Problematic vocalizations in institutionalized individuals with dementia.
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Aged↗
Biomedical subjects
T S Vogelpohl
Publications and source records attributed to T S Vogelpohl.
Correlates of disruptive behavior in severely cognitively impaired nursing home residents.
This article provides information about correlates of "disruptive behaviors" among nursing home residents with dementia. We used averages of multiple observations for a wide range of behaviors (n = 45) across 11 months to gather this information. We placed behaviors into four separate categories: physically aggressive, physically non-aggressive, vocally agitated, and vocally aggressive. Then, we tested associations between these categories and demographic, cognitive, and health variables. Cognitive status and selected demographic variables were associated with the behavior categories; adding health variables did not improve prediction. Lower cognitive status was associated with more disruptive behaviors. Our findings suggest that cognitive status, but not health variables, predicts disruptive behavior among nursing home residents with dementia.
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"I can do it!" Dressing: promoting independence through individualized strategies.
Caregivers contribute to loss of functional performance and dependency in cognitively impaired persons when they "do for," that is, dress the person instead of supporting independence in dressing. Persons with dementia have functional reserves that can be activated when caregivers use levels of assistance, standard, and problem-oriented strategies to support the person's cognitive and physical deficits. Use of these strategies requires less than one minute of additional caregiver time and leads to positive outcomes for the person and the caregiver.
Activities of Daily Living↗
Wound healing and wound management: focus on debridement. An interdisciplinary round table, September 18, 1992, Jackson Hole, WY.
A multidisciplinary panel of experts convened to discuss the basic concepts of prevention and treatment of pressure ulcers. Special emphasis was placed on four types of debridement: mechanical, surgical, autolystic, and enzymatic. Debridement of burns was also discussed. Team management by informed practitioners is vital to successful wound care and all treatments should be based on a holistic appraisal of patients and their individualized plans of care.
Debridement↗
What do nursing students learn about pressure ulcers? A survey of content on pressure ulcers in nursing school textbooks.
It is assumed that during their basic preparation, nurses are provided with the knowledge and skills to predict and prevent pressure ulcers. A review of five fundamentals of nursing and five medical-surgical nursing textbooks revealed that a nursing student may be exposed to as few as 200 lines of text and 10 tables, charts, or illustrations related to pressure ulcers during a program of studies. The information contained in the textbooks tended to be dispersed over three to seven chapters, incomplete, and sometimes inaccurate.
Education, Nursing↗
Improving dressing behavior in cognitively impaired nursing home residents.
This study tested the extent to which a behavioral intervention, Strategies to Promote Independence in Dressing (SPID), improved dressing independence among 90 cognitively impaired nursing home residents (average score on Mini Mental Status Exam = 7.35 +/- .69). The effect of SPID on caregiving efficiency, the time required for nursing assistants to use the strategies, was also examined. The results showed improved independence (decrease in assistance) from 6.08 +/- .12 at baseline to 4.93 +/- .19 following 6 intervention weeks. This significant improvement in dressing independence occurred without a clinically relevant increase in caregiver time (less than 1 min). Seventy-five percent of the subjects improved one or more levels of dressing independence, and more than 20% achieved their maximum intervention effect during the first week of treatment.
Activities of Daily Living↗