Behavioural problems

Question 1

Dementia in nursing homes

Answer 1

The average time between dementia diagnosis and admission to nursing home = 3.9 yrs
- due to change in care system
- Behavioural problems

In nursing homes, the overlap between variations of dementia increases.

Question 2

Bio-psycho-social model of factors that play into behavioural problems

Answer 2

Environmental factors

1. Physical environment;
   - Light, sounds, privacy, colours etc
2. Social environment
   - Staff, family, other residents
3. Activity
   - Wishes, choices, daily activities

Client factors

1. Personality
   - Temperament, life experience, character
2. Psychic disorders
   - Coping style, comorbidity
3. Physical
   - Type of dementia, other illness, sleep, diet, medication

Question 3

Functional assessment

Answer 3

Done to assess the behaviour, looking at

Antecedent;

Behaviour:

Consequence:

Question 4

Important questions to assess behaviour

Answer 4

When does the behaviour occur
- whats the duration, is it every day

When did it start
- Did something happen around that time, what causes it

What triggers the behaviour
- Are there situations where it doesn’t occur (exceptions)

What is the reaction of the staff/caregivers

Think of interventions (antecedents) that may change the behaviour outcomes