Behavior Modification with the Elderly

Patterson, Roger L.; Jackson, Gary M.

doi:10.1016/b978-0-12-535609-1.50011-8

Cited by 20 publications

(8 citation statements)

References 50 publications

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“…2 This is a problem of some magnitude, particularly because nursing homes have become the major receiving site for mentally ill elderly. 3 Previous research has suggested that behavior management may be one effective means of dealing with a range of problem behaviors among institutionalized elders, [4][5][6][7][8] although it is not frequently used 9 or taught to nurse aides. 10 Although professional nursing journals regularly provide theoretical and practical information about mental health care for the elderly, nursing assistants themselves have little access to this information.…”

Section: Introductionmentioning

confidence: 99%

Behavior Management Training for Nurse Aides: Is it Effective?

Cohn¹,

Horgas²,

Marsiske³

1990

J Gerontol Nurs

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Nursing assistants are responsible for 80% to 90% of all direct resident care in nursing homes, but are the least well trained personnel. Even with currently mandated training, specific skills to meet mental health needs are not taught. Training in behavior management skills prepares aides to observe and respond to problem behaviors more effectively. Aides view their own use of skills as increased by this training. To be practically useful, mental health training programs for nurse aides should be provided by professional personnel in brief, concrete, self-contained units that model the skills they present.

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Section: Introductionmentioning

confidence: 99%

Behavior Management Training for Nurse Aides: Is it Effective?

Cohn¹,

Horgas²,

Marsiske³

1990

J Gerontol Nurs

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“…Although behavior therapy has been applied to a variety of clinical populations, including the elderly, 27–30 it has rarely been applied to normal persons caring for the mentally ill, and when it has been, the approach has been one of operant behavioral management aimed at the patient, as in the case of behavioral management programs in children 31 and the elderly 28 . We have not been able to find any evidence in the literature of a coping skills training program aimed at the supporter.…”

Section: Discussionmentioning

confidence: 89%

Coping with Dementia

Levine

Dastoor²,

Gendron³

1983

J American Geriatrics Society

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Ten supporters of demented elderly dependents were studied in order to examine their coping behavior in the context of caring for their relatives at home. Coping skills were described with respect to programs, solutions, and cognitive aspects of motivation and stress tolerance. The observations made suggested the hypothesis that tolerance of debility in a demented relative is related not only to the number and type of problems in the dependent but also to the availability and quality of coping skills in the supporter. This hypothesis was explored through the elaboration of a skills training program (Supporter Endurance Training), which was designed and employed to improve and expand the coping skills of a supporter. Supported Endurance Training may prove to be a useful approach to the maintenance of the demented elderly person at home as a possible alternative to institutionalization.

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“…Behaviour therapy is more efficacious than is generally realized (Burton, 1980;Patterson and Jackson, 1980). Better home support including help with patients' physical needs is needed and perhaps more attention should be paid to the needs of the carers.…”

Section: Discussionmentioning

confidence: 99%

The rationale of patient allocation for psychogeriatric assessment

Handy

Chithiramohan

Ballard

et al. 1991

Int J Geriat Psychiatry

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SUMMARYOur review of 100 patients using the Camdex and Crichton assessment schedules shows that the severity of illness and degree of dependency are similar in day hospital and inpatient assessment groups. The main predictors of allocation for inpatient assessment and eventual placement in long-stay geriatric wards were restlessness, irritability, the need for assistance with self-care and physical illness. More planning and resources need to be mobilized in the assessment of dementia patients and the treatment of problem behaviours.KEY WORDS-Psychogeriatric assessment, inpatient, day patient.Most psychiatric services offer day hospital and inpatient assessment facilities for the elderly with organic impairment but there is very little written about the rationale for patient allocation. We evaluate the characteristics of day patient and inpatient assessment groups, investigate the variables which appear to influence patient allocation and discuss alternatives to the current assessment procedures. SERVICE CONTEXTThe Department of Psychogeriatrics in Coventry serves a population of 300 000. It has a 20-bedded inpatient assessment unit with facilities for night relief and respite care admissions, a day hospital with 25 places for assessment and treatment, a 28-bedded inpatient unit for functional mental illness in the elderly, three medium dependency wards with 51 beds, one high dependency unit with 25 beds, onsite outpatient facilities and an active multidisciplinary community support team for the elderly.Coventry has a wide range of community facilities for the elderly, with social services, voluntary and private provisions which include day centres, luncheon club, semi-sheltered accommodation, sheltered accommodation, rest homes, part I11 homes and private nursing homes.Correspondence to Dr S. Handy. METHODFifty consecutive psychogeriatric day hospital assessment patients and 50 consecutive inpatients for assessment were evaluated using the Camdex interview schedule (Roth et al., 1986) conducted after one week of assessment and Crichton schedule (Robinson, 1961) evaluated over a one-month period. The information was collected to compare type and severity of dementia, relative support, physical health, accommodation prior to admission, overall dependency, the degree of assistance needed for self-care, continence, sleep, mobility and temperament between the two groups. The diagnosis and categorization of the severity of dementia were made according to the Camdex criteria. RESULTSSixty per cent of the day hospital patients were male. The average age was 75.96 years compared to an average age of 75.82 years among the inpatient assessment group, of whom 46% were male. Seventy per cent of the day hospital patients had a diagnosis of senile dementia of Alzheimer's type (SDAT), 12% had a diagnosis of vascular dementia (VD), 16% had both SDAT and VD, and only 2% received other diagnoses. Similarly, 66% of the inpatients group had a diagnosis of SDAT, 24% had VD, 6% both SDAT and VD, and 4% received

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Behavior Modification with the Elderly

Cited by 20 publications

References 50 publications

Behavior Management Training for Nurse Aides: Is it Effective?

Behavior Management Training for Nurse Aides: Is it Effective?

Coping with Dementia

The rationale of patient allocation for psychogeriatric assessment

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