Challenging behaviour in the elderly-monitoring violent incidents

International Journal of Geriatric Psychiatry
Roger AlmvikPhil Woods

Abstract

To explore the frequency and nature of violent incidents in psychogeriatric wards and nursing homes in terms of type and severity of incidents, what provoked the incidents, and what kind of measure was needed to stop the aggression. Aggressive behaviour of the study group was monitored using the Staff Observation Aggression Scale-Revised (SOAS-R( in two Norwegian nursing homes and two geriatric psychiatric wards for a period of three months. Severity of incidents were monitored with the built-in severity scoring system in SOAS-R. During the study period 32 out of the 82 patients were reported to be violent. The majority of the incidents were generated by a minority of the patients. Physical injury to the staff as a consequence of the aggression was extremely rare. Situations where the client was denied something were the most provocative ones and a substantial number of incidents occurred at bath/shower times. Talking to the patient was the most frequent measure used to stop the aggression, but more intrusive measures were also used. A substantial proportion of the incidents were associated with personal care tasks, suggesting a crucial role for communication difficulties and a focus for staff training. We suggest that personal...Continue Reading

References

Jan 1, 1992·Alzheimer Disease and Associated Disorders·L TeriC Phelps
Feb 1, 1992·Acta Psychiatrica Scandinavica·V Patel, R A Hope
Aug 1, 1990·Journal of the American Geriatrics Society·J K CooperP G Weiler
Mar 1, 1990·Journal of Gerontological Nursing·E N Negley, J T Manley
Aug 1, 1988·Acta Psychiatrica Scandinavica·K NilssonB Wistedt
Aug 1, 1988·The British Journal of Psychiatry : the Journal of Mental Science·E LarkinS Jones
Dec 1, 1987·Acta Psychiatrica Scandinavica·T Palmstierna, B Wistedt
Apr 1, 1993·The American Journal of Psychiatry·A C CoyneL J Berbig
Jan 19, 1999·The American Journal of Psychiatry·C G LyketsosJ M Sheppard
Aug 10, 1999·International Journal of Geriatric Psychiatry·J KeeneC J Ware
Apr 28, 2000·The American Journal of Psychiatry·C G LyketsosJ C Breitner
Mar 10, 2001·International Journal of Geriatric Psychiatry·A S MenonJ Magaziner
Mar 10, 2001·International Journal of Geriatric Psychiatry·A S Schreiner
May 3, 2002·Scandinavian Journal of Caring Sciences·Sture AströmBritt-Inger Saveman
Jun 6, 2003·International Journal of Geriatric Psychiatry·Øyvind KirkevoldKnut Engedal
Mar 10, 2004·Scandinavian Journal of Caring Sciences·Ove HellzenAstrid Norberg
Dec 16, 2004·Scandinavian Journal of Caring Sciences·Sture AströmBritt-Inger Saveman
Jan 8, 2005·Acta Psychiatrica Scandinavica·H L I NijmanJ J Stolker

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Citations

Dec 12, 2012·Journal of General Internal Medicine·Mark S LachsKarl Pillemer
Feb 27, 2009·International Psychogeriatrics·Gary S StevensonNagarajan Perumal
Apr 5, 2012·Journal of Elder Abuse & Neglect·Lynn McDonaldJudith Wahl
Feb 22, 2016·The Psychiatric Quarterly·Ellen W BlairJohn W Goethe
Sep 9, 2015·Journal of Advanced Nursing·Tina VandecasteeleSofie Verhaeghe
Aug 8, 2015·Journal of Advanced Nursing·Tina VandecasteeleSofie Verhaeghe
Jun 13, 2009·Geriatric Nursing·Adelheid ZellerRuud J G Halfens
Jan 20, 2007·International Journal of Geriatric Psychiatry·Roger AlmvikKirsten Rasmussen
Jan 31, 2008·International Journal of Geriatric Psychiatry·Robert ChaplinLeanne Shinkwin
Feb 9, 2011·Journal of Psychiatric and Mental Health Nursing·D PulsfordM Hadi
Nov 15, 2011·Journal of Psychiatric and Mental Health Nursing·G DickensD Doyle
Sep 15, 2010·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Gordon Lee GillespiePatricia Kunz Howard
Jul 22, 2014·Journal of Renal Care·Julia JonesPatrick Callaghan
May 3, 2013·Journal of Psychiatric and Mental Health Nursing·S KuivalainenJ Tiihonen
Jun 2, 2014·Research in Developmental Disabilities·E M VisserJ P Teunisse
May 17, 2017·International Journal of Law and Psychiatry·Satu KuivalainenJari Tiihonen
Feb 10, 2018·International nursing review·P Leahy-WarrenM Curtin
Jun 17, 2020·Frontiers in Psychiatry·Steffen LauElmar Habermeyer

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