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The relational neurobehavioral approach: can a non-aversive program manage adults with brain injury-related aggression without seclusion/restraint?
- Source :
- Disability & Rehabilitation; Oct2017, Vol. 39 Issue 22, p2261-2268, 8p
- Publication Year :
- 2017
-
Abstract
- Purpose: The Relational Neurobehavioral Approach (RNA) is a set of non-aversive intervention methods to manage individuals with brain injury-related aggression. New data on interventions used in the RNA and on how the RNA interventions can be used with patients with acquired brain injury (ABI) who have differing levels of functional impairment are provided in this paper. Method: The study was conducted over a 6-week period in a secure 65-bed program for individuals with ABI that is housed in two units of a skilled nursing facility (SNF). Implementation of the RNA was compared between two units that housed patients with differing levels of functional impairment (n¼65 adults). Since this was a hierarchical clustered dataset, Generalized Estimating Equations regression was used in the analyses. Results: RNA interventions used to manage the 495 aggressive incidents included the following: Aggression ignored, Closer observation, Talking to patient, Reassurance, Physical distraction, Isolation without seclusion, Immediate medication by mouth, Holding patient. Different interventions were implemented differentially by staff based on level of functional impairment and without use of seclusion or mechanical restraint. Conclusions: The RNA can be used to non-aversively manage aggression in patients with brain injury and with differing levels of functional impairment. Programs adopting the RNA can potentially manage brain injury-related aggression without seclusion or mechanical restraint. [ABSTRACT FROM AUTHOR]
- Subjects :
- AGGRESSION (Psychology)
BRAIN injuries
CHI-squared test
COMPARATIVE studies
FISHER exact test
HEALTH care teams
LONGITUDINAL method
PROBABILITY theory
SECLUSION of psychiatric hospital patients
REGRESSION analysis
RESEARCH funding
RESTRAINT of patients
MATHEMATICAL variables
LOGISTIC regression analysis
ACTIVITIES of daily living
DATA analysis software
DESCRIPTIVE statistics
ODDS ratio
DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 09638288
- Volume :
- 39
- Issue :
- 22
- Database :
- Complementary Index
- Journal :
- Disability & Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 124955729
- Full Text :
- https://doi.org/10.1080/09638288.2016.1223757