementia ◽  
Term Care ◽  
Cognitive Health ◽  
Care Facilities ◽  
Strong Confinement

During the COVID-19 pandemic, long-term care (LTC) centers have adopted a series of measures that have affected the physical and cognitive health of patients. The routines of the patients, as well as the interventions of professionals, have been altered. In the case presented here, our aim was to explain the effect that the strong confinement due to the spread of the first COVID-19 wave in Spain had on a 75-year-old resident in an LTC center, with cognitive and behavioral symptomatology compatible with a diagnosis of mixed dementia, as well as the measures that the center adopted to manage the lockdown situation in the best possible way, including personalized attention protocols and a video call program. Different nosological hypotheses are also raised using a semiological analysis, including the analysis of the initial and continuation diagnostic protocols, as well as the therapeutic options.

Étude préliminaire d'une intervention non-pharmacologique pour réduire l'agitation verbale chez les personnes atteintes de démence

2005 ◽  
Vol 24 (4) ◽  
pp. 319-328 ◽  
Author(s):  
Annick Bédard ◽  
Philippe Landreville
Keyword(s):  
Long Term Care ◽  
Unmet Needs ◽  
Sensory Stimulation ◽  
Multiple Baseline ◽  
Term Care ◽  
Baseline Case ◽  
Care Facilities ◽  
Preliminary Study

ABSTRACTVerbally agitated behaviours are among the behavioural symptoms of dementia most commonly encountered in long-term care facilities. These behaviours may be related to unmet needs that cannot be expressed adequately because of cognitive impairment. The objective of this preliminary study is to assess an intervention, based on the needs of social attention, sensory stimulation, and comfort, for managing verbally agitated behaviours in long-term care demented patients. A multiple baseline case study design was used, with two participants.

A cross-sectional examination of the prevalence of psychotropic medications for people living with dementia in Australian long-term care facilities: issues of concern

2017 ◽  
Vol 30 (7) ◽  
pp. 1019-1026 ◽  
Author(s):  
Mitchell McMaster ◽  
Elaine Fielding ◽  
David Lim ◽  
Wendy Moyle ◽  
Elizabeth Beattie ◽  
...  
Keyword(s):  
Behavioral Interventions ◽  
Long Term Care ◽  
Psychological Symptoms ◽  
Psychotropic Medications ◽  
Background Information ◽  
First Line ◽  
Cross Sectional ◽  
Term Care ◽  
Care Facilities

ABSTRACTBackground:Behavioral and psychological symptoms of dementia (BPSD) are a common problem in long-term care facilities (LTC). Clinical guidelines dictate that first-line treatments for BPSD are psychosocial and behavioral interventions; if these are unsuccessful, psychotropic medications may be trialed at low doses and their effects can be monitored.Methods:There have previously been no studies with nationally representative samples to investigate psychotropic administration in LTCs in Australia. This study determines the prevalence of psychotropic administration in a representative stratified random sample of 446 residents living with dementia from 53 Australian LTCs. Questionnaire and medical chart data in this study is drawn from a larger cross-sectional, mixed methods study on quality of life in Australian LTCs.Results:It was found that 257 (58%) residents were prescribed psychotropic medications including: antipsychotics (n = 160, 36%), benzodiazepines (n = 136, 31%), antidepressants (n = 117, 26%), and anti-dementia medications (n = 9, 2%). BPSD were found to be very common in the sample, with 82% (n = 364) of participants experiencing at least one BPSD. The most prevalent BPSD were depression (n = 286, 70%) and agitation (n = 299, 67%).Conclusions:Although detailed background information was not collected on individual cases, the prevalence found is indicative of systematic industry-wide, over-prescription of psychotropic medications as a first-line treatment for BPSD. This study highlights a clear need for further research and interventions in this area.

scholarly journals Behavioral Interventions to Reduce Infections in Pediatric Long-term Care Facilities: The Keep It Clean for Kids Trial

2017 ◽  
Vol 44 (2) ◽  
pp. 141-150 ◽  
Author(s):  
Elaine L. Larson ◽  
Meghan T. Murray ◽  
Bevin Cohen ◽  
Edwin Simpser ◽  
Marianne Pavia ◽  
...  
Keyword(s):  
Behavioral Interventions ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities

scholarly journals Optimizing vaccine distribution via mobile clinics: a case study on COVID-19 vaccine distribution to long-term care facilities

Vaccine ◽  
2021 ◽  
Author(s):  
Samta Shukla ◽  
Francois Fressin ◽  
Michelle Un ◽  
Henriette Coetzer ◽  
Sreekanth K. Chaguturu
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Care Facilities ◽  
Mobile Clinics ◽  
Vaccine Distribution

Behavioral Approaches for Reducing Agitation in Residents of Long-Term-Care Facilities: Critical Review and Suggestions for Future Research

1998 ◽  
Vol 10 (4) ◽  
pp. 397-419 ◽  
Author(s):  
Philippe Landreville ◽  
Marika Bordes ◽  
Louise Dicaire ◽  
René Verreault
Keyword(s):  
Behavioral Interventions ◽  
Long Term Care ◽  
Control Strategies ◽  
Nursing Home Residents ◽  
Future Research ◽  
Term Care ◽  
Care Facilities ◽  
Behavioral Treatments ◽  
Clinically Significant

Many residents in long-term-care facilities demonstrate agitated behaviors. Research on behavioral approaches for reducing agitation in nursing home residents has been conducted during the past 25 years. This research is critically reviewed in this article and suggestions for future research are offered. Empirical evidence suggests that behavioral approaches are effective. Antecedent control strategies have been shown to reduce physically nonaggressive behaviors. Both aggressive and verbally agitated behaviors have been successfully treated by manipulating reinforcing consequences of these behaviors. Future research in this area needs to test behavioral treatments using randomized group designs, compare behavioral interventions to other treatments used alone or in combination, specify criteria for clinically significant improvement, diversify and ascertain the validity of assessment methods, and verify the maintenance of treatment effects over relatively long follow-up periods.

Supervisory relationships in long-term care facilities: A comparative case study of two facilities using complexity science

2018 ◽  
Vol 27 (2) ◽  
pp. 311-319 ◽  
Author(s):  
Astrid Escrig-Pinol ◽  
Kirsten N. Corazzini ◽  
Meagan B. Blodgett ◽  
Charlene H. Chu ◽  
Katherine S. McGilton
Keyword(s):  
Long Term Care ◽  
Complexity Science ◽  
Comparative Case Study ◽  
Term Care ◽  
Supervisory Relationships ◽  
Care Facilities
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