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Biomedical subjects

B McMinn

Publications and source records attributed to B McMinn.

6 recordsLinked to original sources
PubMed2005

Vocally disruptive behaviour in dementia: development of an evidence based practice guideline.

Vocally Disruptive Behaviour (VDB) is a term that includes screaming, abusive language, moaning, perseveration, and repetitive and inappropriate requests. It is one of the most challenging behaviours for nursing home staff, caregivers for people with dementia, and other nursing home residents. As with other behavioural disturbances, multiple causal factors have been identified in the literature and individual cases may have a number of interacting factors. There is a lack of consensus about how to treat VDB. Systematic treatment studies are few and there is a lack of empirical data supporting the effectiveness of specific interventions commonly used in clinical practice. This hinders clinicians and may result in the use of inappropriate treatments. Our aim was to systematically review the literature in order to develop a practice guideline for the assessment and management of VDB. The review will examine the typology, risk factors and management of VDB.

Aged↗
PubMed2000

Case-controlled study of nursing home residents referred for treatment of vocally disruptive behavior.

The aim of this study was to identify factors associated with vocally disruptive behavior (VDB) in nursing home patients referred to aged care services for treatment, using a case-control methodology. Characteristics of the VDB, reasons for referral, perceived causal factors, and psychotropic use were noted. Twenty-five subjects and controls were examined with the Screaming Behavior Mapping Instrument, the Cornell Scale for Depression in Dementia, the Dementia Behavior Disturbance Scale, and measures of cognition, functional capacity, social activities, and emotional reactions of nursing staff. VDB was associated with other disturbed behaviors, depression, anxiety, severe dementia, functional impairment, communication difficulties, use of psychotropic medication, social isolation, and emotional distress in the nursing staff. Reasons for referral may relate more to the stress experienced by nursing home staff in managing VDB than to specific attributes of the VDB itself.

Aged↗
PubMed1997

How do you eat an elephant?

As the need for home care and hospice services expands around the globe, the need to exchange information on an international scale grows with it. The World Homecare and Hospice Organization is stepping in to fill this niche.

Computer Communication Networks↗
PubMed1995

Diagnostic classification systems and nursing diagnosis of collaborative problems.

In this paper the context, function and need for mental health classification and diagnosis systems are considered. Alternative ways of assessing patients with a mental health disorder, such as the use of Nursing Diagnoses approved by the North American Nursing Diagnosis Association (NANDA), and a collaborative model of care incorporating Psychiatric Nursing Diagnoses are explored. Specific positive and negative aspects of the Diagnostic and Statistical Manual of Mental Disorders (DSM) are also examined. Mental health nurses are able to care for their patients/clients without DSM, but the value of DSM in a multidisciplinary approach to mental health care is sufficient for it to be used in conjunction with and complementary to models of mental health nursing. The NANDA-approved nursing diagnoses in mental health nursing are contrasted with a collaborative approach to the diagnosis and management of clients with mental health problems.

Cooperative Behavior↗
PubMed1995

Drug-related confusion in the elderly: the role of the mental health nurse.

The mental health problems of the elderly are frequently overlooked, misdiagnosed and mistreated. Australia's growing aged population experiences higher rates of drug usage and adverse reactions than younger people. Delirium and disturbances in cognitive functioning have multiple origins and the associated behavioural disturbances are often treated with medications that have the potential to predispose or precipitate further confusion. The use of psychoactive medications in the treatment of psychotic and affective disorders may be complicated by behavioural and somatic adverse reactions. Age-related physiological changes and the use of commonly prescribed medications to treat somatic illnesses can be factors in the differential response and side effect profiles of psychoactive medications. This paper reviews the context and physiology of drug-related confusion in the elderly, specifically the effects of neuroleptic medications, as well as the related roles of the mental health nurse. Models of mental health nursing that acknowledge the personal, social, and environmental responses of the elderly and recognize the role of pathophysiology and psychopharmacology are supported. It is argued that the role of the mental health nurse is enhanced by the availability of psychogeriatric nursing, psychiatric, and pharmacological literature.

Age Factors↗