title: [Nighttime restlessness in people with dementia in residential care: an explorative field study].
abstract: Nighttime restlessness in dementia is an underestimated problem. Although little is known about the prevalence and not every person with dementia struggles with it, nighttime restlessness puts a heavy burden on the persons themselves and their caregivers.This field study explores nighttime restlessness in nursing homes based on two research questions: (1) What is nighttime restlessness according to professional caregivers? and (2) How is nighttime restlessness managed?Data were collected through diaries, interviews with caregivers and one night of observation in eight nursing homes.Wandering and screaming seem to be the most prevalent nighttime agitated behaviours. Caregivers identify many possible causes, but spatial and sensory factors, such as light or noise, were rarely mentioned spontaneously. The observations highlighted that a lot of light and noise is prominent and this might be causing nighttime restlessness.Caregivers try several strategies: for example talking with the resident, put on a light and apply medication or physical restraints.The management of nighttime restlessness requires a holistic approach. Caregivers' attention for and efforts to ameliorate the spatial and sensory environment in the management of nighttime restlessness are limited.
authors.affiliation: LUCAS KU Leuven, Katholieke Universiteit Leuven, Minderbroedersstraat 8, postbus 5310, 3000, Leuven, België. marieke.vanvracem@med.kuleuven.be.
authors.forename: M
authors.initials: M
authors.lastname: Van Vracem
authors.affiliation: LUCAS KU Leuven, Katholieke Universiteit Leuven, Minderbroedersstraat 8, postbus 5310, 3000, Leuven, België
authors.forename: N
authors.initials: N
authors.lastname: Spruytte
authors.affiliation: LUCAS KU Leuven, Katholieke Universiteit Leuven, Minderbroedersstraat 8, postbus 5310, 3000, Leuven, België
authors.forename: A
authors.initials: A
authors.lastname: Declercq
authors.affiliation: LUCAS KU Leuven, Katholieke Universiteit Leuven, Minderbroedersstraat 8, postbus 5310, 3000, Leuven, België
authors.forename: C
authors.initials: C
authors.lastname: Van Audenhove
mesh_terms: D017028:Caregivers / Q000523:psychology*; D003704:Dementia / Q000150:complications* / Q000628:therapy; D006707:Homes for the Aged; D006801:Humans; D008991:Monitoring, Physiologic; D009551:Night Care / Q000379:methods*; D009735:Nursing Homes; D011595:Psychomotor Agitation / Q000209:etiology* / Q000628:therapy; D017751:Safety Management; D011795:Surveys and Questionnaires; D055816:Wandering Behavior
keywords: Agitation; Alzheimer; Non-pharmacological interventions; Nursing home