Behavior management of the dementias

A Total Environment Quality of Care approach to evaluation of management and care at two dementia care units in Tasmania

“…The literature supports the development of smaller units of [15][16][17][18][19][20] residents.' Environmental conditions which impact negatively on caregivers have the potential to affect the quality of care of the resident).…”

Functional analysis of challenging behaviour in dementia: the role of superstition

“…In addition, we were not always in a position to empirically test out a hypothesis, either because the member of sta was unable to help, or because we did not receive consent. The ethical dilemmas concerning research and treatment with this vulnerable population, especially with regard to appropriate informed consent, are outlined by Fisher and Carstensen (1990). In the present clinical trial, over 50% of our initial sample ( family member or advocate), refused to consent to the empirical investigation of our hypotheses.…”

“…Therefore behavioural assessment now involves a variety of methods including interviews with the client or a third party, direct observation, psychometric assessment and so on (Sturmey, 1996). In the ®eld of learning disability there are calls for the use of antecedents in programmes for the reduction of problematic behaviour (Mackerell, 1997) and stimulus control approaches are advocated for people with dementia who may have a reduced learning capacity (Fisher and Carstensen, 1990).…”

Handbook of Neuropsychology and Aging

“…The effectiveness of behavior therapies in altering maladaptive or dysfunctional behavior in older adults has been documented in a variety of settings. Successful treatment interventions have included stimulus control procedures to decrease incidents of wandering behavior and increase social interaction, as well as contingency management techniques to increase exercise participation and independent eating and to reduce urinary incontinence (Fisher & Carstensen, 1990;Keating, Schulte, & Miller, 1988;Yu, Kaltreider, Hu, & Craighead, 1991). In addition to altering such target behaviors, traditional learning theories have been used to effect broader clinical issues with older adults.…”