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Implementation of an interdisciplinary Behavior Management Program.

T L Hughes1, A M Medina-Walpole

  • 1Upstate New York VA Health Care Network, Syracuse Veterans Affairs, Medical Center 13210, USA.

Journal of the American Geriatrics Society
|May 16, 2000
PubMed
Summary
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An interdisciplinary Behavior Management Program improved care for geriatric patients with behavioral issues in a Transitional Care Unit. This approach reduced behavioral episodes and enhanced quality of life through better medication use and staff collaboration.

Area of Science:

  • Geriatrics
  • Behavioral Health
  • Healthcare Management

Background:

  • Behavioral disturbances are common in geriatric populations within Transitional Care Units.
  • Effective management strategies are crucial for improving patient outcomes and quality of life.
  • Existing models may not fully address the complexities of geriatric behavioral health.

Purpose of the Study:

  • To establish and evaluate an interdisciplinary Behavior Management Program (BMP) in a Transitional Care Unit (TCU).
  • To introduce a new model for geriatric practice focused on behavioral health.
  • To assess the utilization and impact of the BMP on patient care and staff collaboration.

Main Methods:

  • A descriptive study was conducted over a 6-month period in a 50-bed TCU at a Veterans Affairs Medical Center.

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  • An interdisciplinary team approach was implemented for managing behavioral disturbances.
  • A comprehensive Behavior Observation Record and targeted nonpharmacological and pharmacological interventions were utilized.

    • Main Results:

    • The BMP enhanced overall care for TCU residents with behavioral disturbances.
    • Appropriate medication use reduced behavioral episodes and improved depression diagnosis and treatment.
    • The program fostered staff education, camaraderie, and improved liaison with the Psychiatry Service.

    Conclusions:

    • An interdisciplinary BMP is a valuable asset for managing behavioral issues in patients with dementia, psychiatric, or other medical illnesses.
    • Effective use of interventions enhances the quality of life for frail older adults.
    • This model shows strong potential for successful implementation across various clinical settings.