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Related Experiment Videos

Dealing with the difficult older patient.

M K Laurence

    CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
    |May 15, 1986
    PubMed
    Summary

    Physicians can manage disruptive elderly patients in care facilities with a behavioral approach. This strategy addresses situational factors and patient behavior, rather than relying solely on medication.

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    Area of Science:

    • Geriatric Medicine
    • Behavioral Science
    • Healthcare Management

    Background:

    • Elderly patients in acute and long-term care facilities may exhibit disruptive behaviors.
    • Physician intervention is frequently requested for managing patient aggression, demands, or abusive conduct.

    Observation:

    • Medication is a common but often ineffective immediate response to disruptive patient behavior.
    • Behavioral and situational problems require behavioral and situational solutions.

    Findings:

    • An organized, systematic approach is presented for addressing disruptive behaviors in elderly patients.
    • This approach considers the complex interplay between patient, family, staff, setting, and circumstances.
    • The physician's leadership role in managing these challenging patient interactions is highlighted.

    Implications:

    • This framework offers a structured method for healthcare professionals to manage difficult patient behaviors effectively.
    • It emphasizes a holistic, multi-factorial approach over pharmacological interventions for behavioral issues.
    • Improved patient care and staff well-being can result from implementing this organized problem-solving strategy.

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