Kristine N Williams, Ruth Herman, Byron Gajewski, Kristel Wilson
{"title":"Elderspeak communication: impact on dementia care.","authors":"Kristine N Williams, Ruth Herman, Byron Gajewski, Kristel Wilson","doi":"10.1177/1533317508318472","DOIUrl":"10.1177/1533317508318472","url":null,"abstract":"<p><p>Resistiveness to care is common in older adults with dementia. Resistiveness to care disrupts nursing care, increasing costs of care by 30%. Elderspeak (infantilizing communication used by nursing staff) may trigger resistiveness to care in individuals with dementia. Videotaped care episodes (n = 80) of nursing home residents with dementia (n = 20) were coded for type of staff communication (normal talk and elderspeak) and subsequent resident behavior (cooperative or resistive to care). Bayesian statistical analysis tested relationships between staff communication and subsequent resident resistiveness to care. The probability of resistiveness to care varied significantly with communication (Bayes P = .0082). An increased probability of resistiveness to care occurred with elderspeak (.55, 95% CrI, .44-.66), compared with normal talk (.26, 95% CrI, .12-.44). Communication training has been shown to reduce elderspeak and may reduce resistiveness to care in future research.</p>","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":" ","pages":"11-20"},"PeriodicalIF":0.0,"publicationDate":"2009-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2823803/pdf/nihms172973.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40523552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Submission Guidelines","authors":"","doi":"10.1177/153331750602100312","DOIUrl":"https://doi.org/10.1177/153331750602100312","url":null,"abstract":"","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"45 1","pages":"212 - 213"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74068062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"News Briefs","authors":"","doi":"10.1177/1533317506289486","DOIUrl":"https://doi.org/10.1177/1533317506289486","url":null,"abstract":"","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"37 1","pages":"209 - 210"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75222351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Editorial: The Dementias","authors":"C. Rowland","doi":"10.1177/1533317506289989","DOIUrl":"https://doi.org/10.1177/1533317506289989","url":null,"abstract":"done with no worsening of symptoms. Alberto Marcos and colleagues present a Spanish study of neuropsychological markers of mild cognitive impairment progressing to Alzheimer’s disease. They find that the CAMCOG and memory and perception cognitive screening were the optimum screening tools to discover which patients will go on to acquire Alzheimer’s disease and which will not. This is important because early treatment is so crucial. Nagararatnam et al point out that 38% of patients in their study had accusatory behavior (average age of 74 years, and a male to female ratio of 2.6:1). This behavior is more prevalent in higher stages of dementia and is more often accompanied by hallucinations. They feel it would be more useful to view these behaviors as symptoms rather than as being primary. Sato and colleagues find that advanced glycation end products (AGE) are an important factor in diabetes and neurodegenerative diseases such as Alzheimer’s disease. They discuss the molecular mechanisms of Alzheimer’s disease and especially the toxic AGE-receptor AGE system.","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"17 1","pages":"146 - 146"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73095867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Book Review: Letters to My Sisters: An Alzheimer's Journal","authors":"S. Albrecht","doi":"10.1177/153331750602100102","DOIUrl":"https://doi.org/10.1177/153331750602100102","url":null,"abstract":"","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"43 1","pages":"55 - 55"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85823067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical, legal, and research issues in dementia","authors":"C. Rowland","doi":"10.1177/153331750602100101","DOIUrl":"https://doi.org/10.1177/153331750602100101","url":null,"abstract":"","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"35 1","pages":"NP - NP"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87491952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"New Alzheimer's clinical trials to be undertaken by NIA nationwide consortium.","authors":"","doi":"10.1037/e565442006-001","DOIUrl":"https://doi.org/10.1037/e565442006-001","url":null,"abstract":"","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"7 1","pages":"460-1"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79140610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Call for letters","authors":"","doi":"10.1177/153331750602100110","DOIUrl":"https://doi.org/10.1177/153331750602100110","url":null,"abstract":"Five-Factor Inventory: Professional Manual. Odessa, FL: Psychological Assessment Resources, 1992. 