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Cited by 311Geriatric Care and Nursing HomesDementia and Cognitive Impairment ResearchNursing care and research

The DOI matches its Crossref record; 63 of the 63 references it cites were found in a registry or an index.

Effect of Person‐Centered Showering and the Towel Bath on Bathing‐Associated Aggression, Agitation, and Discomfort in Nursing Home Residents with Dementia: A Randomized, Controlled Trial

Sloane, Philip D., Hoeffer, Beverly, Mitchell, C. Madeline, McKenzie, Darlene A., Barrick, Ann Louise, Rader, Joanne, Stewart, Barbara J., Talerico, Karen Amann, Rasin, Joyce H., Zink, Richard C., Koch, Gary G.·2004·Journal of the American Geriatrics Society
DOI 10.1111/j.1532-5415.2004.52501.x
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Abstract

Objectives: To evaluate the efficacy of two nonpharmacological techniques in reducing agitation, aggression, and discomfort in nursing home residents with dementia. The techniques evaluated were person‐centered showering and the towel bath (a person‐centered, in‐bed bag‐bath with no‐rinse soap). Design: A randomized, controlled trial, with a usual‐care control group and two experimental groups, with crossover. Setting: Nine skilled nursing facilities in Oregon and six in North Carolina. Participants: Seventy‐three residents with agitation during bathing (69 completed the trial) and 37 nursing assistants who bathed them. Measurements: Agitation and aggression were measured using the Care Recipient Behavior Assessment; discomfort was measured using a modification of the Discomfort Scale for Dementia of the Alzheimer Type. Raters who were blinded to subject status coded both from videotaped baths. Secondary measures of effect included bath duration, bath completeness, skin condition, and skin microbial flora. Results: All measures of agitation and aggression declined significantly in both treatment groups but not in the control group, with aggressive incidents declining 53% in the person‐centered shower group ( P< .001) and 60% in the towel‐bath group ( P< .001). Discomfort scores also declined significantly in both intervention groups ( P< .001) but not in the control group. The two interventions did not differ in agitation/aggression reduction, but discomfort was less with the towel bath ( P= .003). Average bath duration increased significantly (by a mean of 3.3 minutes) with person‐centered showering but not with the towel bath. Neither intervention resulted in fewer body parts being bathed; both improved skin condition; and neither increased colonization with potentially pathogenic bacteria, corynebacteria, or Candida albicans . Conclusion: Person‐centered showering and the towel bath constitute safe, effective methods of reducing agitation, aggression, and discomfort during bathing of persons with dementia.

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Crossref · 10.1111/j.1532-5415.2004.52501.x

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Research works printed but not linked: 3

  1. Hartmaier S, 1994, The MDS Cognition Scale (MDS‐COGS), A method of identifying and staging cognitive impairment using the Minimum Data Set, 42, 1173
  2. Barrick AL, 2001, Bathing Without a Battle: Personal Care for Persons with Dementia
  3. Talerico KA, 2000, Making sense of aggressive/protective behaviors in persons with dementia, Alzheimer Care Q, 1, 77

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Metadata

Authors
Sloane, P. D., Hoeffer, B., Mitchell, C. M., McKenzie, D. A., Barrick, A. L., Rader, J., Stewart, B. J., Talerico, K. A., Rasin, J. H., Zink, R. C., & Koch, G. G.
Affiliations
University of North Carolina at Chapel Hill (US)
Corresponding author
Sloane, Philip D.
ORCID
Venue
Journal of the American Geriatrics Society
Publisher
Wiley
Published
2004-10-26
Volume
52
Issue
11
Pages
1795-1804
ISSN
  • 0002-8614 (ISSN-L)
  • 1532-5415
DOI
10.1111/j.1532-5415.2004.52501.x
OpenAlex
W2169177651
Cited by
311
References
63
Citations by year
2026: 1 · 2025: 8 · 2024: 4 · 2023: 10 · 2022: 12 · 2021: 19 · 2020: 12 · 2019: 16 · 2018: 10 · 2017: 19 · 2016: 23 · 2015: 23 · 2014: 21 · 2013: 22 · 2012: 17
FWCI
22.01
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of the American Geriatrics Society (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r01nr004188-04, 5r01ag011504-02, 5r01ag011506-03)
  • National Institute on Aging (R01 AG 11504, R01-AG11506)
  • National Institute of Nursing Research (R01-NR04188)
Topics
  • Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Nursing › Research and Theory › Nursing care and research
Keywords
bathing, dementia, agitation, aggression, discomfort, nursing home residents, non-pharmacological treatment, skin diseases, nursing assistants
MeSH terms
Aged, Aggression, Baths, Bedding and Linens, Dementia, Female, Geriatric Nursing, Humans, Male, Middle Aged, Nursing Homes, Psychomotor Agitation, Videotape Recording, Treatment Outcome, Cross-Over Studies, Statistics, Nonparametric, Patient-Centered Care

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