1887
Dementia-compromised language conflict and aggression
  • ISSN 2213-1272
  • E-ISSN: 2213-1280
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Abstract

A significant number of people with dementia show challenging behaviours; one of the most challenging is vocally disruptive behaviour (VDB). VDB may be difficult to manage in all settings but particularly in rest homes and private dementia care hospitals. In a 2011 study direct observation of VDB was used to analyse the incidence, content of and response to VDB in two private New Zealand residential dementia care hospitals. Examples of VDB from both hospitals are discussed to illustrate the nature of VDB, both purposive and non-purposive. The relationship of the antecedents and consequences to the VDB are highlighted. Possible interventions to reduce VDB are reviewed. This challenging behaviour is highly variable and case specific. Caregivers would benefit from specific training to equip themselves with a range of interventions to allow for the individual needs of residents and the changing nature of the behaviour. More studies that use direct observation and participatory action research would enhance the current understanding of VDB and how to effectively manage it.

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/content/journals/10.1075/jlac.4.1.04wyl
2016-08-11
2019-12-06
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References

  1. Algase, Donna L , Cornelia Beck , Ann Kolanowski , Ann L. Whall , Stanley Berent , Kathy Richards , and Elizabeth Beattie
    1996 “Need-driven Dementia Compromised Behaviour: An Alternative View of Disruptive Behaviour.” American Journal of Alzheimer’s Disease116: 10–19. doi: 10.1177/153331759601100603
    https://doi.org/10.1177/153331759601100603 [Google Scholar]
  2. Asp, Ellisa D. , and Jessica de Villiers
    2010When Language Breaks Down. Cambridge: Cambridge University Press. doi: 10.1017/CBO9780511845352
    https://doi.org/10.1017/CBO9780511845352 [Google Scholar]
  3. Allen-Burge, Rebecca , Alan B. Stevens , and Louis B. Burgio
    1999 “Effective Behavioural Interventions for Decreasing Dementia-related Challenging Behaviour in Nursing Homes.” International Journal of Geriatric Psychiatry14 (3): 213–228. doi: 10.1002/(SICI)1099‑1166(199903)14:3<213::AID‑GPS974>3.0.CO;2‑0
    https://doi.org/10.1002/(SICI)1099-1166(199903)14:3<213::AID-GPS974>3.0.CO;2-0 [Google Scholar]
  4. Babbage, Duncan R
    2005 “Noise in the Nursing Home: A Case Study of Relationship Change.” Clinical Psychologist92 (2): 74–82. doi: 10.1080/13284200500318825
    https://doi.org/10.1080/13284200500318825 [Google Scholar]
  5. Bachman, David , and Peter Rabins
    2006 “Sundowning and Other Temporally Associated Agitation States in Dementia Patients.” Annual Reviews57: 499–511. doi: 10.1146/annurev.med.57.071604.141451
    https://doi.org/10.1146/annurev.med.57.071604.141451 [Google Scholar]
  6. Bliswise, Donald L
    1994 “What is Sundowning?” Journal of the American Geriatrics Society42 (9):1009-1011. doi: 10.1111/j.1532‑5415.1994.tb06598.x
    https://doi.org/10.1111/j.1532-5415.1994.tb06598.x [Google Scholar]
  7. Burgio, Louis D. , Kay Scilley , J. Michael Hardin , Janine Janosky , Paula Bonino , and Sharon C. Slater
    1994 “Studying Disruptive Vocalisation and Contextual Factors in the Nursing Home Using Computer-Assisted Real-Time Observation.” Journal of Gerontology495 (5): 230–239. doi: 10.1093/geronj/49.5.P230
    https://doi.org/10.1093/geronj/49.5.P230 [Google Scholar]
  8. Algase, Donna L , Cornelia Beck , Ann Kolanowski , Ann L. Whall , Stanley Berent , Kathy Richards , and Elizabeth Beattie
    1996 “Need-driven Dementia Compromised Behaviour: An Alternative View of Disruptive Behaviour.” American Journal of Alzheimer’s Disease116: 10–19. doi: 10.1177/153331759601100603
    https://doi.org/10.1177/153331759601100603 [Google Scholar]
  9. Asp, Ellisa D. , and Jessica de Villiers
