Effect of person-centered showering and the towel bath on bathing-associated aggression, agitation, and discomfort in nursing home residents with dementia: A randomized, controlled trial

Journal of the American Geriatrics Society

Volumn 52, Issue 11, 2004, Pages 1795-1804

  Sloane, Philip D ^a,b   Hoeffer, Beverly ^e   Mitchell, C Madeline ^b   McKenzie, Darlene A ^e   Barrick, Ann Louise ^c   Rader, Joanne ^e   Stewart, Barbara J ^e   Talerico, Karen Amann ^e   Rasin, Joyce H ^b   Zink, Richard C ^d   Koch, Gary G ^d  

^a UNIVERSITY OF NORTH CAROLINA SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF NORTH CAROLINA   (United States)

^c University of North Carolina at Chapel Hill   (United States)

^d IL   (United States)

^e OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

Author keywords

Aggression; Agitation; Alzheimer's disease; Bathing; Dementia

Indexed keywords

AGED; AGGRESSION; AGITATION; ARTICLE; BATH; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DEMENTIA; GERIATRIC CARE; HUMAN; MAJOR CLINICAL STUDY; NURSING HOME; PSYCHOLOGIC ASSESSMENT; RANDOMIZED CONTROLLED TRIAL; TECHNIQUE; BED; CROSSOVER PROCEDURE; FEMALE; GERIATRIC NURSING; MALE; METHODOLOGY; MIDDLE AGED; NONPARAMETRIC TEST; NURSING; PATIENT CARE; PSYCHOLOGICAL ASPECT; RESTLESSNESS; TREATMENT OUTCOME; VIDEORECORDING;

AGED; AGGRESSION; BATHS; BEDDING AND LINENS; CROSS-OVER STUDIES; DEMENTIA; FEMALE; GERIATRIC NURSING; HUMANS; MALE; MIDDLE AGED; NURSING HOMES; PATIENT-CENTERED CARE; PSYCHOMOTOR AGITATION; STATISTICS, NONPARAMETRIC; TREATMENT OUTCOME; VIDEOTAPE RECORDING;

EID: 16544393483     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/j.1532-5415.2004.52501.x     Document Type: Article

References (62)

