title: Diagnostic reasoning in the care of a vocally disruptive severely demented patient. A case report.
abstract: In order to investigate the effect of nursing investigations based on diagnostic reasoning and research findings on vocally disruptive behaviour in a severely demented patient a single subject study was set up. The nursing diagnoses described problems that seemed connected with sensory deprivation and care that had not been adapted to the patient's abilities. The vocally disruptive behaviour decreased when the nursing treatment plan was followed. When the caregivers stopped following the care plan the disruptive behaviour increased. Another intervention was made and once again the disruptive behaviour decreased. In conclusion the study showed that nursing diagnoses and orders were not enough. The caregivers must also understand the importance of following the care plan and cope with the emotional reactions evoked by the care. Effective leadership, regular supervision of and support to the caregivers seem necessary.
authors.forename: C
authors.initials: C
authors.lastname: Lindgren
authors.forename: I R
authors.initials: IR
authors.lastname: Hallberg
authors.forename: A
authors.initials: A
authors.lastname: Norberg
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003704:Dementia / Q000451:nursing* / Q000523:psychology; D005260:Female; D006801:Humans; D009733:Nursing Diagnosis; D010347:Patient Care Planning / Q000592:standards*; D011340:Problem Solving; D011595:Psychomotor Agitation; D014705:Verbal Behavior