title: Goal-directed care: caring for aggressive nursing home residents with dementia.
abstract: 1. Aggressive behavior in elders with dementia occurs most often during personal care. It is often a response to invasion of private space and may be prevented or reduced by interpersonal approaches that reflect a set of individualized goals for the resident. 2. Five resident goals for preventing or reducing aggressive behavior are to feel safe, to feel physically comfortable, to experience a sense of control, to experience optimal stress, and to experience pleasure. 3. These goals provide a framework for humane care that respects the personhood of the individual and minimizes the need for psychotropic medications and physical restraints.
authors.forename: M B
authors.initials: MB
authors.lastname: Ryden
authors.forename: K S
authors.initials: KS
authors.lastname: Feldt
mesh_terms: D000368:Aged; D000374:Aggression / Q000523:psychology*; D003704:Dementia / Q000451:nursing*; D006801:Humans; D009735:Nursing Homes