Management of problematic behavioral symptoms associated with dementia: A cognitive developmental approach

Aging Clinical and Experimental Research

Volumn 9, Issue 5, 1997, Pages 342-355

  Matteson, M A ^a   Linton, A D ^a   Cleary, B L ^b   Barnes, S J ^a   Lichtenstein, M J ^a,c  

^a UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO   (United States)

^b North Carolina Center for Nursing   (United States)

^c SOUTH TEXAS VETERANS HEALTH CARE SYSTEM   (United States)

Author keywords

Nursing home and special care units; Piaget; Psychotropic medications

Indexed keywords

ANTIDEPRESSANT AGENT; ANXIOLYTIC AGENT; NEUROLEPTIC AGENT; PSYCHOTROPIC AGENT;

AGED; ALZHEIMER DISEASE; ARTICLE; BEHAVIOR DISORDER; CLINICAL TRIAL; COGNITION; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DEMENTIA; DRUG USE; FEMALE; HUMAN; INTENSIVE CARE; MAJOR CLINICAL STUDY; MALE; MODEL; NURSING HOME;

EID: 0031451869     PISSN: 03949532     EISSN: None     Source Type: Journal    
DOI: 10.1007/bf03339613     Document Type: Article

References (68)

1. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, ed. 4. Washington, D.C., 1994.
2. Ray W.A., Taylor J.A., Meador K.G., Lichtenstein M.J., Griffin M.R., Gought R., Adams M.L., Blazer D.G.: Reducing antipsychotic drug use in nursing homes: a controlled trial of provider education. Arch. Intern. Med. 153: 713-721, 1993.
3. Ray W.A.: Psychotropic drugs and injuries among the elderly: a review. J. Clin. Psychopharmacol. 12: 386-396, 1992.
4. Thapa P.B., Gideon P., Fought R.L., Ray W.A.: Psychotropic drugs and the risk of recurrent falls Am. J. Epidemiol. 142: 202-211, 1995.
5. Pollock B.G., Mulsant B.H.: Antipsychotics in older patients. A safety perspective. Drugs Aging 6: 312-323, 1995.
6. Schneider L.S., Pollock V.E., Lyness S.A.: A metaanalysis of controlled trials of neuroleptic treatment in dementia. J. Am. Geriatr. Soc. 38: 553-563, 1990.
7. Health Care Financing Administration. Medicare and Medicaid: requirements for long term care facilities. Final rule with request for comments. Federal Register 54: 5316-5336, 1989.
8. Garrard J., Lukas M., Dunham T., Heston L.L., Cooper S., Ratner E.R., Zelterman D., Kane R.L. Evaluation of neuroleptic drug use by nursing home elderly under proposed Medicare and Medicaid regulations. JAMA 265: 463-467, 1991.
9. Semla T.P., Palla K., Poddig B.. Brauner D.J.: Effect of Omnibus Reconciliation Act 1987 on antipsychotic prescribing in nursing homes. J. Am. Geriatr. Soc. 42: 648-652, 1994.
10. Rovner B.W., Steels C D., Shmuely Y., Folstein M.F : A randomized trial of dementia care in nursing homes. J. Am. Geriatr. Soc. 44: 7-13, 1996.
11. Thapa P.B., Meador K.G., Gideon P.. Fought R.L., Ray W.A.: Effects of antipsychotic withdrawal in elderly nursing home residents. J. Am. Geriatr. Soc. 42: 280-286, 1994.
12. Beck C., Heacock P., Mercer S., Walton C.: Decreasing demented older adults' need for assistance with dressing. Third National Conference on Research for Clinical Practice: Key Aspects of Elder Care: Managing Falls, Incontinence and Cognitive Impairment. The University of North Carolina, Chapel Hill, N.C., 1991.
13. Maas M.: Management of patients with Alzheimer's disease in long-term care facilities Nurs. Clin. North Am 23: 57-64, 1988.
14. Steward J.T.: Management of behavior problems in the demented patient. Am. Fam. Physician 52: 2311-2317, 2321-2322, 1995.
15. Rapp M S., Flint A J., Hemmann N., Proulx G.B.: Behavioural disturbances in the demented elderly: phenomenology, pharmacotherapy and behavioural management. Can. J. Psychiatry 37: 651-657, 1992.
16. Syme S.: Independence through finger food. Contemporary Nurse 4: 80-81, 1995.
17. Jorm A.F.: Disability in dementia: assessment, prevention, and rehabilitation. Disabil Rehabil. 16: 98-109, 1994.
18. Hellner B.M., Norberg A.: Intuition: two caregivers' descriptions of how they provide severely demented patients with loving care. Int. J. Aging Hum. Dev. 38: 327-338, 1994.
19. Hall G.R.: Chronic dementia. Challenges in feeding a patient. J. Gerontol. Nurs. 20: 21-30, 1994.
20. Ryden M.B., Feldt K.S.: Goal-directed care: caring for aggressive nursing home residents with dementia. J. Gerontol. Nurs. 18: 35-42, 1992.
