Music therapy can help social workers deal with negative behaviors and symptoms of dementia in older adults without drugs or physical restraints, thereby improving the quality of care. This study tested the effectiveness of music therapy activities for improving agitated behavior in older adults with dementia living in long-term care institutions.…

Purpose of the Study: Behavior problems are common in nursing homes. Current guidelines recommend nonpharmacological interventions (NPHIs) as first-line treatment, but pharmacological regimens (PIs) continue to be used. Given differences in background and training of those who treat behavior problems in residents, we compared attitudes of…

Elder abuse in long-term care has become a very important public health concern. Recent estimates of elder abuse prevalence are in the range of 2% to 10% (Lachs & Pillemer, 2004), and current changes in population structure indicate a potential for an upward trend in prevalence (Malley-Morrison, Nolido, & Chawla, 2006; Post et al., 2006).…

Purpose: We compared the rates of specialized care for residents with Alzheimer's disease or dementia in special care units (SCUs) and other nursing home (NH) units and examined the associations of SCU residence with process of care and resident outcomes. Design and Methods: Data came from the 2004 National Nursing Home Survey. The indicators of…

Purpose: It is widely believed that physical restraint use causes mental and physical health decline in nursing home residents. Yet few studies exist showing an association between restraint initiation and health decline. In this research, we examined whether physical restraint initiation is associated with subsequent lower physical or mental…

As part of 5-state study of impact of special care units for demented residents, surveyed approximately 2,000 nursing homes to identify facilities that maintained some form of special care unit. Estimated prevalence of such units was 11 percent, suggesting that special care units are far more numerous than had previously been reported. (Author/NB)

Provides information about correlates of disruptive behaviors among nursing home residents with dementia. Observation of a wide range of behaviors (N=45) across 11 months were analyzed. Findings suggest that cognitive status, but not health variables, predicts disruptive behavior among nursing home residents with dementia. (Author/MKA)

Nurses in long-term care facilities indicated that about 30 percent of residents presented noise-making behavior. From descriptions, typology of noise-making was identified: purposeless and perseverative noise-making, noise-making in response to environment, noise-making to elicit response from environment, "chatterbox" noise-making,…

Reports the results of a consensus meeting convened to provide guidelines for clinicians and make recommendations for researchers regarding disruptive vocalization (DV). Suggests that DV arises largely in persons with cognitive impairment and generally reflects an underlying need or discomfort. Managing DV involves appropriate identification of…

Indirect self-destructive behavior (ISDB) is associated with direct suicide potential, dissatisfaction with the treatment program and with life in general, confused reasoning and judgment, poor prognosis for discharge, the absence of religious commitment, and significant losses in the patient's life. ISDB is an alternative form of suicide. (Author)

Examined relationships between agitated behavior and past personality in 408 nursing home residents. Agitated and nonaggressive behaviors were correlated with past stressful events, and physically aggressive behavior was correlated with the lack thereof; no relationships were found between agitated behavior and history of a mental disorder or past…

Examined nursing homes that have both special care units and traditional units to determine factors that cause homes to place cognitively impaired residents on specialized units. Wandering, other problem behaviors, and Medicaid status were not significant predictors of placement. Logistic regression results indicated that functional status was…

In the current study, nursing home staff were taught to administer functional analyses to determine the variables maintaining aggression by an elder with dementia. The results indicated that aggression was evoked during bathroom routines and that escape maintained aggression. Staff then reduced aggression to near-zero levels with noncontingent…

Purpose: Agitation frequently accompanies cognitive decline among nursing home residents. This study used cross-sectional and longitudinal (up to 18 months) methods to examine agitation among profoundly and moderately impaired residents using both staff report and direct observation methods. Design and Methods: The study included participants (N =…

Reports on the prevalence of behavior disorders in a sample of residents (N=360) in adult day health care programs. Findings indicate relatively high rates of behavior disorders. Most prevalent were the affective disorders (seeking reassurance, depression, crying) and verbal-vocal agitation. Differences between formal and informal caregivers'…