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Cited by 31Dementia and Cognitive Impairment ResearchGeriatric Care and Nursing HomesPharmaceutical Practices and Patient Outcomes

The management of behavioural problems associated with dementia in rural aged care

Ervin, Kaye, Finlayson, Sarah, Cross, Maddalena·2012·Collegian
DOI 10.1016/j.colegn.2012.02.003
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Abstract

Background In Australia 60-80% of all residents in aged care facilities have a cognitive impairment related to dementia with this figure predicted to increase. The associated behavioural and psychological disorders associated with dementia frequently result in the prescription of antipsychotic drugs to assist in limiting disruptive or concerning unmet needs behaviour. Antipsychotic prescription rates in aged care facilities are estimated to be as high as 80% despite the well known adverse effects in this population. Person centred care approaches to management of behavioural and psychological symptoms of dementia (BPSD) has not been widely implemented despite its reported effectiveness. Other interventions aimed at reducing antipsychotic use in aged care has been limited and the barriers to the use of non pharmacological strategies are poorly researched.Methodology In this study a 43 point questionnaire was distributed to 6 rural aged care facilities to assess nurses' knowledge of non pharmacological and pharmacological interventions, and the frequency, perceived barriers and efficacy of both strategies. Resources and information bases utilised in behaviour management was also explored.Findings The results indicated that staff have a good knowledge of possible underlying causes of BPSD, but a poor understanding of appropriate methods of management and resources available to assist them. Time constraints were frequently cited by respondents as problematic in managing behavioural problems. The results of this study suggest the need for utilisation of tools to assist nurses to identify target behaviours, implementation of appropriate management and access to the resources available.

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Crossref · 10.1016/j.colegn.2012.02.003

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  • In seven studies, psychotropic medication was used to manage behaviours and BPSD.

    “In seven studies, psychotropic medication was used to manage behaviours and BPSD [49, 53, 57, 63, 65, 80, 81].”

    From Stakeholders' views on the use of psychotropic medication in older people: a systematic review (2022) · cites this paper as [57]

  • The importance of a holistic assessment of any underlying needs such as pain or constipation which may be causing distress was highlighted by healthcare professionals.

    “The importance of a holistic assessment of any underlying needs such as pain or constipation which may be causing distress was also highlighted by healthcare professionals [49, 53, 57, 80, 81].”

    From Stakeholders' views on the use of psychotropic medication in older people: a systematic review (2022) · cites this paper as [57]

  • Addressing psychotropic use was considered difficult and time-consuming by doctors, with psychotropic discontinuation requiring more time than other medication.

    “Addressing psychotropic use was considered difficult and time-consuming by doctors, with psychotropic discontinuation requiring more time than other medication [54, 56, 57, 59].”

    From Stakeholders' views on the use of psychotropic medication in older people: a systematic review (2022) · cites this paper as [57]

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Authors
Ervin, K., Finlayson, S., & Cross, M.
Affiliations
The University of Melbourne (AU)
Corresponding author
Ervin, Kaye
ORCID
Ervin, Kaye
Venue
Collegian
Publisher
Elsevier BV
Published
2012-06
Volume
19
Issue
2
Pages
85-95
ISSN
1322-7696 (ISSN-L)
DOI
10.1016/j.colegn.2012.02.003
OpenAlex
W2005227417
Cited by
31
References
36
Citations by year
2025: 1 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 2 · 2020: 4 · 2019: 3 · 2018: 4 · 2017: 1 · 2016: 6 · 2015: 1 · 2013: 1 · 2012: 3
FWCI
1.14
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Collegian Journal of the Royal College of Nursing Australia (publishedVersion)
  • PubMed (publishedVersion)
Funders
Windermere Foundation
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
  • Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
Keywords
dementia, behavioral and psychological symptoms of dementia, antipsychotic prescribing, non-pharmacological treatment, person-centred care, nurses' knowledge, barriers to intervention, time constraints, aged care facilities
MeSH terms
Adult, Aged, Behavioral Symptoms, Dementia, Female, Homes for the Aged, Humans, Health Knowledge, Attitudes, Practice, Male, Nursing Homes, Antipsychotic Agents, Victoria, Rural Health Services, Behavior Control, Inappropriate Prescribing

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