Reducing aggressive behavior during bathing cognitively impaired nursing home residents.
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Biomedical subjects
Publications and source records attributed to B Hoeffer.
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In the care of persons with Alzheimer's disease and related disorders, bathing frequently poses a formidable challenge for caregivers. This article reports the results of a consensus conference on techniques to reduce disruptive behaviors during bathing, and to make the process less stressful for persons with dementia.
Three psychosocial factors that may influence wandering behavior have been previously identified: lifelong patterns of coping with stress, previous work roles, and a need to search for persons or places associated with security. Strategies for managing wandering behavior include environmental modifications, planned activities, physical exercise, and attention to psychosocial history. However, limited attention has been given to testing psychosocial approaches that could be used by nursing home staff when interacting with residents who wander. The findings of this study suggest that providing sufficient staff time for interacting with residents, programs that address residents' needs for activity and rest, and appropriate environmental modifications should occur in conjunction with the decreased use of antipsychotic medications and physical restraints.
1. An incremental model should be used to determine what geropsychiatric content belongs at each level of educational programs in nursing. 2. Identifying teaching methods that will enable students to learn knowledge retrieval, management, and use skills--as well as to develop critical thinking and ethical decision making abilities--will become more important than identifying essential content. 3. With the increased emphasis on cost-effective primary care and autonomous role functioning within interdisciplinary teams, we must move toward an advanced practice role that combines attributes of the clinical specialist and nurse practitioner.
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The purpose of this study was to examine whether personal and social factors differentiate between widowed, divorced or separated, and never married older women, and predict the life outlook of older single women. A secondary analysis of data from a subsample of the older single women (n = 816) in the 1975 National Survey of the Aged was undertaken. Significant differences between groups were found: never married women were better educated, healthier, less lonely, and had a more positive life outlook than widows. The model predicted 29% of the variance in life outlook. Health and loneliness had the strongest effects on life outlook when predictors were compared.
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