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Chapter 16: Aggression
Overview:
- Includes a first-rate checklist designed to allow nurses to understand and get to know disruptive persons
- Discusses the various motives for problem behaviours
- Promotes different ways to avoid aggressive behaviour
- Includes an easy-to-read ‘ABC’ checklist for reducing episodes of aggression
- Provides an indepth discussion role of drugs in managing aggressive episodes
Description:
Aggressive behaviour, in many different forms and often occurs in association with dementia. This chapter addresses aggression and allows readers to understand people who are supposed to be ‘aggressive’, assess their behaviour and attempt to avoid and manage it.
Topics:
- Prevalence and definitions of various behaviours
- Documentation
- Context and management
- Getting to know the person
- Assessment and risk reduction
- Checking the history
- Following care plans
- Avoiding risk
- Facing aggression
- Promoting trust and respect
- Identifying underlying reasons
- Attitudes of nurses and carers
- Care practices and routines
- Environmental factors
- Physical illnesses and symptoms
- Other factors
- Use of drugs
- Emergency drug use
- Prophylactic drug use
- Staff education
- General principles
- Specific hints and strategies
Speakers / Authors:
Dr Graham A. Jackson
Graham is a consultant psychiatrist in Glasgow (Scotland). He is also an honorary lecturer at the Dementia Services Development Centre at Stirling University and is coauthor with Dr 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.
Colin MacDonald
Colin 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 Bonnybridge Hospital (Scotland) — a small community hospital for older people. 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 people with dementia, and this led to the publication of ‘Who’s in Control?’ (MacDonald & Teven 1997, DSDC, Stirling University).
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