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The development of the Grip on Challenging Behaviour dementia care programme
Sandra A Zwijsen1, Debby L Gerritsen2, Jan A Eefsting3
1Psychologist and PhD Student, Department of General Practice and Elderly Care Medicine/EMGO and Institute for Health and Care Research, VU Medical Center, Amsterdam, The Netherlands.
Challenging behaviour in dementia can be managed using a structured, multidisciplinary care program. The "Grip on Challenging Behaviour" program offers a practical framework for dementia special care units.
Area of Science:
- Gerontology
- Psychiatry
- Nursing
Background:
- Challenging behaviour in dementia necessitates a structured, multidisciplinary management approach.
- Existing guidelines highlight the need for integrated care strategies.
- The "Grip on Challenging Behaviour" study aimed to develop such a program.
Purpose of the Study:
- To develop and present a novel care program for managing challenging behaviour in dementia.
- To provide a structured, multidisciplinary framework for dementia special care units.
- To enhance the practical application of dementia care guidelines.
Main Methods:
- Developed a care program by integrating overlapping dementia care guidelines with discipline-specific components.
- Conducted three expert meetings to refine the program's structure and practical applicability.
- Created specific forms for each program step to guide the process and delineate responsibilities.
Main Results:
- The care program comprises four distinct steps: detection, analysis, treatment, and evaluation.
- Forms were designed to structure each step and clarify interdisciplinary roles.
- Two case studies demonstrated the program's application in real-world settings.
Conclusions:
- The "Grip on Challenging Behaviour" care program offers a structured, multidisciplinary method for managing challenging behaviours.
- It empowers dementia special care units to utilize their internal resources effectively.
- The program facilitates a systematic approach to dementia care.
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