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Agitated behavior in the cognitively impaired elderly.

M Chrisman, D Tabar, A L Whall

    Journal of Gerontological Nursing
    |December 1, 1991
    PubMed
    Summary
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    Assessing patient agitation is crucial for effective care planning. Current measurement tools showed reliability but lacked specificity, hindering the development of targeted nursing interventions for agitated behaviors.

    Area of Science:

    • Nursing
    • Gerontology
    • Psychiatry

    Background:

    • Agitation in patients presents challenges for caregivers seeking effective interventions.
    • Objective measurement of agitated behaviors is essential for developing a tailored plan of care.
    • Existing tools for measuring agitation require evaluation for clinical utility.

    Purpose of the Study:

    • To assess the reliability and validity of three instruments used for measuring patient agitation.
    • To identify the suitability of these instruments for clinical use in assessing agitated behaviors.
    • To explore the variability and patterns of agitated behaviors in the study population.

    Main Methods:

    • The study evaluated three established instruments for measuring agitation.
    • Reliability and validity of the selected instruments were assessed.

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  • Observed agitated behaviors were categorized, noting frequency and patterns.

    • Main Results:

    • The reliability and validity of the three instruments were supported.
    • A significant limitation was that frequently observed behaviors were classified under a 'nonspecific other' category.
    • Agitated behaviors exhibited high variability among subjects, preventing the establishment of predictable patterns.

    Conclusions:

    • While the instruments are reliable and valid, they are not ideal for this population due to a lack of specificity in behavioral categorization.
    • The high variability and unpredictability of agitated behaviors underscore the need for further research into assessment tools and intervention strategies.
    • Caregivers require more refined tools to accurately measure and address diverse agitated behaviors in patients.