TY - JOUR
T1 - A Descriptive Study of Physically Aggressive Behavior in Dementia by Direct Observation
AU - Bridges‐Parlet, Sarah
AU - Knopman, David
AU - Thompson, Travis
PY - 1994/2
Y1 - 1994/2
N2 - Objective: To study, by direct observation, physically aggressive behavior (PAB) in a cohort of older persons with dementia. Design: Cross‐sectional survey. Setting: A locked special care unit for Alzheimer's Disease and an ordinary skilled unit of two suburban nursing homes. Participants: Twenty men and women with a history of PAB. Measurements and Main Results: Portable bar‐code‐readers and daily diaries were used to determine the frequency of PAB as well as to elucidate the antecedents and consequences of it. PAB was most often directed toward staff (23/28 episodes), usually in the context of personal care (15/23 episodes). In the majority of cases, verbal aggression or noncompliance preceded the PAB. Most often PAB was followed by a rapid return to non‐aggressive behavior. Conclusions: Very little PAB was truly spontaneous, nor was it usually the participant's normal behavior. Most PAB occurred in response to intrusion into the participant's personal space by staff or other residents. The PAB is better understood as a defensive response than an expression of anger. 1994 The American Geriatrics Society
AB - Objective: To study, by direct observation, physically aggressive behavior (PAB) in a cohort of older persons with dementia. Design: Cross‐sectional survey. Setting: A locked special care unit for Alzheimer's Disease and an ordinary skilled unit of two suburban nursing homes. Participants: Twenty men and women with a history of PAB. Measurements and Main Results: Portable bar‐code‐readers and daily diaries were used to determine the frequency of PAB as well as to elucidate the antecedents and consequences of it. PAB was most often directed toward staff (23/28 episodes), usually in the context of personal care (15/23 episodes). In the majority of cases, verbal aggression or noncompliance preceded the PAB. Most often PAB was followed by a rapid return to non‐aggressive behavior. Conclusions: Very little PAB was truly spontaneous, nor was it usually the participant's normal behavior. Most PAB occurred in response to intrusion into the participant's personal space by staff or other residents. The PAB is better understood as a defensive response than an expression of anger. 1994 The American Geriatrics Society
UR - http://www.scopus.com/inward/record.url?scp=0028049146&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0028049146&partnerID=8YFLogxK
U2 - 10.1111/j.1532-5415.1994.tb04951.x
DO - 10.1111/j.1532-5415.1994.tb04951.x
M3 - Article
C2 - 8126335
AN - SCOPUS:0028049146
SN - 0002-8614
VL - 42
SP - 192
EP - 197
JO - Journal of the American Geriatrics Society
JF - Journal of the American Geriatrics Society
IS - 2
ER -