25. Kolanowski A, Buettner L, Costa P, et al.: Capturing interest: Therapeutic recreation activities for persons with dementia. Ther Recreation J. 2001; 35(3): 220-235. 26. Costa P, McCrae R: Manual Supplement for the NEO-4. Odessa, FL: Psychological Assessment Resources, 1998. 27. Aguero-Torres H, Fratiglioni L, Guo Z, et al.: Dementia is the major cause of functional dependence in the elderly: 3-year followup data from a population-based study. Am J Public Health. 1998; 88(10): 1452-1456. 28. Boyle PA, Malloy PF, Salloway S, et al.: Executive dysfunction and apathy predict functional impairment in Alzheimer disease. Am J Geriatr Psychiatry. 2003; 11(2): 214-221. 29. Fitz AG, Teri L: Depression, cognition, and functional ability in patients with Alzheimer’s disease. J Am Geriatr Soc. 1994; 42(2): 186-191. 30. Reed BR, Jagust WJ, Seab JP: Mental status as a predictor of daily function in progressive dementia. Gerontologist. 1989; 29(6): 804-807. 31. Thomas VS: Excess functional disability among demented subjects? Findings from the Canadian study of health and aging. Dement Geriatr Cogn Disord. 2001; 12(3): 206-210. 32. Engelman KK, Mathews RM, Altus DE: Restoring dressing independence in persons with Alzheimer’s disease: A pilot study. Am J Alzheimers Dis Other Demen. 2002; 17(1): 37-43. 33. Delbaere K, Crombez G, Vanderstraeten G, et al.: Fear-related avoidance of activities, falls and physical frailty. A prospective community-based cohort study. Age Ageing. 2004; 33(4): 368-373. 34. Lazowski DA, Ecclestone NA, Myers AM, et al.: A randomized outcome evaluation of group exercise programs in long-term care institutions. J Gerontol A Biol Sci Med Sci. 1999; 54(12): M621M628. 35. Schlicht J, Camaione DN, Owen SV: Effect of intense strength training on standing balance, walking speed, and sit-to-stand performance in older adults. J Gerontol A Biol Sci Med Sci. 2001; 56(5): M281-M286. 36. Meuleman JR, Brechue WF, Kubilis PS, et al.: Exercise training in the debilitated aged: Strength and functional outcomes. Arch Phys Med Rehabil. 2000; 81(3): 312-318. 37. Schnelle JF, MacRae PG, Ouslander JG, et al.: Functional incidental training, mobility performance, and incontinence care with nursing home residents. J Am Geriatr Soc. 1995; 43(12): 1356-1362. 38. Hall C, Smith A, Keele S: The impact of physical activity on cognitive function in older adults: A new synthesis based on the concept of executive control. Eur J Cogn Psych. 2001; 13: 279-300. 39. Rolland Y, Rival L, Pillard F, et al.: Feasibility of regular physical exercise for patients with moderate to severe Alzheimer disease. J Nutr Health Aging. 2000; 4(2): 109-113. 40. Sobel BP: Bingo vs. physical intervention in stimulating shortterm cognition in Alzheimer’s disease patients. Am J Alzheimers Dis Other Demen. 2001; 16(2): 115-120. 41. Buettner L, Ferrario J: Therapeutic recreation-nursing team: A thera","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"51 1","pages":"22 - 22"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76534802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Letter to the author","authors":"A. Reiss","doi":"10.1177/153331750502000612","DOIUrl":"https://doi.org/10.1177/153331750502000612","url":null,"abstract":"","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"1 1","pages":"330 - 330"},"PeriodicalIF":0.0,"publicationDate":"2005-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88868911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Police, Positions, and people","authors":"C. Rowland","doi":"10.1177/153331750502000601","DOIUrl":"https://doi.org/10.1177/153331750502000601","url":null,"abstract":"","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"15 10 1","pages":"NP - NP"},"PeriodicalIF":0.0,"publicationDate":"2005-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86661179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}