Adfaerdsforstyrrelser på plejehjem. 147 konsekutive henvisninger til et tvaerfagligt konsulentteam

During a period of 22 months 147 consecutive residents with behavioural disturbances from 80% of the Copenhagen nursing homes were referred to a visiting team of consulting specialists. Each resident was evaluated clinically, and data were recorded in a database. The conditions thought to represent the underlying etiologies were dementia (79%), delirium (28%) and depression (35%). The most commonly observed behavioural symptoms were aggressiveness, vocally disruptive behavior and non-aggressive psychomotor symptoms. The most common interventions suggested by the team were further diagnostic evaluations, adjustment of pharmaceutical treatment, using the life history of the resident as a reference for behaviour management, and psychological behavior management. There is a need for increased focus on systematic diagnosis and treatment of behavioural disorders, observed in nursing homes, which often have multifactorial etiology.