Managing Pain to Prevent Aggression in People With Dementia: A Nonpharmacologic Intervention

被引:21
作者
Bradford, Andrea [2 ]
Shrestha, Srijana [1 ,3 ]
Snow, A. Lynn [4 ,5 ]
Stanley, Melinda A. [1 ,3 ,6 ]
Wilson, Nancy [1 ,3 ]
Hersch, Gayle [7 ]
Kunik, Mark E. [1 ,3 ,6 ]
机构
[1] Michael E DeBakey VA Med Ctr, VA HSR&D Houston Ctr Excellence, Houston, TX USA
[2] Univ Texas MD Anderson Canc Ctr, Houston, TX 77030 USA
[3] Baylor Coll Med, Houston, TX 77030 USA
[4] Univ Alabama, Ctr Mental Hlth & Aging, Tuscaloosa, AL USA
[5] Tuscaloosa Vet Affairs Med Ctr, Tuscaloosa, AL USA
[6] Educ & Clin Ctr, VA S Cent Mental Illness Res, Houston, TX USA
[7] Texas Womans Univ, Sch Occupat Therapy, Houston, TX USA
来源
AMERICAN JOURNAL OF ALZHEIMERS DISEASE AND OTHER DEMENTIAS | 2012年 / 27卷 / 01期
关键词
dementia; aggression; pain; preventive measures; pain management; nonpharmacologic interventions for pain; NURSING-HOME RESIDENTS; RANDOMIZED CONTROLLED-TRIAL; OLDER-ADULTS; ALZHEIMERS-DISEASE; NEUROPSYCHIATRIC SYMPTOMS; PERSISTENT PAIN; EMERGENCY-DEPARTMENT; COGNITIVELY INTACT; CAREGIVER BURDEN; CLINICAL-TRIAL;
D O I
10.1177/1533317512439795
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
030301 [社会学]; 100201 [内科学];
摘要
Aggression is a common form of behavioral disturbance in dementia. Strategies to prevent and treat aggressive behavior are underdeveloped. However, recent work points to several modifiable risk factors that may be targets for intervention. Pain management is an evidence-based, feasible, but potentially underused, strategy that may be incorporated with other behavioral interventions to prevent aggression. In this article, we review areas of overlap in interventions for pain and for behavioral disturbances and describe an intervention concept that may hold promise for older adults with dementia who are at risk of developing aggressive behavior.
引用
收藏
页码:41 / 47
页数:7
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