Aggressive behavior in patients with dementia: Correlates and management

Cipriani, Gabriele; Vedovello, Marcella; Nuti, Angelo; Fiorino, Mario Di

doi:10.1111/j.1447-0594.2011.00730.x

Cited by 69 publications

(49 citation statements)

References 55 publications

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“…Dementia patients with frontal predominance often react impulsively to tempting environmental situations involving sexual or other objects of interest, without concern for the consequences; in addition, the commonest sociopathic acts in dementia are physical assaults that are sometimes correlated with misperceptions and sometimes with frank delusions . Several studies have reported increased AB in persons suffering from dementia compared with the normal population . AB in dementia might start when, with increasing cognitive impairment, people misinterpret the environment; for example, perceiving intimate care as a threat .…”

Section: Resultsmentioning

confidence: 99%

Violent and criminal manifestations in dementia patients

Cipriani

Lucetti

Danti

et al. 2015

Geriatrics Gerontology Int

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Although the older adults have been studied as victims of violence, geriatric patients can display violent behavior. The purpose of the present review was to explore the phenomenon of criminal violations and violent acts in people with dementia. The authors used PubMed to search the MEDLINE database and other sources for original research and review articles on criminal and violent manifestation in demented patients combining the terms "criminal manifestation," "violence, aggressive behavior," "homicide," "suicide" and "homicide-suicide" together with "dementia". Possible biomarkers of violence are considered. The present review highlights the risk factors for violence in patients suffering from dementia, and reviews the literature about criminal violations and homicidal/suicidal behavior in this patient group. Geriatr Gerontol Int 2016; 16: 541-549.

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Section: Resultsmentioning

confidence: 99%

Violent and criminal manifestations in dementia patients

Cipriani

Lucetti

Danti

et al. 2015

Geriatrics Gerontology Int

Self Cite

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“…The development and implementation of strategies to help caregivers administrate medications to their patients may indeed reduce the strain related to such tasks and increase their level of satisfaction with the care delivered. A reduced level of caregiver burden and distress has also been associated with a decreased risk of developing behavioral symptoms in AD patients and with an overall improved quality of life for their families [6,28,29]. Such positive effects result in a more prolonged in-home care provision for patients, with an overall reduction of costs of institutionalization [10,30].…”

Section: Discussionmentioning

confidence: 99%

Compliance and Caregiver Satisfaction in Alzheimer’s Disease: Results from the AXEPT Study

Bernabei¹,

Rossini

Cioccio

et al. 2012

Dement Geriatr Cogn Disord Extra

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Background/Aims: According to experimental data, a transdermal application is preferred by caregivers of Alzheimer’s disease (AD) patients compared with oral medications. The AXEPT study compared compliance to treatment among community-dwelling patients with mild-to-moderate AD treated with transdermal application compared to oral medications and caregiver satisfaction in a real clinical setting. Methods: Data from 45 memory clinics in Italy were collected between September 8, 2010 and January 31, 2011. Compliance to treatment and caregiver satisfaction were measured using the Caregiver Medication Interview. Results: A total of 855 AD patients and their caregivers participated in the study. Nearly 80% of caregivers of patients on patch were not concerned about adherence to treatment compared with 64% of caregivers of patients on oral drugs. Among caregivers of patients on patch, 94% did not report any difficulties in remembering to administer treatment compared with 73% of caregivers of patients on oral medications. The highest level of compliance and satisfaction was reported by caregivers of patients on transdermal application. Conclusion: Caregivers of patients treated with a transdermal application appeared to be more satisfied and reported a higher level of compliance than caregivers of patients receiving anti-AD oral medications.

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“…Evidence suggests that 30–50% of behavioral disturbances in dementia are severe aggression (Cipriani, Vedovello, Nuti, & Di Fiorino, 2011; Kunik et al, 2010), demonstrating the importance of proficiency in assessing the development and triggers for aggressive behavior. As a result of the many different medical, social, and emotional factors that may play a part in behavior, providers must develop sensitivity to the many aspects of the patient’s life and become comfortable either assessing complex patterns of behavior or making referrals to allied professionals who can assist with this process.…”

Section: Assessing and Intervening: Aggression In Dementiamentioning

confidence: 99%

Person-Centered Primary Care Strategies for Assessment of and Intervention for Aggressive Behaviors in Dementia

Desai¹,

Wharton²,

Struble³

et al. 2017

J Gerontol Nurs

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With an increase in the number of individuals affected by dementia, it is imperative for healthcare providers to be well versed in the most effective ways to manage neuropsychiatric symptoms such as aggression. Aggression can be particularly hard to manage because it creates risk of harm for both formal and informal caregivers and options for medical intervention are complex and situation dependent. While multiple guidelines for management of aggression in dementia are available in the literature, their scope is widespread and suggested treatments often vary, making decision making difficult to navigate for busy clinicians. Using a composite case as a model, this paper provides guidelines that take outpatient providers through the steps needed to provide effective treatment for aggression in individuals with dementia. Shifting the current focal point of healthcare for aggressive dementia patients towards a more person-centered approach will have a positive impact on patient care.

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Aggressive behavior in patients with dementia: Correlates and management

Cited by 69 publications

References 55 publications

Violent and criminal manifestations in dementia patients

Violent and criminal manifestations in dementia patients

Compliance and Caregiver Satisfaction in Alzheimer’s Disease: Results from the AXEPT Study

Person-Centered Primary Care Strategies for Assessment of and Intervention for Aggressive Behaviors in Dementia

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