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Published on: August 4, 2018
[Behavioral disorders in dementia: intervention study in a long-term care unit]
Pierre-Jean Ousset1, Hubert Sorel, Jean-Claude Cazard
1Service de médecine interne et gérontologie clinique, CHU Purpan-Casselardit, Toulouse. ousset.pj@chu-toulouse.fr
Psychologie & Neuropsychiatrie Du Vieillissement
|February 3, 2005
Summary
An educational intervention significantly reduced behavioral disturbances and caregiver distress in dementia patients. This study highlights the effectiveness of staff training in managing challenging behaviors in long-term care settings.
Area of Science:
- Gerontology
- Neuroscience
- Psychiatry
Background:
- Behavioral disorders are common in dementia patients, leading to increased morbidity, mortality, and caregiver burden.
- Inappropriate medication prescription is a frequent consequence of managing behavioral disturbances in dementia.
Purpose of the Study:
- To evaluate the impact of an educational intervention program for staff on behavioral disturbances in dementia patients.
- To assess the effect of this intervention on caregiver distress.
Main Methods:
- A study involving 26 dementia patients in a long-term care unit.
- Behavioral disturbances were assessed using the Neuropsychiatric Inventory (NPI) before and after staff training.
- Staff underwent a specific education and training program to manage behavioral problems.
Main Results:
- A significant reduction in the frequency, severity, and distress associated with behavioral symptoms was observed.
- Specific improvements were noted in depression, delusions, hallucinations, apathy, and irritability.
- Distress related to agitation, depression, and irritability showed significant decreases.
Conclusions:
- The educational intervention positively impacted patient behavior and reduced caregiver distress.
- While the study lacked a control group, the observed changes support the intervention's general methodology.
- Quantitative tools like the NPI are valuable for understanding and managing behavioral problems in dementia.
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