Treatment in Residential Settings

  • Louis D. Burgio
  • Ellen M. Cotter
  • Alan B. Stevens
Part of the The Springer Series in Adult Development and Aging book series (SSAD)


Geriatric behavioral disturbances present numerous difficulties for both the staff and the residents of nursing homes and other geriatric long-term care settings. Examples of these problematic behaviors include behavioral excesses, such as agitation, wandering, disruptive vocalization (DV) and physical aggression, and various behavioral deficits. Behavioral deficits, also referred to by geriatric health care professionals as “excess deficits” (Brody, Kleban, Lawton, & Silver-man, 1971), are symptoms of functional incapacity greater than that warranted by actual organic impairment. Such deficits can range from an absence of ambulation when the capability exists to urinary incontinence with no identifiable medical cause. Estimates of the prevalence of disruptive behaviors in nursing homes vary, depending on method of reporting and presence of dementia, but studies have found that between 64% (Zimmer, Watson, & Treat, 1984) and 83% of nursing home residents exhibit disruptive behaviors (Swearer, Drachman, O’Donnell, & Mitchell, 1988). It is further estimated that 73% of demented nursing home residents display at least one, if not several, aberrant behaviors (Cohen-Mansfield, 1986). Consequently, there is great interest among geriatric health care professionals in developing interventions for managing these behaviors.


Nursing Home Disruptive Behavior Nursing Home Resident Music Therapy Physical Restraint 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media New York 1996

Authors and Affiliations

  • Louis D. Burgio
    • 1
  • Ellen M. Cotter
    • 1
  • Alan B. Stevens
    • 1
  1. 1.Center for Aging, Division of Gerontology and Geriatric Medicine, and Department of PsychologyUniversity of Alabama at BirminghamBirminghamUSA

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