21. Peisah C., Brodaty H.: Practical guidelines for the treatment of behavioural complications of dementia. Med. J. Austr. 161: 558-563, 1994.
22. Snyder M., Egan E.C., Bums K.R.: Efficacy of hand massage in decreasing agitation behaviors associated with care activities in persons with dementia. Geriatr. Nurs. 16: 60-63, 1995.
23. Casby J.A., Holm M.B.: The effect of music on repetitive disruptive vocalizations of persons with dementia. Am. J. Occup. Ther. 48: 883-889, 1994.
24. Boehm S., Whall A.L., Cosgrove K.L., Locke J.D., Schlenk E.A.: Behavioral analysis and nursing interventions for reducing disruptive behaviors of patients with dementia. Appl. Nurs. Res. 8: 118-122, 1995.
25. Whall A.L.: Disruptive behavior in late stage dementia: using natural environments to decrease distress. J. Gerontol. Nurs. 21: 56-57, 1995.
26. Taft L.B., Delaney K., Seman D., Stansell J.: Dementia care creating a therapeutic milieu. J. Gerontol. Nurs. 19: 30-39, 1993.
27. Cox K.: Milieu therapy. Geriatr. Nurs. 6: 152-156, 1985.
28. Hussian R.A., Brown D.C.: Use of two-dimensional grid patterns to limit hazardous ambulation in demented patients. J. Gerontol. 42: 558-560, 1987.
29. Namazi K.H., Rosner T.T., Calkins M.P.: Visual barriers to prevent Alzheimer's patients from exiting through an emergency door. Gerontology 29: 699-702, 1989.
30. Roberts B.L., Algase D.L.: Victims of Atzheimer's disease and the environment Nurs. Clin. North Am. 23: 83-93, 1988.
31. Dickinson J.I., McLain-Kark J., Marshall-Baker A.: The effect of visual barriers on exiting behavior in a dementia care unit. Gerontology 35: 127-130, 1995.
32. Franssen E.H., Kluger A., Torossian C.L., Reisberg B.: The neurologic syndrome of severe Alzheimer's disease relationship to functional decline. Arch. Neurol. 50: 1029-1039, 1993.
33. Franssen E.H., Reisberg B., Kluger A., Sinaiko E., Boja C.: Cognition-independent neurological symptoms in normal aging and probable Alzheimer s disease. Arch. Neurol. 48: 148-154, 1991.
34. Feldman H., Schulzer M., Wang S., Tuokko H., Beattie L.: The Functional Rating Scale in Alzheimer's disease assessment: a longitudinal study In: Iqbal K., Mortimer J., Winblad B., Wisniewski, H. (Eds.). Research advances in Alzheimer's Disease and Related Disorders. John Wiley and Sons. New York, 1995, pp. 235-241.
35. Flicker C., Ferns S.H., Reisberg B.: A two-year longitudinal study of cognitive function in normal aging and Alzheimer's disease. J. Geriatr Psychiatr. Neurol. 6 84-96, 1993.
36. Hughes C.P., Berg L., Danzinger W.L : A new clinical scale for the staging of dementia. Br. J. Psychiatry 140. 566-572, 1982.
37. Crockett D., Tuokko H., Koch W., Parks R.: The assessment of everyday functioning using the Present Functioning Questionnaire and the Functional Rating Scale in elderly samples Clin. Gerontol. 9: 3-25, 1989.
38. Almkvist O., Basun H , Wahlund L., Lannfelt L.: Cognitive functions of family members with and without the APP670/671 mutation. In: Iqbal K., Mortimer J., Winblad B., Wisniewski H. (Eds.), Research Advances in Alzheimer's Disease and Related Disorders. John Wiley and Sons, New York, 1995, pp. 251-259.
39. O'Carroll R.E., Prentice N., Murray C., van Beck M., Ebmeier K.P., Goodwin G.M.: Further evidence that reading ability is not preserved in Aizheimer's disease. Br. J. Psychiatry 167: 659-662, 1995.
40. Reisberg B., Sclan S.G., Franssen E., Kluger A., Ferris S.: Dementia staging and chronic care populations. Alzheimer Dis. Assoc. Disord. 8 (Suppl. 1): S188-S205, 1994.
41. Reisberg B., Ferris S.H., deLeon M.J., Crook T.: The Global Deterioration Scale for assessment of primary degenerative dementia. Am. J. Psychiatry 139: 1136-1139, 1982.
42. Reisberg B., Ferris S-H., Franssen E.: An ordinal functional assessment tool for Alzheimer's-type dementia. Hosp. Community Psychiatry 36: 593-595, 1985.
43. Reisberg B., Pattschull-Furlan A., Franssen E., Sclan S.G., Kluger A., Dingcong L., Ferris S-H.: Dementia of the Alzheimer type recapitulates ontogoeny inversely on specific ordinal and temporal parameters In: Rostovic M.T., Knezezic S., Siwniewski H., Spilich G. (Eds.), Neurodevelopment, Aging, and Cognition. Birkhauser, Boston, 1992, pp. 345-369.
