Nursing-home staff perception of behavior disturbance and management of confused residents

Rantz, Marilyn; McShane, Ruth E.

doi:10.1016/0897-1897(94)90005-1

Cited by 10 publications

(4 citation statements)

References 39 publications

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“…1995). Focus groups have also been used to assess how health care teams perceive the needs of clients (Rantz & McShane 1994, Thornton 1996), and in evaluating the education of health care staff (Lankshear 1993, Macintosh 1993).…”

Section: Introductionmentioning

confidence: 99%

“…They are widely used to examine clients' and carers' experience of illness and health services (Duncan & Morgan 1994, Coyne & Calarco 1995, Glass 1995, Pulice et al 1995. Focus groups have also been used to assess how health care teams perceive the needs of clients (Rantz & McShane 1994, Thornton 1996, and in evaluating the education of health care staff (Lankshear 1993, Macintosh 1993.…”

Section: Introductionmentioning

confidence: 99%

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The practical, methodological and ethical dilemmas of conducting focus groups with vulnerable clients

Owen

2001

Journal of Advanced Nursing

115

131

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The practical, methodological and ethical dilemmas of conducting focus groups with vulnerable clients

Owen

2001

Journal of Advanced Nursing

115

131

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“…But among the nurses themselves, there seems to be a mutual understanding of this type of behaviour (2), which can, however, deviate strongly from the scientific operationalization. For example, in an investigation carers described ‘wandering behaviour disturbance’ in very many different ways, such as paces for hours, unable to sit down, unable to focus on eating, walks off during meals, walking in and out of residents′ rooms, wanting to leave, attempting to get outside, eloping, cannot find own room/bathroom, looking/searching for others, unable to find what they are seeking, restlessness and wandering in halls (5). There is also no scientific operationalization or mutual scientific understanding of wandering.…”

Section: Introductionmentioning

confidence: 99%

Description of the behaviour of wandering in people with dementia living in nursing homes - a review of the literature

Halek

Bartholomeyczik

2011

Scandinavian Journal of Caring Sciences

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The debate about the behaviour of wandering shows clearly the importance of discussing intensively each type of behaviour associated with dementia. Challenging behaviour as such does not exist; it is a collective term for very different types of behaviour with various meanings. The same applies to wandering. At the moment there is no conclusive definition of wandering, there are no obvious causes for it and therefore no clear intervention recommendations; however, research has contributed towards defining and understanding this phenomenon.

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“…An exploratory study conducted by Rantz and McShane assessing nursing home staffs' perceptions of behavioral disturbances and management of confused residents identified four categories of interventions: interpreting reality, maintaining normalcy, meeting basic needs, and managing behavioral disturbances. It was found that the staffs' understanding of the importance of assisting residents in these categories provided direction for clinical interventions 8 . In addition, Neel and colleagues documented the value of an interdisciplinary approach to behavioral management for improving the quality of life in a population of transitional care residents 9…”

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confidence: 99%

Models of Geriatrics Practice

Reuben

Hughes

Medina‐Walpole

2000

J American Geriatrics Society

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OBJECTIVE: To describe the establishment and utilization of an interdisciplinary Behavior Management Program in a Transitional Care Unit as a new model of Geriatrics Practice. DESIGN: Descriptive Study. SETTING: A 50‐bed Transitional Care Unit in a Veterans Affairs Medical Center in Syracuse, New York. PARTICIPANTS: All residents admitted to the Transitional Care Unit were observed for a 6‐month period under the Behavior Management Program. PROGRAM STRUCTURE: The Behavior Management Program involved an interdisciplinary team approach to the management of behavioral disturbances. This included development of a Behavior Team and a comprehensive Behavior Observation Record, which readily assisted caregivers in determining and monitoring target behaviors that required modification. Both nonpharmacological and pharmacological interventions were employed to assist in the modification of behavioral disturbances. RESULTS: The Behavior Management Program enhanced the overall care of Transitional Care Unit residents with behavioral disturbances. The more appropriate use of medications for specific target behaviors led to a reduction in behavioral disturbance episodes and increased the earlier diagnosis and treatment of depression. The interdisciplinary nature of the Behavior Management Program promoted educational efforts and camaraderie among staff and created a stronger liaison between the Transitional Care Unit and the Psychiatry Service. In addition, several management improvements were identified as a result of the implementation of the Behavior Management Program. CONCLUSIONS: An interdisciplinary Behavior Management Program can prove to be a valuable asset in the management of behaviors for people with dementia, psychiatric illness, and other medical illnesses. More effective use of nonpharmacological and psychopharmacological interventions enhances the quality of life in a frail older population. This approach has strong potential for successful use in a variety of clinical settings by providers and caregivers alike. J Am Geriatr Soc 48: 581–587, 2000.

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Nursing-home staff perception of behavior disturbance and management of confused residents

Cited by 10 publications

References 39 publications

The practical, methodological and ethical dilemmas of conducting focus groups with vulnerable clients

The practical, methodological and ethical dilemmas of conducting focus groups with vulnerable clients

Description of the behaviour of wandering in people with dementia living in nursing homes - a review of the literature

Models of Geriatrics Practice

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