PMID- 22774350
OWN - NLM
STAT- MEDLINE
DCOM- 20120802
LR  - 20191112
IS  - 1322-7696 (Print)
IS  - 1322-7696 (Linking)
VI  - 19
IP  - 2
DP  - 2012
TI  - The management of behavioural problems associated with dementia in rural aged 
      care.
PG  - 85-95
AB  - 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.
FAU - Ervin, Kaye
AU  - Ervin K
AD  - Rural Health Academic Centre, University of Melbourne, Australia. 
      ervink@humehealth.org.au
FAU - Finlayson, Sarah
AU  - Finlayson S
FAU - Cross, Maddalena
AU  - Cross M
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
PL  - Australia
TA  - Collegian
JT  - Collegian (Royal College of Nursing, Australia)
JID - 9612493
RN  - 0 (Antipsychotic Agents)
MH  - Adult
MH  - Aged
MH  - Antipsychotic Agents/adverse effects
MH  - Behavior Control/*methods
MH  - Behavioral Symptoms/drug therapy/*prevention & control
MH  - Dementia/*nursing
MH  - Female
MH  - *Health Knowledge, Attitudes, Practice
MH  - *Homes for the Aged
MH  - Humans
MH  - Inappropriate Prescribing
MH  - Male
MH  - *Nursing Homes
MH  - Rural Health Services
MH  - Victoria
EDAT- 2012/07/11 06:00
MHDA- 2012/08/03 06:00
CRDT- 2012/07/11 06:00
PHST- 2012/07/11 06:00 [entrez]
PHST- 2012/07/11 06:00 [pubmed]
PHST- 2012/08/03 06:00 [medline]
AID - 10.1016/j.colegn.2012.02.003 [doi]
PST - ppublish
SO  - Collegian. 2012;19(2):85-95. doi: 10.1016/j.colegn.2012.02.003.