Emotional intervention strategies for dementia-related behavior: a theory synthesis.
Behavioral disturbances of elders with dementia are prevalent. Yet the science guiding development and testing of effective intervention strategies is limited by rudimentary and often-conflicting theories. Using a theory-synthesis approach conducted within the perspective of the need-driven dementia-compromised behavior model, this article presents the locomoting responses to environment in elders with dementia (LRE-EWD) model. This new model, based on empirical and theoretical evidence, integrates the role of emotion with that of cognition in explicating a person-environment dynamic supporting wandering and other dementia-related disturbances. Included is evidence of the theory's testability and elaboration of its implications. The LRE-EWD model resolves conflicting views and evidence from current research on environmental interventions for behavior disturbances and opens new avenues to advance this field of study and practice.
Yao
Lan
L
University of Michigan School of Nursing, Ann Arbor, MI, USA. lyao@umich.edu
Algase
Donna
D
D000223:Adaptation, Psychological; D000368:Aged; D000374:Aggression / Q000523:psychology; D003071:Cognition; D003704:Dementia / Q000150:complications*; D004644:Emotions; D004779:Environment Design; D006272:Health Facility Environment; D006801:Humans; D001523:Mental Disorders / Q000209:etiology / Q000517:prevention & control / Q000523:psychology; D008606:Mental Processes; D009742:Nursing Theory; D011582:Psychological Theory; D012307:Risk Factors; D012931:Social Environment; D014705:Verbal Behavior; D016138:Walking / Q000502:physiology / Q000523:psychology