44. Piaget J.: The Origins of Intelligence in Children. (M. Cook, trans.) International Universities Press, New York, 1952.
45. Turkington C.: Alzheimer's losses reverse child's gains. Am. Psychol. Assoc. Monitor 11: 17, 1985.
46. Reisberg B.: Stages of cognitive decline. Am. J. Nurs. 84: 225-228. 1984.
47. Gardner H., The Unschooled Mind: How Children Think & How Schools Should Teach. Basic Books, NY, 1991.
48. Lucca U., Comelli M., Tettamanti M., Tiraboschi P., Spagnoli A.: Rate of progression and prognostic factors in Alzheimer's disease: a prospective study. J. Am. Geriatr. Soc. 41: 45-49, 1993.
49. Binetti G., Magni E., Padovani A., Cappa S.F., Bianchetti A., Trabucchi M : Neuropsychological heterogeneity in mild Alzheimer's disease. Dementia 4: 321-326, 1993.
50. Flicker C., Ferris S.H., Crook T., Bartus R.T.: A visual recognition memory test for the assessment of cognitive function in aging and dementia. Exp. Aging Res. 13: 127-132, 1987.
51. Jacobs D.M., Sano M., Dooneief G., Marder K., Bell K.L. Stem Y.: Neuropsychological detection and characterization of pre clinical Alzheimer s disease. Neurology 45 956-962, 1995.
52. Mitrushina M., Uchiyama C., Satz P.: Heterogeneity of cognitive profiles in normal aging: implications for early manifestations of Alzheimer's disease J. Clin. Exp. Neuropsychol. 17: 374-382, 1995.
53. Emery O B.: Language and aging. Exp. Aging Res. 11: 3-60, 1985
54. Emery O.B., Breslau L.: The acceleration process in Alzheimer's disease: Thought dissolution in Alzheimer's disease early onset and senile dementia Alzheimer's type. Am. J. Alzh. Care Rel. Disorders & Research 9/10: 24-30, 1987.
55. Thombury J.M.: The use of Piaget's theory in Alzheimer's disease. Am J. Alzh. Care Rel. Disorders & Research 7/8: 16-21, 1993.
56. Matteson M.A., Linton A.D., Barnes S., Cleary B.L., Lichtenstein M.J.: The relationship between Piaget and cognitive levels in persons with Alzheimer's disease and related disorders. Aging Clin. Exp. Res. 8. 61-69, 1996.
57. Matteson M.A., Linton A D., Bames S.J.: The cognitive developmental approach to dementia. Image: J. Nurs. Scholarship 28: 233-240, 1996
58. Ray W., Taylor J.A., Lichtenstein M.J., Meador K.G.: The nursing home behavior problem scale. J. Gerontol. 47: M9-M16, 1992.
59. Moos R.H., Lemke S.: Multiphasic Environmental Assessment Procedure (MEAP) Manual. Sheltered Care Project, Social Ecology Laboratory and Geriatric Research, Educational and Clinical Center, Veterans Administration and Stanford University Medical Center. Palo Alto, CA, 1984.
60. Lemke S., Moos R.H.: Measuring the social climate of congregate residences for older people: The sheltered care environment scale. Psychol. Aging 2: 20-29, 1987.
61. McKhann G., Drachman D., Folstein M., Katzman T., Price D., Stallan E.M.: Clinical diagnosis of Alzheimer's disease: report of the NINCDS-ADRDA work group under the auspices of the Department of Health and Human Services task force on Alzheimer's disease. Neurology 34: 939-944, 1984.
62. Ray W.A., Taylor J.A., Lichtenstein M.J., Meador K.G.: Managing behavior problems in nursing home residents. Contemp. Manage Int Med. 1: 71-112, 1991.
63. Folstein M., Folstein S., McHugh P.: "Mini-mental state": A practical method for grading the cognitive state of patients for the clinician. J. Psychiatr. Res. 12: 189. 1975.
64. Beck C., Heacock P.: Nursing interventions for patients with Alzheimer's disease Nurs. Clin. North Am. 23: 95-124, 1988.
65. Sattel H., Giger-Kabish C., Schreiter-Gasser U., Besthorn C., Forstl H., Incidence and importance of "non-cognitive" symptoms in dementia of the Alzheimer's type; productive psychotic symptoms, depressive disorders and behavioral disorders. J. Gerontol. 26: 275-279, 1993.
66. Matteson M.A., Linton A.D., Byers V.: Wandering behavior in institutionalized Alzheimer's patients. Gerontology 32: 202, 1992.
67. Matteson M.A., Linton A.D.: Wandering behaviors in institutionalized persons with dementia. J. Gerontol Nurs 22: 39-46. 1996.
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