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Physical aggressive resident behavior during hygienic care

M Farrell Miller¹

¹Extended Care Program, West Palm Beach Veterans Affairs Medical Center, Palm Beach Gardens, Florida 33351, USA.

Journal of Gerontological Nursing

|May 1, 1997

Summary

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Nursing staff in dementia care units face significant physical aggression from patients, particularly during daily care activities like showering. This study highlights the need for improved interventions to ensure staff and resident safety.

Area of Science:

Geriatric Nursing
Psychiatric Nursing
Behavioral Management

Background:

Aggressive behavior in cognitively impaired elderly is a major concern for institutionalized care.
The Omnibus Reconciliation Act (OBRA '87) mandates reduced restraint use and development of nursing interventions for behavioral disorders.
Skilled nursing facilities often lack resources for environmental and behavioral programs to manage patient aggression.

Purpose of the Study:

To explore nursing staff responses to patient physical aggression.
To understand the effects of physical aggression on nursing staff and practice.
To identify effective geropsychiatric nursing practices for managing aggressive residents.

Main Methods:

Qualitative descriptive analysis of interviews with nursing staff.

Related Experiment Videos

Study conducted on a Dementia Special Care Unit (DSCU).

Utilized methods described by Miles and Huberman (1994).

Main Results:

Nursing staff reported experiencing patient aggression, from verbal threats to physical violence.
Showering was identified as the most frequent activity provoking patient-to-staff physical aggression.
Geropsychiatric nursing practices for managing physically aggressive residents were identified.

Conclusions:

Findings provide insights into nursing staff experiences with patient aggression.
Recommendations are offered to enhance safety for staff and residents on secured DSCUs.
The study underscores the need for specialized interventions in dementia care settings.