Background/rationale: Various interventions are available to manage verbal agitation (VA), but our understanding regarding their acceptability is limited. The purpose of this study is to compare the acceptability of 3 interventions from the point of view of elderly individuals: direct interaction (DI), differential reinforcement of incompatible behaviors (DRI), and risperidone (RIS).
Methods: Participants (N = 69) evaluated the acceptability of each treatment according to the description of a fictional person who demonstrated aggressive or nonaggressive VA.
Results: There is an interaction between the type of intervention and the severity of VA. For nonaggressive VA, DI is the most acceptable intervention followed by DRI and RIS. For aggressive VA, DI and DRI are more acceptable than RIS, but there is not a significant difference between them. The acceptability of each intervention is not associated with the participants' characteristics.
Conclusion: The results of this study highlight the acceptability of DI for managing VA.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10845305 | PMC |
http://dx.doi.org/10.1177/1533317509337936 | DOI Listing |
Background: Alzheimer's disease (AD) agitation is a distressing neuropsychiatric symptom characterized by excessive motor activity, verbal aggression, or physical aggression. Agitation is one of the causes of caregiver distress, increased morbidity and mortality, and early institutionalization in patients with AD. Current medications used for the management of agitation have modest efficacy and have substantial side effects.
View Article and Find Full Text PDFFront Psychol
December 2024
Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, United States.
This paper outlines the development of standardized scenarios used to assess the efficacy of Crisis Intervention Team (CIT) training in a randomized, controlled trial. The objective was to create scenarios that accurately simulate mental health crisis situations for law enforcement officers, ensuring that each scenario tests specific CIT skills relevant to real-world encounters. Our process involved building an interdisciplinary team and drawing from the knowledge and experience of professionals in law enforcement, mental health, and performance arts to design a set of scenarios that are both realistic and challenging.
View Article and Find Full Text PDFCureus
November 2024
Psychiatry, Mahatma Gandhi Memorial Medical College, Indore, IND.
Background The presence of psychiatric symptoms in pregnancy is a common occurrence that requires swift and effective management to avoid harm to self, caregivers, staff, and, above all, the reliant fetus. However, there is a dearth of knowledge, practical guidelines, and research in the context of managing agitated states of antenatal patients. To bridge this critical knowledge gap, this research endeavors to illuminate the practices surrounding the management of agitated pregnant women with respect to psychiatric emergencies in a tertiary care hospital.
View Article and Find Full Text PDFPerioper Med (Lond)
December 2024
Department of Anesthesiology, Eskisehir Osmangazi University Medical Faculty, Odunpazarı, Eskisehir, 26040, Türkiye.
Background: Postoperative extubation is a critical phase. Various medications and different ventilation modes are employed during extubation to minimize potential issues. This study aimed to observe the early effects of the concurrent use of positive end-expiratory pressure (PEEP) and pressure support ventilation (PSV) modes during the extubation-emerge period on the respiratory system.
View Article and Find Full Text PDFJ Am Geriatr Soc
December 2024
Department of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA.
Introduction: Dementia affects one in three older adults over age 85 and individuals with dementia constitute the fastest growing population of patients entering hospice care. While cognitive impairment is the hallmark of dementia, behavioral symptoms are reported in nearly all patients with advanced dementia, contributing to both the complexity of end-of-life care and caregiver burden.
Methods: This qualitative study involved semi-structured interviews with prescribing hospice clinicians and caregivers of patients living with dementia who previously received hospice services.
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