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Dysfunctional Behaviour in Aged Care Settings

Dysfunctional behaviour of various forms can present challenges to nurses caring for the aged. In particular, so-called ‘aggressive behaviour’ can present difficulties, especially amongst elderly people who have cognitive impairments, such as those produced by dementia. Issues such as how to define ‘dysfunctional’ and ‘aggressive behaviour’ can have a significant impact on the choice of management options. This chapter explores these issues, but refocuses the argument back to understanding that at the core of all dysfunctional behaviour is the person, and knowing the person is they key to understanding and treating the behaviour.

Contents include

  • Prevalence and definitions
  • Documentation and analysis
  • Context and management
  • Getting to know the person
  • Identifying underlying reasons
  • Drug and non-drug management
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Author / Editor Biographies

RN, Mental Health Nurse
Colin MacDonald is a registered general and mental health nurse. He is the charge nurse of a 30 bed long-stay hospital ward for people with dementia who have challenging behaviour. The ward is situated in the small community Bonnybridge Hospital in Scotland. Colin also works on a part-time basis with the Dementia Services Development Centre (DSDC) at Stirling University, Scotland, as an associate trainer in delivering training sessions on dementia and challenging behaviour. In 1997, Colin completed a research pilot study questioning the use of antipsychotic drugs in the care and treatment of p...
Lecturer (Dementia Services Development Centre, Stirling University, Scotland). Mental Health, Aged Care.
Graham A. Jackson is a consultant psychiatrist in Glasgow, Scotland. He is also an honorary lecturer at the Dementia Services Development Centre at Stirling University, Scotland. He is co-author with Alan Jacques, of the book Understanding Dementia. Graham has been involved in research into behaviour problems in dementia and has published numerous papers on the subject. Before training in psychiatry, Graham was a general medical practitioner.

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