[Preventing disruptive behavior of nursing home residents]

Abstract

Disruptive behavior is an increasing challenge for professional care in nursing homes. It frequently accompanies dementia, which is one of the most common chronic illnesses among the residents. Nursing homes are, therefore, subject to a high accumulation of problems due to behavior with risk potential. However, usual nursing interventions are often limited to restrictions in activities, which reduce the residents' quality of life. Within a study of the University of Bielefeld, a complex intervention program was developed to prevent disruptive behavior without using restrictive means. To test this program, a prospective controlled study was performed in six nursing homes. During a follow-up period of 6 months, data were recorded to analyze changes of behavior profiles, medications, applying restraints, and functional abilities of residents. This report describes the intervention program and gives an overview on the results of the trial and other experiences with its implementation and utilization.