    2010When Language Breaks Down. Cambridge: Cambridge University Press. doi: 10.1017/CBO9780511845352
    https://doi.org/10.1017/CBO9780511845352 [Google Scholar]
  10. Allen-Burge, Rebecca , Alan B. Stevens , and Louis B. Burgio
    1999 “Effective Behavioural Interventions for Decreasing Dementia-related Challenging Behaviour in Nursing Homes.” International Journal of Geriatric Psychiatry14 (3): 213–228. doi: 10.1002/(SICI)1099‑1166(199903)14:3<213::AID‑GPS974>3.0.CO;2‑0
    https://doi.org/10.1002/(SICI)1099-1166(199903)14:3<213::AID-GPS974>3.0.CO;2-0 [Google Scholar]
  11. Babbage, Duncan R
    2005 “Noise in the Nursing Home: A Case Study of Relationship Change.” Clinical Psychologist92 (2): 74–82. doi: 10.1080/13284200500318825
    https://doi.org/10.1080/13284200500318825 [Google Scholar]
  12. Bachman, David , and Peter Rabins
    2006 “Sundowning and Other Temporally Associated Agitation States in Dementia Patients.” Annual Reviews57: 499–511. doi: 10.1146/annurev.med.57.071604.141451
    https://doi.org/10.1146/annurev.med.57.071604.141451 [Google Scholar]
  13. Bliswise, Donald L
    1994 “What is Sundowning?” Journal of the American Geriatrics Society42 (9):1009–1011. doi: 10.1111/j.1532‑5415.1994.tb06598.x
    https://doi.org/10.1111/j.1532-5415.1994.tb06598.x [Google Scholar]
  14. Burgio, Louis D. , Kay Scilley , J. Michael Hardin , Janine Janosky , Paula Bonino , and Sharon C. Slater
    1994 “Studying Disruptive Vocalisation and Contextual Factors in the Nursing Home Using Computer-Assisted Real-Time Observation.” Journal of Gerontology495 (5): 230–239. doi: 10.1093/geronj/49.5.P230
    https://doi.org/10.1093/geronj/49.5.P230 [Google Scholar]
  15. Burns, Alistair , John O’Brien , and David Ames
    (eds) 2005Dementia. 3rd ed. London: Hodder Arnold. doi: 10.1201/b13239‑2
    https://doi.org/10.1201/b13239-2 [Google Scholar]
  16. Cariaga, José , Louis Burgio , William Flynn , and David Martin
    (1999) “A Controlled Study of Disruptive Vocalizations among Geriatric Residents in Nursing Homes.” Journal of the American Geriatrics Society39 (5): 501–507. doi: 10.1111/j.1532‑5415.1991.tb02497.x
    https://doi.org/10.1111/j.1532-5415.1991.tb02497.x [Google Scholar]
  17. Cohen-Mansfield, Jiska , and Perla Werner
    1997a “Management of Verbally Disruptive Behaviours in Nursing Home Residents.” The Journal of Gerontology, 52A (6): 369–377.
    [Google Scholar]
  18. 1997b “Typology of Disruptive Vocalizations in Older Persons Suffering from Dementia.” International Journal of Geriatric Psychiatry12 (11): 1079–91. doi: 10.1002/(SICI)1099‑1166(199711)12:11<1079::AID‑GPS689>3.0.CO;2‑P
    https://doi.org/10.1002/(SICI)1099-1166(199711)12:11<1079::AID-GPS689>3.0.CO;2-P [Google Scholar]
  19. Declercq, Tom , Mirko Petrovic , Majda Azermai , R. Vander Stichelle , An De Sutter A. , Meikle L. van Driel , and Thierry Christiaens
    2013 “Withdrawal versus Continuation of Chronic Antipsychotic Drugs for Behavioural and Psychological Symptoms in Older People with Dementia.” Cochrane Database of Systematic Reviews, Issue 3. Art. No.: CD007726. doi: 10.1002/14651858.CD007726.pub2
    https://doi.org/10.1002/14651858.CD007726.pub2 [Google Scholar]
  20. Desai Abhilash K. , and George T. Grossberg
    2001 “Recognition and Management of Behavioural Disturbances in Dementia.” The Primary Care Companion to the Journal of Clinical Psychiatry3 (3): 93–109. doi: 10.4088/PCC.v03n0301
    https://doi.org/10.4088/PCC.v03n0301 [Google Scholar]
  21. Draper, Brian , Jane Turner , Bryan McMinn , Peter Gonski , P. Helen McIntosh , Linda Latham , Deborah Draper , Georgina Luscombe , and Susanne Meares
    2003 “Outcome of Treatment of Vocally Disruptive Behaviour in Nursing Home Residents.” Australasian Journal on Aging222 (2): 80–84. doi: 10.1111/j.1741‑6612.2003.tb00471.x
    https://doi.org/10.1111/j.1741-6612.2003.tb00471.x [Google Scholar]
  22. Fraser, Tony , and Murray Tilyard, M
    2008Antipsychotics for Dementia Best Practice Guide. Dunedin: New Zealand Best Practice Advocacy Centre.
