TY - JOUR PY - 2013// TI - Aggressive behaviors between residents with dementia in an assisted living residence JO - Dementia (London) A1 - Caspi, Eilon SP - 528 EP - 546 VL - 14 IS - 4 N2 - Aggressive behavior between residents with dementia in long-term care residences is a concerning but understudied phenomenon. The goal of the study was to identify the circumstances, sequence of events, and triggers that lead to these behaviors. I collected the data during 10 months in two special care units of an assisted living residence. I used participant observation as the primary data collection strategy, complemented by review of clinical records and semi-structured interviews with care staff and managers. As the analytic framework, I used Grounded Theory informed by Miles and Huberman's approach. In a substantial number of the reported 85 incidents, I identified observable early warning signs; in the majority, I identified observable causes or triggers prior to the aggressive acts. The majority of incidents were situational-reactive (circumstance-driven) and therefore potentially modifiable. Twelve effective staff prevention strategies were identified. I suggest incorporating the study findings into care staff training programs.
Language: en
LA - en SN - 1471-3012 UR - http://dx.doi.org/10.1177/1471301213502588 ID - ref1 ER -