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Assaultive behavior in geriatric patients

K R Chou, M J Kaas, M F Richie

Journal of Gerontological Nursing

|November 1, 1996

Summary

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Patient, environmental, and caregiver factors contribute to assaultive behavior in elderly patients. Nurses can mitigate risks by managing patient fear, anger, and agitation.

Area of Science:

Gerontology
Behavioral Science
Nursing

Background:

Assaultive behavior in elderly patients is a complex issue.
Understanding its multifactorial causes is crucial for effective intervention.

Observation:

Patient factors include a history of assault and diagnoses like dementia or organic brain syndrome.
Environmental factors such as limited space and excessive stimuli can provoke aggression.
Caregiver factors also play a role in the dynamics of assaultive incidents.

Findings:

Elderly patients with a history of assault or cognitive impairments (dementia, organic brain syndrome) are at higher risk.
Environmental stressors significantly contribute to triggering assaultive episodes.
Gerontological nurses can implement targeted strategies to prevent and manage these behaviors.

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Implications:

Recognizing risk factors allows for proactive patient care.
Interventions focused on reducing fear, anxiety, anger, and agitation can decrease assault incidence.
This knowledge empowers nurses to create safer environments for elderly patients.