1. Teri L, Larson EB, Reifer BV. Behavioral disturbance in dementia of Alzheimer's type. J Am Geriatr Soc 1988;36:1-6.
2. Swearer JM, Drachman DA, O'Donnell BF et al. Troublesome and disruptive behaviors in dementia: Relationship to diagnosis and disease severity. J Am Geriatr Soc 1988;36:784-790.
3. Ryden MB. Aggressive behavior in persons with dementia who live in the community. Alzheimer Dis Assoc Disord 1988;2:342-355.
4. Beck C, Rossby L, Baldwin B. Correlates of disruptive behavior in cognitively impaired elderly nursing home residents. Arch Psychiatr Nurs 1991;5:281-291.
5. Beck C, Frank L, Chumbler NR et al. Correlates of disruptive behavior in severely cognitively impaired nursing home residents. Gerontologist 1988;38:189-198.
6. Ryden MB, Bossenmaier M, McLachlan C. Aggressive behavior in cognitively impaired nursing home residents. Res Nurs Health 1991;14:87-95.
7. Burgener SC, Jirovec M, Murrell L. Caregiver and environmental variables related to difficult behaviors in institutionalized, demented elderly persons. J Gerontol 1992;47:242-249.
8. Hoeffer B, Rader J, McKenzie D et al. Reducing aggressive behavior during bathing cognitively impaired nursing home residents. J Gerontol Nurs 1997;23:16-23.
9. Whall AL, Gillis GL, Yankou D et al. Disruptive behavior in elderly nursing home residents: A survey of nursing staff. J Gerontol Nurs 1992;18:13-17.
10. Aronson MK, Post DC, Guastadisegni P. Dementia, agitation, and care in the nursing home. J Am Geriatr Soc 1993;41:507-512.
11. Beck C, Baldwin B, Modlin T et al. Caregivers' perception of aggressive behavior in cognitively impaired nursing home residents. J Neurosci Nurs 1990;22:169-172.
12. Hagen BF, Sayers D. When caring leaves bruises: The effects of staff education on resident aggression. J Gerontol Nurs 1995;21:7-16.
13. Everitt DE, Fields DR, Soumerai SS et al. Resident behavior and staff distress in the nursing home. J Am Geriatr Soc 1991;39:792-798.
14. Harrington C, Tompkins C, Curtis M et al. Psychotropic drug use in long-term care facilities: A review of the literature. Gerontologist 1992;32:822-833.
15. Schneider L, Pollack V, Lyness S. A metaanalysis of controlled trials of neuroleptic treatment in dementia. J Am Geriatr Soc 1990;38:553-563.
16. Reisberg B, Borenstein J, Salob S et al. Behavioral symptoms in Alzheimer's disease: Phenomenology and treatment. J Clin Psychiatry 1987;48:9-15.
17. Woerner MG, Alvir JM, Kane JM et al. Neuroleptic treatment of elderly patients. Psychopharm Bull 1995;31:333-337.
18. Carter GL, Dawson AH, Lopert R. Drug-induced delirium. Incidence, management, and prevention. Drug Safety 1996;15:291-301.
19. Adler LA, Angrist B, Reiter S et al. Neuroleptic-induced akathisia: A review. Psychopharmacology 1989;97:1-11.
20. Werner P, Cohen-Mansfield J, Braun J et al. Physical restraints and agitation in nursing home residents. J Am Geriatr Soc 1989;37:1122-1126.
21. Rader J, Tornquist EM, eds. Individualized Dementia Care: Creative, Compassionate Approaches. New York: Springer Publishing Co., 1995.
22. Carlson DL, Fleming KC, Smith GE et al. Management of dementia-related behavior disturbances: A nonpharmacologic approach. Mayo Clin Proc 1995;70:1108-1115.
23. Allen-Burge R, Stevens AB, Burgio LD. Effective behavioral interventions for decreasing dementia-related challenging behavior in nursing homes. Int J Geriatr Psychiatr 1999;14:213-232.
24. Landreville P, Bordes M, Dicaire L et al. Behavioral approaches for reducing agitation in residents of long-term care facilities: Critical review and suggestions for future research. Int Psychogeriatr 1998;10:397-419.
25. Maxfield MC, Lewis RE, Cannon S. Training staff to prevent aggressive behavior of cognitively impaired elderly patients during bathing and grooming. J Gerontol Nurs 1996;22:37-43.
26. Sloane PD, Rader J, Barrick AL et al. Bathing persons with dementia. Gerontologist 1995;35:672-678.
27. Hartmaier S, Sloane PD, Guess H et al. The MDS Cognition Scale (MDS-COGS): A method of identifying and staging cognitive impairment using the Minimum Data Set. J Am Geriatr Soc 1994;42:1173-1179.
28. Rader J, Lavelle M, Hoeffer B et al. Maintaining cleanliness: An individualized approach. J Gerontol Nurs 1996;22:32-38.
29. Barrick AL, Rader J, Hoeffer B et al. Bathing Without a Battle: Personal Care for Persons with Dementia. New York: Springer Publishing Co., 2001.
30. Sloane PD, Honn VJ, Dwyer SA et al. Bathing the Alzheimer's patient in long term care: Results and recommendations from three studies. Am J Alzheimer Dis 1995;10:3-11.
