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Aggressive behaviors among the institutionalized elderly

M L Malone1, L Thompson, J S Goodwin

  • 1University of Wisconsin Medical School, Milwaukee.

Journal of the American Geriatrics Society
|August 1, 1993
PubMed
Summary
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Aggressive behaviors occurred weekly in a nursing home, with Alzheimer's units showing higher incidence. A few residents accounted for most aggressive events, which may signal underlying medical issues.

Area of Science:

  • Gerontology
  • Psychiatry
  • Healthcare Management

Background:

  • Understanding the frequency and nature of aggressive behaviors in institutionalized elderly is crucial for patient care and safety.
  • This study examines aggressive incidents within a skilled nursing facility to identify patterns and risk factors.

Observation:

  • A retrospective survey of 1 year of incident reports identified 94 aggressive behaviors in a 350-bed facility.
  • The incidence rate was 0.27 per resident annually, significantly higher (0.75 per resident annually) on the Alzheimer's unit.
  • A small group of six residents (1.7% of the population) accounted for 44% of all aggressive events.

Findings:

  • Nursing home residents were the most frequent victims (62%), followed by employees (37%).
  • Residents with multiple aggressive behaviors often received psychotropic medications, displayed other agitated behaviors, and had co-occurring acute medical illnesses.

Related Experiment Videos

  • Aggressive behaviors may serve as indicators of underlying acute medical conditions in the elderly population.

    • Implications:

    • Targeted interventions for high-risk residents and enhanced monitoring on Alzheimer's units are warranted.
    • Recognizing aggressive behavior as a potential symptom of acute illness can lead to earlier medical diagnosis and treatment.
    • Improving staff training and environmental safety measures can mitigate aggressive incidents in nursing homes.