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Aggressive Behaviors Between Residents with Dementia in an Assisted Living Residence

2.09MB
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27/08/2012, 10:47 PM
eiloncaspi
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Aggressive behavior between residents with dementia in long-term care residences is a concerning but understudied phenomenon. The goal of the study was to identify the circumstances, sequence of events, and triggers that lead to these behaviors. I collected the data during 10-months in two special care units of an assisted living residence. I used participant observation as the primary data collection strategy, complemented by review of clinical records and semi-structured interviews with care staff and managers. As the analytic framework, I used Grounded Theory informed by Miles and Huberman’s approach. In a substantial number of the reported 85 incidents, I identified observable early warning signs; in the majority, I identified observable causes or triggers prior to the aggressive acts. The majority of incidents were situational-reactive (circumstance-driven) and therefore potentially modifiable. Twelve effective staff prevention strategies were identified. I suggest incorporating the study findings into care staff training programs. 

The document is a PDF version of a powerpoint presentation I use during invited talks about this phenomenon. 

For more information about the study, please contact Eilon Caspi Ph.D. at: eiloncaspi [at] yahoo [dot] com