Non-cognitive symptoms of dementia in nursing homes: frequency, course and consequences

Wancata, Johannes; Benda, Norbert; Meise, U.; Windhaber, J.

doi:10.1007/s00127-003-0683-7

Cited by 31 publications

(45 citation statements)

References 21 publications

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“…Ballard et al included 206 patients in a longitudinal study of NPS, 136 of them with a second assessment after one year (Ballard et al, 2001a et al, 1970). Thirty-eight percentages of the patients experienced some NPS at baseline, 30% had at least one depressive symptom while 12.7.5% had at least one symptom in the aggressive-psychotic syndrome (Wancata et al, 2003). In a longitudinal study with 299 patients in long term care institutions from the Netherlands, the most prevalent NPS at baseline were irritability (28.2%), aberrant motor behaviour (23.1%) and agitation (20.5%) (Wetzels et al, 2010b).…”

Section: Long Term Carementioning

confidence: 99%

“…Studies on the course of NPS have been on both outpatients and those in long term care (Aalten et al, 2005;Ballard et al, 2001a;Wancata et al, 2003;Wetzels et al, 2010b;. Although the prevalence rate of symptoms remains stable, with only minor changes in the percentage of patients with NPS, the symptoms for each patient show an intermittent course.…”

Section: Recurrence Persistence and Resolutionmentioning

confidence: 99%

“…The same year, Wetzels and colleagues published a study on the course of NPS over a two year period in Dutch nursing homes (Wetzels et al, 2010b). Of the nineteen studies identified, only seven studies were primarily designed to study the course of NPS in patients with dementia Wagner et al, 1995;Ballard et al, 2001a;Payne et al, 2002;Wancata et al, 2003;Wetzels et al, 2010b), and only four of them studied a broad range of NPS (Ballard et al, 2001a;Wancata et al, 2003;Wetzels et al, 2010b).…”

Section: Course Of the Nps In Nursing Homesmentioning

confidence: 99%

“…The main conclusion in the paper by Wagner et al was that the patients were as likely to experience an occurrence of a new behaviour problem as a drop in behaviour problems between baseline and four months. (Wancata et al, 2003). The CIS is a semi-structured interview developed to study psychiatric morbidity (Goldberg et al, 1970 (Wetzels et al, 2010b).…”

Section: Course Of the Nps In Nursing Homesmentioning

confidence: 99%

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Reliability and validity of the Norwegian version of the Severe Impairment Battery (SIB)

Bergh

Selbæk

Engedal

2008

Int J Geriat Psychiatry

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ObjectiveThe Severe Impairment Battery (SIB) is developed to test cognitive function in patients with dementia of moderate to severe degree. We have conducted a study to assess the inter‐rater reliability and the validity of the Norwegian version of SIB.MethodsThe reliability study comprised 30 patients, and the validity study 59 patients in nursing homes. We assessed Cronbach's alpha coefficient of the scale and the inter‐rater reliability for the total SIB score and its nine sub scores between two testers by means of the Spearman's correlation coefficients. In the validity study we compared the SIB scores with the scores on the Clinical Dementia Rating Scale.ResultsThe mean SIB score was 72.10 (SD 25.37). The Cronbach's alpha was 0.97, and the inter‐rater reliability of total SIB score was Spearman's rho 0.85, and ranged from 0.46 to 0.76 for the nine sub‐scores. The mean SIB score for patients with a CDR score < 2 was 84.2(13.4), whereas total scores for patients with CDR 2 and 3 were 74 (18.9) and 48.4 (33.3), respectively. A cut‐off point of 80.5 points gave the highest accuracy in discriminating between patients with CDR 2 and CDR 3, while a cut‐off point of 87.5 best discriminated between CDR < 2 and CDR 3.ConclusionThe study indicates that the Norwegian version of SIB is a reliable and valid test with which to evaluate the cognition in patients with dementia of moderate to severe degree. Copyright © 2008 John Wiley & Sons, Ltd.

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Section: Long Term Carementioning

confidence: 99%

Section: Recurrence Persistence and Resolutionmentioning

confidence: 99%

Section: Course Of the Nps In Nursing Homesmentioning

confidence: 99%

Section: Course Of the Nps In Nursing Homesmentioning

confidence: 99%

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Reliability and validity of the Norwegian version of the Severe Impairment Battery (SIB)

Bergh

Selbæk

Engedal

2008

Int J Geriat Psychiatry

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“…interventions, this literature review focuses on situations in which aggressive resident behavior occurs and nurses can potentially influence [11,12].…”

mentioning

confidence: 99%

Aggressive Behavior of Nursing Home Residents Toward Caregivers: A Systematic Literature Review

Zeller¹,

Hahn²,

Needham³

et al. 2009

Geriatric Nursing

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(Geriatr Nurs 2009;30:174-187) Aggressive behavior of residents continues to challenge and burden caregivers working in nursing homes [1,2]. Working in a nursing home or long-term care facility is associated with a high risk of experiencing aggression [3].Studies show that aggressive behavior is more likely to occur among older people with cognitive impairment than among those with no cognitive impairment [2,4,5] although cognitively intact residents also threaten or assault the caregivers [6]. Irrespective of whether demented residents can be held responsible for their aggressive behavior, many gerontological nurses find that physical or verbal attacks by an elderly person they are giving nursing care to is one of the most difficult, emotionally distressing, and potentially dangerous aspects of their work [7], often resulting in feelings of powerlessness, sadness, anger, and ineffectiveness [8].Some studies have investigated the prevalence of aggression and associated factors in nursing homes, but it is probable that nursing home residents' aggressive behavior often goes underreported in both prevalence measures and nursing documentation. Possible causes for underreporting are a lack of competence to cope with aggressive behavior, feelings of failure, or the assumption that aggressive behavior is a common feature in the care of the elderly, especially those with psychological disturbance [1,4,9,10]. Psychological disturbances and other illnesses in the elderly may lead to aggressive behavior irrespective of situational factors. However, because such illness processes can be influenced only indirectly by nursing

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Current awareness in geriatric psychiatry

2004

Int J Geriat Psychiatry

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In order to keep subscribers up‐to‐date with the latest developments in their field, John Wiley & Sons are providing a current awareness service in each issue of the journal. The bibliography contains newly published material in the field of geriatric psychiatry. Each bibliography is divided into 9 sections: 1 Books, Reviews & Symposia; 2 General; 3 Assessment; 4 Epidemiology; 5 Therapy; 6 Care; 7 Dementia; 8 Depression; 9 Psychology. Within each section, articles are listed in alphabetical order with respect to author. If, in the preceding period, no publications are located relevant to any one of these headings, that section will be omitted

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Non-cognitive symptoms of dementia in nursing homes: frequency, course and consequences

Cited by 31 publications

References 21 publications

Reliability and validity of the Norwegian version of the Severe Impairment Battery (SIB)

Reliability and validity of the Norwegian version of the Severe Impairment Battery (SIB)

Aggressive Behavior of Nursing Home Residents Toward Caregivers: A Systematic Literature Review

Current awareness in geriatric psychiatry

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