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Abstract

Estimates of the prevalence of disruptive behavior in the nursing home are presented based upon a representative sample of nursing home residents from intermediate care and skilled nursing facilities (ICF and SNF) in Rhode Island. Results indicate that 26.4% of residents had engaged in some form of disruptive behavior within two weeks prior to assessment. Abusiveness (physical and verbal) and noisiness were identified as the most prevalent behavior types (11.6% and 10.2%, respectively). Given the similarity of Rhode Island nursing home residents to nursing home residents nationally, these estimates may be considered as estimates for the national nursing home population. Older residents and those with greater physical and cognitive impairments were more likely to exhibit behavior problems. Although disruptive behavior seems to be associated with the dementing process, cognitively intact residents also demonstrated these behaviors. These findings suggest that an etiology of disruptive behavior should include both physiological as well as social and psychological factors.

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References

Clausen, J. A. , & Yarrow, M. R. (1955). Paths to the mental hospital. Journal of Social Issues. 11, 25-32.

Cohen-Mansfield, J. (1986). Agitated behaviors in the elderly. Journal of the American Geriatrics Society, 34, 711-721, 722-727.

Covert, A. B. , Rodrigues, T. , & Solomon, K. (1977). The use of mechanical and chemical restraints in nursing homes. Journal of the American Geriatrics Society. 25, 85.

Crimmins, E. M. , & Kairey, M. S. (1986). The epidemiology of senile dementia: Evidence from the National Health Interview Survey. Paper presented at the annual meeting of the Gerontological Society of America, Chicago, IL.

Diemling, G. T. , & Bass, D. M. (1986). Symptoms of mental impairment among elderly adults and their effect on family caregivers. Journal of Gerontology, 41, 778-784.

Fay, R. E. (1985). A jackknifed chi-square test for complex samples. Journal of the American Statistical Association, 80(389), 148-157.

Frengley, J. D. , & Mion, L. C. (1986). Incidence of physical restraints on general medical wards. Journal of the American Geriatric Society, 34, 565-568.

Hu, T. , Huang, L. , & Cartwright W. S. (1986). Evaluation of the costs of caring for the senile demented elderly: A pilot study. Gerontologist, 26(2), 158-163.

Katz, S. , & Akpom, C. A. (1976). A measure of sociobiological function. International Journal of Health Services. 6, 493-508.

10.

Katzman, R. (1985). Aging and age-dependent disease: Cognition and dementia. In Committee on an Aging Society (Ed.). Health in an older society. Institutes of Medicine and National Research Council. Washington. DC: National Academy Press.

11.

Kay, D.W.K. , & Bergmann, K. (1980). Epidemiology of mental health disorders among the aged in the community. In J. E. Birren & R. B. Sloan (Eds.). Handbook of mental health and aging (pp. 34-56). Englewood Cliffs, NJ: Prentice-Hall.

12.

Lund, D. A. , Pett, M. A. . & Caserta, M. S. (1988). Institutionalizing dementia victims: Some caregiver considerations. Journal of Gerontological Social Work. 11, 25-37.

13.

Mechanic, D. (1978). Medical sociology, (2nd ed.). New York: Free Press.

14.

National Center for Health Statistics , Dawson, D. , Hendershot, G. , & Fulton, J. (1987a). Aging in the eighties: Functional limitations of individuals age 65 years and over. Advance data from Vital and health statistics, No. 133. Public Health Service. Hyattsville, MD.

15.

National Center for Health Statistics. & Feller, B. A. (1986). Americans needing home care, United States. Vital and health statistics, Series 10, No. 153. DHHS Pub. No. (PHS) 86-1581. Public Health Service. Washington, DC: Government Printing Office.

16.

National Center for Health Statistics . & Hing, E. (1987b). Use of the nursing homes by the elderly: Preliminary data from the 1985 National Nursing Home Survey. Advance data from Vital and health statistics, No. 135. Public Health Service. Hyattsville, MD.

17.

Pfeiffer, E. (1975). A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal Of the American Geriatrics Society, 23. 433-441.

18.

Robbins, L. J. , Boyko, E. , Lane, J. , Cooper, D. , & Jahnigen, D.W. (1987). Binding the elderly: A prospective study of the use of mechanical restraints in an acute care hospital. Journal of the American Geriatrics Society, 35, 290-296.

19.

Rovner, B.W. , Kafonek, S. , Filipp, L. , Lucas, M.J. , & Folstein, M. F. (1986). Prevalence of, mental illness in a community nursing home. American Journal of Psychiatry. 143(11), 1446-1449.

20.

Thomas, W. I. (1928). The child in America. New York: Knopf.

21.

Zimmer, J. G. , Watson, N. N. , & Treat, A. (1984). Behavioral problems among patients in skilled nursing facilities. American Journal of Public Health, 74(10) 1118-1121.

Prevalence and Correlates of Disruptive Behavior in the Nursing Home

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