1. The development of the Grip on Challenging Behaviour dementia care programme.
- Author
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Zwijsen, Sandra A, Gerritsen, Debby L, Hertogh, Cees MPM, Pot, Anne Margriet, Smalbrugge, Martin, and Eefsting, Jan A
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DECISION making , *DEMENTIA , *PSYCHOLOGICAL distress , *DOCUMENTATION , *HEALTH care teams , *LONG-term health care , *NEUROPSYCHOLOGICAL tests , *MEDICAL needs assessment , *MEDICAL protocols , *NURSES , *PHYSICIANS , *PSYCHOLOGISTS , *QUALITY assurance , *PROFESSIONAL practice , *BEHAVIOR disorders , *HUMAN services programs , *SEVERITY of illness index , *SYMPTOMS - Abstract
Background: Current guidelines and theories on the origin of challenging behaviour in dementia indicate that a structured multidisciplinary approach to its management is necessary. In the Grip on Challenging Behaviour study, a care programme was developed to improve the management of challenging behaviour. Method: In developing the care programme, the overlapping parts of dementia care guidelines were supplemented with discipline-specific parts. Three meetings with experts were arranged to further develop the structure of the care programme and to ensure a good fit with practice. Results: The care programme consists of four steps: detection, analysis, treatment, and evaluation. For each step, forms were developed to guide and structure the process and assign responsibilities for each discipline. As well as a description of the development and the content of the care programme, this paper presents two case studies in which the programme was used. Conclusion: The Grip on Challenging Behaviour care programme provides a way for dementia special care units to manage challenging behaviour in a structured way and with a multidisciplinary approach making use of their own resources. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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