Journal of Korean Gerontological Nursing 2010;12(3):265-272.

Current Status and Direction of Research in Non-pharmacological Management of Vocally Disruptive Behavior in Nursing Home Residents with Dementia: A Review of the Literature

Kang, Yun Young

Abstract

Purpose
This study was done to examine contemporary non-pharmacological interventions for vocally disruptive behavior (VDB) and to define directions for further research by reviewing related research studies.
Methods
Analysis was done of 24 articles related to dementia and VDB in elders in residential facilities or long-term care settings, published between 1997 and 2010.
Results
The theoretical literature outlines non-pharmacological interventions: behavioral modification and person-centered care for nursing home residents with VDB, and educational program and flexibility and support for nurses. Despite the researchers use of the different types of interventions available for individuals with dementia who present with VDB, such as behavioral therapy, caregivers training, and combination therapy, the intervention effects were generally modest.
Conclusion
In the current studies, the limited efficacious management suggests most aspects surrounding VDB are insufficiently understood. Various interventions and staff training need further investigation to overcome the behavior and related suffering.

Key words: Dementia, Vocally disruptive behavior, Non-pharmacological management, Nursing home