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Related Experiment Videos

[Shouting by elderly patients with dementia].

F Andersen, A P Lysgaard

    Ugeskrift for Laeger
    |December 11, 1989
    PubMed
    Summary
    This summary is machine-generated.

    Noisy verbal behavior in elderly dementia patients, termed "shouters," is a significant issue. This study categorizes these behaviors, finding they stem from various causes and are minimally responsive to standard interventions.

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    Area of Science:

    • Geriatric Psychiatry
    • Neurology
    • Behavioral Science

    Context:

    • Noisy verbal behavior in elderly dementia patients, termed 'shouters,' presents a significant challenge.
    • This phenomenon is under-researched, lacking detailed literature and typological classification.
    • Understanding the specific needs and triggers for this behavior is crucial for effective care.

    Purpose:

    • To propose a typological subdivision of elderly dementia patients exhibiting problematic noisy verbal behavior ('shouters').
    • To investigate the potential causes and contributing factors of this behavior in a clinical setting.
    • To assess the efficacy of current nursing measures and pharmacological interventions.

    Summary:

    • A review of elderly dementia patients (≥65 years) admitted to a gerontopsychiatric department identified 14 individuals labeled as 'shouters.'

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  • Half of these patients had dementia of the multiple infarction type.
  • Problematic behaviors were linked to anger, anxiety, loneliness, pain, or automatism/self-stimulation, with limited response to increased nursing care or medication.

    • Impact:

    • Provides a foundational typological framework for understanding 'shouters' in dementia care.
    • Highlights the complex etiology of noisy verbal behavior, suggesting a need for individualized care strategies.
    • Indicates that current interventions have limited effectiveness, underscoring the need for novel approaches in managing dementia-related vocalizations.