A Controlled Study of Disruptive Vocalizations among Geriatric Residents in Nursing Homes
- 1 May 1991
- journal article
- Published by Wiley in Journal of the American Geriatrics Society
- Vol. 39 (5) , 501-507
- https://doi.org/10.1111/j.1532-5415.1991.tb02497.x
Abstract
This paper reports the results of a controlled study comparing geriatric residents in nursing homes who displayed disruptive vocalizations with residents in a comparison group. Two 350-bed nursing homes were surveyed, and it was found that 11% of the residents engaged in disruptive vocalizations, at least once per week, of sufficient severity to require consideration in the resident's care plan. Results show that disruptive vocalizers were more functionally impaired and were more likely to receive a diagnosis of dementia. They were also more likely to display a higher activity level and to experience sleep disturbance and to be prescribed neuroleptic medications. Descriptive data are presented on typology of disruptive vocalizations, likely situations for their occurrence, and the utilization and perceived efficacy of common interventions. Suggestions are made regarding behavioral treatments for this vexing problem.Keywords
This publication has 21 references indexed in Scilit:
- Dementia and agitation in nursing home residents: How are they related?Psychology and Aging, 1990
- A Description of Agitation in a Nursing HomeJournal of Gerontology, 1989
- Agitated Behavior and Cognitive Functioning in Nursing Home ResidentsClinical Gerontologist, 1988
- Psychometric Assessment of the Multidimensional Observation Scale for Elderly Subjects (MOSES)Journal of Gerontology, 1988
- PROVIDING INDEPENDENT RECREATIONAL ACTIVITIES TO REDUCE STEREOTYPIC VOCALIZATIONS IN CHRONIC SCHIZOPHRENICSJournal of Applied Behavior Analysis, 1987
- Behavioral problems among patients in skilled nursing facilities.American Journal of Public Health, 1984
- The Political and Economic Implications of Training Nursing Home AidesJONA: The Journal of Nursing Administration, 1978
- Too Old, Too Sick, Too BadHealth Care Management Review, 1977
- “Mini-mental state”Journal of Psychiatric Research, 1975