    [Google Scholar]
  23. Gellad, Walid F. , Jerry L. Grenard , and Zachary A. Marcum
    2011 “A Systematic Review to Barriers to Medication Adherence in the Elderly: Looking Beyond Cost and Regimen Complexity.” American Journal of Geriatric Pharmacotherapy9 (1): 11–23. doi: 10.1016/j.amjopharm.2011.02.004
    https://doi.org/10.1016/j.amjopharm.2011.02.004 [Google Scholar]
  24. Hallberg, Ingalill R. , Astrid Norberg , and Sture Eriksson
    1990 “A Comparison between the Care of Vocally Disruptive Patients and that of Other Residents at Psychogeriatric Wards.” Journal of Advanced Nursing15 (4): 410–416. doi: 10.1111/j.1365‑2648.1990.tb01833.x
    https://doi.org/10.1111/j.1365-2648.1990.tb01833.x [Google Scholar]
  25. Hyden, Lars-Christa
    2011 “Non-Verbal Vocalizations, Dementia and Social Interaction.” Communication and Medicine8 (2): 135–144.
    [Google Scholar]
  26. Isaksson, Ulf , Ulla H. Graneheim , Sture Åström , and Stig Karlsson
    2011 “Physically Violent Behaviour in Dementia Care: Characteristics of Residents and Management of Violent Situations.” Aging & mental health15 (5): 573–579. doi: 10.1080/13607863.2011.556600
    https://doi.org/10.1080/13607863.2011.556600 [Google Scholar]
  27. Klaffke, Stefanie , and Juergan Staedt
    2006 “Sundowing and Circadian Rhythm Disorders in Dementia.” Acta neurologica belgica106 (4): 168–175.
    [Google Scholar]
  28. Love, Karen , and Jackie Pinkowitz
    (2013) “Person-Centred Care for People with Dementia: A Theoretical and Conceptual Framework.” Journal of the American Society on Aging3: 23–29.
    [Google Scholar]
  29. Magri, Caroline Jane , Peter Ferry , and Stephen Abela
    2007 “A Review of the Aetiology and Management of Vocal Behaviour in Dementia.” Malta Medical Journal19 (3): 30–35.
    [Google Scholar]
  30. Matteau, Evelyne , Philippe Landreville , Louis Laplante , and Christian Laplante
    2003 “Disruptive Vocalizations: A Means to Communicate in Dementia?” American Journal of Alzheimer’s Disease and Other Dementias18 (3): 147–153. doi: 10.1177/153331750301800307
    https://doi.org/10.1177/153331750301800307 [Google Scholar]
  31. McMinn, Bryan , and Brian Draper
    2005 “Vocally Disruptive Behaviour in Dementia: Development of an Evidence Based Practice Guideline.” Aging & Mental Health9 (1): 16–24. doi: 10.1080/13607860512331334068
    https://doi.org/10.1080/13607860512331334068 [Google Scholar]
  32. New Zealand Ministry of Health
    2013 “New Zealand Framework for Dementia Care.” Wellington: New Zealand Ministry of Health.
