title: Reactions and Interventions for Delusions in Nursing Home Residents with Dementia.
abstract: This is a qualitative and quantitative study examining institutional staff members' reactions to delusions experienced by nursing home residents. Participants were 38 nursing home residents aged 65 and older, diagnosed with dementia. Data were collected from 8 nursing homes in Israel between June 2007 and January 2009. Assessments included Behavioral Pathology in Alzheimer's Disease Rating Scale, Neuropsychiatric Inventory: Nursing Home version, Etiological Assessment of Psychotic Symptoms In Dementia, Activities of Daily Living, and Mini-Mental State Examination. A wide variety of interventions with dementia-related symptoms was found to be effective to varying degrees. This included general approaches for a variety of symptoms as well as symptom-specific interventions. Caregivers do not always seem to be aware that multiple approaches are available to them when dealing with dementia. The most effective approaches may be those tailored to the individual. Combining interventions may increase overall effectiveness. Caregiver's experience and the institutional culture may affect the choice of intervention used, either positively or negatively.
authors: Department of Health Promotion, School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University The Herczeg Institute on Aging, Tel-Aviv University, Tel Aviv, Israel Minerva Center for Interdisciplinary Study of End of Life, Tel-Aviv University, Tel Aviv, Israel jiska@post.tau.ac.il.
authors: Jiska
authors: J
authors: Cohen-Mansfield
authors: The Herczeg Institute on Aging, Tel-Aviv University, Tel Aviv, Israel Department of Nursing, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors: Hava
authors: H
authors: Golander
authors: Sanatorium "Gan Shalva" Ltd. Hod-Hasharon, Israel.
authors: Giora
authors: G
authors: Arnheim
authors: The Herczeg Institute on Aging, Tel-Aviv University, Tel Aviv, Israel.
authors: Rinat
authors: R
authors: Cohen
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000592:standards*; D003702:Delusions / Q000209:etiology / Q000451:nursing*; D003704:Dementia / Q000150:complications / Q000451:nursing*; D005260:Female; D006801:Humans; D008297:Male; D009735:Nursing Homes / Q000592:standards*
keywords: Alzheimer’s disease; Israel; delusions; dementia; interventions; psychosis