31. Cohen-Mansfield J. Agitated behaviors in the elderly: II. Preliminary results in the cognitively deteriorated. J Am Geriatr Soc 1986;34:722-727.
32. Hurley AC, Volicer BJ, Hanrahan PA et al. Assessment of discomfort in advanced Alzheimer patients. Res Nurs Health 1992;15:369-377.
33. Hardy MA. A pilot study of the diagnosis and treatment of impaired skin integrity: Dry skin in older persons. Nurs Diagnosis 1990;1:57-63.
34. Leyden JJ, McGinley KJ, Holzle E et al. The microbiology of the human axilla and its relationship to axillary odor. J Invest Derm 1981;77:413-416.
35. Hawes C, Morris JN, Phillips CD et al. Reliability estimates for the Minimum Data Set for nursing home resident assessment and care screening (MDS). Gerontologist 1995;35:172-178.
36. Morris JN, Fries BE, Morris SA. Scaling ADLs within the MDS. J Gerontol A Biol Sci Med Sci 1999;54A:M546-M553.
37. Miller MD, Paradis CF, Houck PR et al. Rating chronic medical illness burden in geropsychiatric practice and research: Application of the Cumulative Illness Rating Scale. Psychiatr Res 1992;41:237-248.
38. Folstein MF, Folstein S, McHugh PR. Mini-mental state: a practical method for grading the cognitive state of patients for the cleanliness. Psychiatre Res 1975;12:189-198.
39. McEvoy JK. AHFS Drug Information 1999. Bethesda, MD: American Society of Health-System Pharmacists, 1999.
40. Koch GG. The use of non-parametric methods in the statistical analysis of the two-period change-over design. Biometrics 1972;28:577-584.
41. Tudor G, Koch GG. Review of nonparametric methods for the analysis of cross-over studies. Stat Meth Med Res 1994;3:345-381.
42. Holm S. A simple, sequentially rejective multiple test procedure. Scand J Stat 1979;6:65-70.
43. Feldt KS, Ryden MB. Aggressive behavior: Educating nursing assistants. J Gerontol Nurs 1992;18:3-12.
44. Gates DM, Fitzwater E, Meyer U. Violence against caregivers in nursing homes. Expected, tolerated, and accepted. J Gerontol Nurs 1999;25:12-22.
45. Rader J. To bathe or not to bathe: That is the question. J Gerontol Nurs 1994;20:53-55.
46. Kolanowski AM. An overview of the need-driven dementia-compromised behavior model. J Gerontol Nurs 1999;25:7-9.
47. Hall G. Caring for people with Alzheimer's disease using the conceptual model of progressively lowered stress threshold in the clinical setting. Nurs Clin Northan 1994;29:129-141.
48. Lawton MP. Competence, environmental press, and the adaptation of older people. In: Lawton MP, Windly PG, Byerts TO, eds. Aging and the Environment: Theoretical Approaches. New York: Springer Publishing Co., 1982, pp 33-59.
49. Davidson RJ, Putnam KM, Larson CL. Dysfunction in the neural circuitry of emotion regulation-a possible prelude to violence. Science 2000;89:591-594.
50. Talerico KA, Evans LK. Responding to safety issues in frontotemporal dementias. Neurology 2001;56(Suppl 4):52-S55.
51. Bridges-Parlet S, Knopman D, Thompson T. A descriptive study of physically aggressive behavior in dementia by direct observation. J Am Geriatr Soc 1994;42:192-197.
52. Miller MF. Physically aggressive resident behavior during hygienic care. J Gerontol Nurs 1997;23:24-39.
53. Talerico KA, Evans LK. Making sense of aggressive/protective behaviors in persons with dementia. Alzheimer Care Q 2000;1:77-88.
54. Bathing Without a Battle: Creating a Better Bathing Experience for Persons with Alzheimer's Disease and Related Disorders [on-line]. Available at: www.bathingwithoutabattle.unc.edu Accessed July 19, 2004.
55. Evans LK, Strumpf NE. Tying down the elderly: A review of the literature on physical restraints. J Am Geriatr Soc 1989;36:65-74.
56. Castle NG, Mor V. Physical restraints in nursing homes. A review of the literature since the nursing home reform act of 1987. Med Care Res Rev 1998;55:139-170.
57. Williams CC. Liberation: Alternative to physical restraints. Gerontologist 1989;29:585-586.
58. Institute of Medicine. Improving the Quality of Care in Nursing Homes. Washington, DC: National Academy Press, 1986.
59. PL 100-203. Omnibus Budget Reconciliation Act, Subtitle C, Nursing Home Reform. Washington, DC: U.S. Government Printing Office, 1987.
60. Annas GJ. The last resort-the use of physical restraints in medical emergencies. N Engl J Med 1999;341:1408-1412.
61. Evans LK, Strumpf NE, Allen-Tajlor SL et al. A clinical trial to reduce restraints in nursing homes. J Am Geriatr Soc 1997;45:675-681.
62. Phillips CD, Hawes C, Fries BE. Reducing the use of physical restraints in nursing homes. Will it increase costs? Am J Public Health 1993;83:342-348.