Relationships between aggressive behavior in cognitively impaired nursing home residents and use of restraints, psychoactive drugs, and secured units

Author(s): Feldt, K. S., Oh, H. L., Brand, K., Warne, M., Weber, E., Nelson, J., Gross, C.

Journal/Book: Archives Psychiatr Nurs. 1999; 13: Independence Square West Curtis Center, Ste 300, Philadelphia, PA 19106-3399, USA. W B Saunders Co. 170-178.

Abstract: This study examined relationships between aggressive behavior in cognitively impaired nursing home residents and physical restraints, psychoactive drugs, and placement on a secured unit. Data were obtained from 116 residents who were consistently aggressive as measured by the Ryden Aggression Scale 2, Subjects averaged 9.5 aggressive behaviors per day. Forty-seven percent of subjects were restrained, and 62% were regularly receiving psychoactive drugs. Use of restraints, antipsychotics, and placement on a secured unit were all significantly related to increased physical aggression scores. Four variables accounted for 23% of the variance in physical aggression scores: location on a secured unit, not receiving an antidepressant, being restrained, and number of psychotropic and/or anxiolytic medications administered. Significantly lower physical aggression scores were noted for subjects receiving antidepressants.

Note: Article Feldt KS, 6101 Weaver Densford Hall, 308 Harvard St, Minneapolis,MN 55455 USA

Keyword(s): SPECIAL CARE UNITS; ALZHEIMERS-DISEASE; PHYSICAL RESTRAINT; REGULATIONS; DEMENTIA; SYMPTOMS

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