Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Severe disruptive vocalizers.

P D Sloane1, S Davidson, N Knight

  • 1Department of Family Medicine, School of Medicine, University of North Carolina at Chapel Hill, 27599, USA.

Journal of the American Geriatrics Society
|April 15, 1999
PubMed
Summary

Severe disruptive vocalizations in nursing homes are linked to significant cognitive and physical impairments. These vocalizations are associated with a high mortality risk within six months, highlighting the need for targeted interventions.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Acceptability of the live biotherapeutic LACTIN-V (<i>Lactobacillus crispatus</i> CTV-05) among young women at high risk of HIV acquisition in South Africa: data from the phase 2 placebo-controlled trial.

Frontiers in reproductive health·2025
Same author

Genomic and clinical characterization of a familial GIST kindred intolerant to imatinib.

NPJ genomic medicine·2024
Same author

Higher glucose and insulin responses to a mixed meal are associated with increased risk of diabetic retinopathy in Indigenous Americans.

Journal of endocrinological investigation·2023
Same author

Growth patterns and outcomes of growth hormone therapy in patients with acrodysostosis.

Journal of endocrinological investigation·2023
Same author

Avasopasem manganese (GC4419) protects against cisplatin-induced chronic kidney disease: An exploratory analysis of renal metrics from a randomized phase 2b clinical trial in head and neck cancer patients.

Redox biology·2023
Same author

Vaccine hesitancy educational tools for healthcare providers and trainees: A scoping review.

Vaccine·2022

Area of Science:

  • Gerontology
  • Psychiatry
  • Nursing Home Care

Background:

  • Disruptive vocalizations are a significant challenge in nursing facilities.
  • Understanding the characteristics and prognosis of severe vocalizers is crucial for care.

Purpose of the Study:

  • To characterize severe disruptive vocalizers in nursing facilities.
  • To examine their clinical and behavioral features, staff responses, and treatments.
  • To determine their 6-month prognosis.

Main Methods:

  • Longitudinal cohort study involving 203 residents from 107 skilled nursing facilities.
  • Telephone interviews with nursing staff at baseline and 2, 4, 6 months.
  • Data collected on demographics, function, diagnoses, medications, restraints, behaviors, vocalizations, treatments, and outcomes.

Related Experiment Videos

Main Results:

  • Vocalizers often had dementia, were dependent in daily activities, had multiple medical issues, and frequently used physical restraints (48%) and psychotropic medications (76%).
  • Loudness correlated with severe cognitive impairment. 'Screamers' (nonverbal) had more hearing impairment, cognitive deficits, and dependency than 'talkers' (verbal).
  • While many treatments showed limited success, 66% of survivors vocalized less at 2 months, with 45% improved. Mortality within 6 months was 23.4%.

Conclusions:

  • Severe disruptive vocalization is strongly associated with profound cognitive and physical impairments.
  • These conditions carry a high risk of mortality within six months.
  • Subcategorizing vocalizers may aid in prognosis and treatment planning.