The meanings of screams in older people living with dementia in a nursing home

International Psychogeriatrics
Anne Bourbonnais, Francine Ducharme

Abstract

Screaming is common among older persons living with dementia in nursing homes. Research on this population has not provided a useful basis for understanding such behavior that could help determine appropriate interventions. The purpose of this study was to explore the meanings of screams in older people living with dementia and their influencing factors. Critical ethnography was selected as the research design. Seven triads, each composed of an older person living with dementia who screamed, a primary family caregiver, and one or two formal caregivers, were recruited in a nursing home. Various data collection methods and Spradley's (1979) ethnographic analysis were used. Screaming is related to vulnerability, suffering, and loss of meaning experienced by older persons. This singular behavior also expresses various final outcomes that can be differentiated through modulation criteria. The meanings of screams are influenced by stability and flexibility in the nursing care organization and reciprocal effects between older persons who scream and others in the nursing home environment. Each person's screams constitute a unique language that can be learned. Other influencing factors include respect for the older person's wishes, need...Continue Reading

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Citations

May 31, 2012·Current Psychiatry Reports·Abhilash K DesaiGeorge T Grossberg
Apr 8, 2011·Collegian : Journal of the Royal College of Nursing, Australia·Kim Wylie, Monica Nebauer
Jul 28, 2015·Journal of Pain and Symptom Management·Jenny T van der SteenUNKNOWN EU-COST Action TD1005 Collaborators
Feb 14, 2015·The Sociological Quarterly·Chris Phillipson
Sep 13, 2014·Scandinavian Journal of Caring Sciences·Jaana KoskenniemiRiitta Suhonen
Dec 24, 2014·La Presse médicale·Benjamin Calvet, Jean-Pierre Clément
Apr 22, 2017·International Journal of Geriatric Psychiatry·Alvisa PaleseElisa Ambrosi
Mar 6, 2018·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Anne BourbonnaisMarie-Hélène Lavallée
Oct 11, 2017·Clinical Gerontologist·Laura Gallego-AlbertoKarl Pillemer
Oct 12, 2018·International Psychogeriatrics·Justine S SefcikPamela Z Cacchione
May 10, 2020·International Journal of Older People Nursing·Justine S SefcikPamela Z Cacchione
Jul 1, 2020·Aging & Mental Health·Annelies E Veldwijk-RouwenhorstRaymond T C M Koopmans

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