‘I Think He Might Have Hit Me Once’: Aggression Towards Caregivers in Dementia Care

Cahill, Suzanne; Shapiro, Miriam E.

doi:10.1111/j.1741-6612.1993.tb00612.x

Cited by 34 publications

(20 citation statements)

References 10 publications

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“…Chrzescijanski and colleagues (2007) discuss the salience of this issue, noting that “managers of nursing home facilities, including some ‘dementia specific’ units, are often apprehensive about admitting people with challenging behaviours such as aggression” (p.272). Aggression towards caregivers in home environments can result in injury or trauma to the caregiver and may impact health outcomes for caregivers (Cahill & Shapiro, 2008). There is some evidence that home healthcare workers are four times more likely to experience assault if they have one or more patients with dementia (Galinsky et al, 2010), and this led to significantly shortened home care visits (impact on quality of care).…”

Section: Triggers To Violence and Issues Of Homecare And Healthcare Sermentioning

confidence: 99%

What Is Known About Dementia Care Recipient Violence and Aggression Against Caregivers?

Wharton

Ford

2014

Journal of Gerontological Social Work

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While agitation is a known behavioral manifestation in advancing dementia, there is little in the literature about the risk to home-based caregivers, particularly in situations where severe aggression is present. This review article examines this issue with a focus on what is known and where further research is needed. Although consistent definitions failed to emerge from the literature, rates of violence by dementia care recipients against caregivers are estimated at greater than 20%, and may be the strongest predictor of nursing home placement. A review of available literature suggests that there is a need for interventions aimed at strategies to educate and protect the informal caregivers of dementia patients living at home, while advancing understanding of the communicative properties of behavior. With high rates of violence by care recipients against their caregivers, and low success rates of chemical restraints, there is substantial risk to the safety and well-being of caregivers. Several pilot interventions for nursing home settings have shown promise in reducing care recipient violence, and these may be adaptable for informal caregivers in home-based settings. Alternative delivery platforms using technology may be appropriate to consider, for real-time, flexible targeted intervention and support.

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Section: Triggers To Violence and Issues Of Homecare And Healthcare Sermentioning

confidence: 99%

What Is Known About Dementia Care Recipient Violence and Aggression Against Caregivers?

Wharton

Ford

2014

Journal of Gerontological Social Work

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“…At the Joint Congressional Hearings on Abuse of the Elderly (11 June 1980), it was reported that 10% of the nation's elderly are at risk within their families. If we include caregivers who are violent toward the elderly person, then we find that the unreported prevalence of violence can be as high as 17.4% (Paveza et al, 1992) or even as high as 26% (Cahill & Shapiro, 1993). Our research in Israel showed that 7% of respondents were aware of at least one case of elder abuse in their extended families (Neikrug & Ronen, 1993).…”

Section: The Knowledge Basementioning

confidence: 79%

Creating an Intergenerational Learning Community for the Study of Elder Abuse

Neikrug

2004

Journal of Elder Abuse & Neglect

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This paper reports the results of an educational experience in teaching the topic of elder abuse in an undergraduate social work department in a college in Israel. The goal of the experience described in this report was to create an intergenerational, learning community in the classroom by bringing in older persons as co-teachers, experts on their experience, and co-learners to improve the study of gerontology. [Article copies available for a fee from The Haworth Document Delivery Service: 1-800-HAWORTH. E-mail address: Website:

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“…One survey of paid staff reported that 89 percent had experienced aggression and 26 percent serious violence from those for whom they were caring (Cahill & Shapiro, 1993).…”

Section: What Staff Know About Elder Abuse In Dementia and The Effectmentioning

confidence: 99%

Innovative Practice

Moriarty

Baruch

Downs³

et al. 2004

Dementia

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A case study in the use of technology to reassure and support a person with dementiaIn keeping with the assistive technologies theme in the rest of this issue, the first article in the Innovative Practice section is a case study dealing with the way in which one family used interactive computer technologies to deal with the very real problems that some carers experience when the person for whom they care telephones them during the night because they need reassurance and are unsure what time it is. John Baruch is Head of the Department of Cybernetics, Internet and Virtual Systems at the University of Bradford and Murna Downs, Errollyn Bruce and Clive Baldwin are members of the Bradford Dementia Group. Although their case study indicates the scope for new technologies to improve the quality of life for people with dementia, especially those who live on their own, it is firmly grounded in the principles of person-centred care and the need to find solutions that are in keeping with the preferences of the person with dementia.The second and third articles both deal with intervention programmes for staff. The first looks at the detection and management of abuse and is by Barbora Richardson, Ginnette Kitchen and Gill Livingston. Sadly, since undertaking this research Barbora Richardson has died and so this article de men tia d e m e n t i a ©    www.sagepublications.com  () -

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‘I Think He Might Have Hit Me Once’: Aggression Towards Caregivers in Dementia Care

Cited by 34 publications

References 10 publications

What Is Known About Dementia Care Recipient Violence and Aggression Against Caregivers?

What Is Known About Dementia Care Recipient Violence and Aggression Against Caregivers?

Creating an Intergenerational Learning Community for the Study of Elder Abuse

Innovative Practice

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