PMID: 9633339Jun 20, 1998Paper

Probable reasons for expressed agitation in persons with dementia

Clinical Nursing Research
H RagneskogM Kihlgren

Abstract

Nursing home patients with dementia were videotaped in three previous studies. Sixty sequences of nine patients exhibiting agitated behaviors were examined to identify the most probable antecedents to agitation. Probable reasons were interpreted and applied to the Progressively Lowered Stress Threshold model, which suggests that agitation is stress related. Analysis suggests that agitation often serves as a form of communication. Two underlying reasons seem to be that the patient had loss of control over the situation and deficient autonomy. The most common causes for expressed agitation were interpreted as discomfort, a wish to be served immediately, conflict between patients or with nursing staff, reactions to environmental noises or sound, and invasion of personal space. It is recommended that nursing staff promote autonomy and independency for this group of patients whenever possible. By evaluating probable reasons for expressed agitation, the nursing staff can take steps to prevent or alleviate agitation.

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Citations

May 19, 2010·International Psychogeriatrics·Richard Fleming, Nitin Purandare
Aug 17, 2010·Journal of Health Psychology·Sheri L RobbJanet S Carpenter
Feb 2, 2002·Journal of Clinical Nursing·H RagneskogL Hellström
Apr 25, 2000·Journal of Gerontological Nursing·L A Gerdner
Jun 12, 2010·Journal of Gerontological Nursing·Linda A Gerdner, Deborah Perry Schoenfelder
Jun 22, 2012·Research in Gerontological Nursing·Laura L Joosse
Jul 20, 2010·Research in Gerontological Nursing·Linda L BuettnerWilliam N Dudley
Sep 29, 2004·Journal of the American Geriatrics Society·Marianne SmithKathleen C Buckwalter
Oct 9, 2008·Scandinavian Journal of Caring Sciences·Kirsti SkovdahlMona Kihlgren
Jun 16, 2004·Geriatric Nursing·Rose M McCloskey
Jan 31, 2006·Archives of Psychiatric Nursing·Ann Kolanowski, Mark Litaker
Jul 12, 2005·Journal of the American Medical Directors Association·Elizabeth BassMyrna Alvear
Aug 21, 2015·Journal of the American Geriatrics Society·Alfredo RaglioMarco Stramba-Badiale
May 13, 2015·Scandinavian Journal of Caring Sciences·Marieke Van VracemChantal Van Audenhove
Apr 5, 2008·Clinical Nursing Research·Rebecca Taylor-FordCandace Weinke
Sep 6, 2003·American Journal of Alzheimer's Disease and Other Dementias·Linda L Buettner, Suzanne Fitzsimmons
Jun 19, 2003·American Journal of Alzheimer's Disease and Other Dementias·Evelyne MatteauChristian Laplante
Aug 20, 2002·American Journal of Alzheimer's Disease and Other Dementias·Raymond B Flannery
Mar 1, 2006·Journal of Gerontological Nursing·Meghan L McGonigal-Kenny, Debra L Schutte
Oct 27, 2018·Healthcare·Diana Lynn Woods, Kathleen Buckwalter
Jul 23, 2019·American Journal of Alzheimer's Disease and Other Dementias·Anju PaudelElizabeth Galik
Jul 1, 2020·International Psychogeriatrics·Sarah I M JanusHendrika J Luijendijk
Jul 26, 2006·Journal of Gerontological Nursing·Linda Buettner, Suzanne Fitzsimmons

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