title: Management of the patient with disruptive vocalization.
abstract: Disruptive vocalization (DV) is a common problem in the management of cognitively and physically impaired older people. This article reports the results of a consensus meeting convened to provide guidelines for clinicians and recommendations for researchers in this difficult and little-studied behavioral problem. DV arises largely in people with cognitive impairment and generally reflects an underlying need or discomfort. A variety of factors can precipitate and aggravate DV; the key to management is appropriate identification of all possible factors and development of an individualized treatment plan.
authors.affiliation: Department of Family Medicine, School of Medicine, University of North Carolina, Chapel Hill 27599-7595, USA.
authors.forename: P D
authors.initials: PD
authors.lastname: Sloane
authors.forename: S
authors.initials: S
authors.lastname: Davidson
authors.forename: K
authors.initials: K
authors.lastname: Buckwalter
authors.forename: B A
authors.initials: BA
authors.lastname: Lindsey
authors.forename: S
authors.initials: S
authors.lastname: Ayers
authors.forename: V
authors.initials: V
authors.lastname: Lenker
authors.forename: L D
authors.initials: LD
authors.lastname: Burgio
mesh_terms: D000368:Aged; D003704:Dementia / Q000150:complications; D006801:Humans; D009735:Nursing Homes; D012920:Social Behavior Disorders / Q000209:etiology / Q000523:psychology / Q000534:rehabilitation; D014705:Verbal Behavior