Aggressive Behaviors Between Residents with Dementia in an Assisted Living Residence
27/08/2012, 10:47 PM
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