    [Google Scholar]
  33. Nagaratnam, Nages , Ilesh Patel , and Clair Whelan
    2003 “Screaming, Shrieking and Muttering: The Noise-makers amongst Dementia Patients.” Archives of Gerontology and Geriatrics36 (3): 247–258. doi: 10.1016/S0167‑4943(02)00169‑3
    https://doi.org/10.1016/S0167-4943(02)00169-3 [Google Scholar]
  34. Neal M. , and Barton Wright P
    2003 “Validation Therapy for Dementia.” Cochrane Database of Systematic Reviews, Issue 3. Art. No.: CD001394. doi: 10.1002/14651858.CD001394
    https://doi.org/10.1002/14651858.CD001394 [Google Scholar]
  35. Nelson, Jean
    1995 “The Influence of Environmental Factors in Incidents of Disruptive Behaviour.” Journal of Gerontological Nursing21 (5): 19–24 doi: 10.3928/0098‑9134‑19950501‑06
    https://doi.org/10.3928/0098-9134-19950501-06 [Google Scholar]
  36. Opie, Janet , Richard Rosewarne , and Daniel W. O’Connor
    1999 “The Efficacy of Psychosocial Approaches to Behaviour Disorders in Dementia: A Systematic Literature Review.” Australian and New Zealand Journal of Psychiatry33 (6): 789–799. doi: 10.1046/j.1440‑1614.1999.00652.x
    https://doi.org/10.1046/j.1440-1614.1999.00652.x [Google Scholar]
  37. Palmer, Catherine V. , Sheneekra W. , John Durrant , Michelle Bourgeois , and Michelle Rossi
    1999 “Reduction in Caregiver-identified Problem Behaviours in Patients with Alzheimer Disease Post Hearing-aid Fitting.” Journal of Speech, Language and Hearing Research42: 312–328. doi: 10.1044/jslhr.4202.312
    https://doi.org/10.1044/jslhr.4202.312 [Google Scholar]
  38. Ryan, D.P. , S.M. Tainsh , V. Kolodny , B.L. Lendrum , and R.H. Fisher
    1988 “Noise-Making amongst the Elderly in Long Term Care.” The Gerontologist28 (3): 369–371. doi: 10.1093/geront/28.3.369
    https://doi.org/10.1093/geront/28.3.369 [Google Scholar]
  39. Schiffer, Randolph , Robert M. Herndon , and Richard A. Rudick
    1985 “Treatment of Pathologic Laughing and Weeping with Amitriptyline.” New England Journal of Medicine312: 1480–1482. doi: 10.1056/NEJM198506063122303
    https://doi.org/10.1056/NEJM198506063122303 [Google Scholar]
  40. Scott, Ann , Assumpta Ryan , Ian James , and Elizabeth A. Mitchell E
    2011 “Perceptions and Implications of Violence from Care Home Residents with Dementia: A Review and Commentary.” International Journal of Older People Nursing. Special Issue: Dementia and Delirium6 (2): 110–122. doi: 10.1111/j.1748‑3743.2010.00226.x
    https://doi.org/10.1111/j.1748-3743.2010.00226.x [Google Scholar]
  41. Sloane, Philip. D. , Susan Davidson , Kathleen Buckwalter , Anthony Lindsey , Susan Ayers , Vonda Lenker , and Louis D. Burgio
    1997 “Management of the Patient with Disruptive Vocalisation.” The Gerontologist37 (5): 675–682. doi: 10.1093/geront/37.5.675
    https://doi.org/10.1093/geront/37.5.675 [Google Scholar]
  42. von Gunten, Armin , Abdel-Messiah Alnawaqil , Christoph Abderhalde , Ian Needham , and Brigette Schupbach
    2008 ‘‘Vocally Disruptive Behaviour in the Elderly: A Systematic Review.”International Psychogeriatrics204:1–20
    [Google Scholar]
  43. Wyles, Christine
    2011 “Characteristics of Vocally Disruptive Behaviour in Residents with Dementia in Specialist Dementia Care Hospitals and Possible Interventions.” M.A. thesis, University of Otago. Retrieved fromhdl.handle.net/10523/1918. Permanent link to OUR Archive version: hdl.handle.net/10523/1918
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  • Article Type: Research Article
Keyword(s): dementia , residential care and vocally disruptive behaviour
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