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Friday, April 19, 2019

Decreasing agitation in demented resident in nursing home Assignment

change magnitude turmoil in demented resident in treat rest home - Assignment ExampleKeywords agitation, dementia, nursing home, nurse leader, evidence based practice Decreasing Agitation in Demented Patients Living in Nursing Home Behavioral and emotional disturbances, particularly agitation, be the major problems commonly observed in stricken elderly people dwelling in nursing homes, particularly those who are suffering of dementia. gibe to Tariot, Daiello and Ismail (2002, p. 2), behavioral symptoms affect a large population of dementia patients in the United States, where as legion(predicate) as 90% of patients with dementia develop significant behavioral disorders at some point. Based on a clinical research conducted by Bartels, et al. (2003, p. 236), the condition of patients with dementia is complicated by mixed agitation and depression accounts for over one-third of complicated dementia. Compared with other subgroups, elderly patients with dementia which are withal e xperiencing bouts of agitation have the highest stray of hospitalization, the great number of medical diagnoses, and the greatest medical severity, and they receive the greatest number of psychiatric medications (Bartels, et. al. 2003, p. 234). As such, there is a great need to decrease agitation in dementia patients especially in the nursing home settings. Studies on psychiatric disorders recommend that agitation symptoms in patients with dementia should be efficiently treated through proper diagnosis and medication, together with the efficient trouble of the nurses and caregivers in enhancing the clinical outcomes according to evidence based practices (Salzman, et al., 2008). Cohen-Mansfield, Marx and Rosenthal (1990, p. 3) defined agitation as inappropriate verbal, vocal, or motor activity that is not a necessary by-product of the needs or confusion of the provoke individual. Agitated behavior whitethorn be manifested as an appropriate behavior executed with inappropriate rat e of recurrence or it may be inappropriate based on social standards for the particular situation, as exemplified by the three syndromes such as aggressive behaviors, physically non-aggressive behaviors, and verbally agitated behaviors. The abusive or aggressive behavior of a patient may be directed towards him or others and are often apparent in the advanced stages of dementia. Physically non-aggressive behaviors are observed as adaptive to nursing home residents during their deteriorated stage of dementia, where their bodies need to be stimulated or undergo physical exercise. Verbally agitated behaviors are regarded as a form of help-seeking behaviors by patients that are experiencing depression and physical diseases (Cohen-Mansfield, Marx and Rosenthal, 1990). In addition, agitation may be brought by various physical and emotional factors like fears, insecurity, frustrations, and false beliefs brought about by impaired hearing, sight, or aphasia, most commonly observed in person s with cognitive impairment (Cohen-Mansfield, Marx and Rosenthal, 1990). There are to a fault reports that nursing home staff frequently misapprehends symptoms of cognitive impairment as agitation instead of thoroughly checking if the said behavior stems from other reasons such as pain, hunger, boredom, fatigue, environmental chaos, or consequence of medical issues or medications. Sedatives and atypical antipsychotic drugs are usually administered to patients exhibiting dementia-associated agitation and

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