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American Journal of Alzheimer's Disease and Other Dementias logoLink to American Journal of Alzheimer's Disease and Other Dementias
. 2001 May-Jun;16(3):163–166. doi: 10.1177/153331750101600307

Impact of family visits on agitation in residents with dementia

Kristin Martin-Cook 1, Linda Hynan 2, Paul K Chafetz 3, Myron F Weiner 4
PMCID: PMC10833676  PMID: 11398565

Abstract

In an investigation of the impact of family visits on the behavior of 30 residents in dementia special care units, we found on direct observation that agitation decreased significantly during visits, but returned to the previous level within 30 minutes. No significant differences were found between visits by spouses or adult children. The premorbid quality of relationship was unrelated to family visitor enjoyment of visits or to differences between agitation level before and after visits. While 70 percent of visitors reported that they found visits pleasant (mean number of visits: 12.72 per month), 20 percent found visits unpleasant. Visitors' enjoyment or displeasure was significantly related to the difference between the number of pre-visit and post-visit agitated behaviors. Visitors indicated that the resident's mental status (33 percent) or difficulty communicating with the resident (30 percent) had the most negative impact on their visits. However, these factors appear amenable to education, suggesting that the quality of visits can be improved for visitor and resident with possibly greater positive impact on both.

Keywords: agitation, Alzheimer's disease, behaviors, long-term care, visiting

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Contributor Information

Kristin Martin-Cook, Caregiver Education Group, Alzheimer's Disease Center, University of Texas Southwestern Medical Center, Dallas, Texas.

Linda Hynan, Department of Psychiatry and Academic Computing Services, University of Texas Southwestern Medical Center, Dallas, Texas.

Paul K. Chafetz, Department of Gerontology, University of Texas Southwestern Medical Center, Dallas, Texas.

Myron F. Weiner, Alzheimer's Disease Center, University of Texas Southwestern Medical Center, Dallas, Texas.

References

  1. Teri L , Rabins P, Whitehouse P, et al.: Management of behavioral disturbance in Alzheimer disease: Current knowledge and future directions. Alzheimer Disease & Associated Disorders. 1992; 6: 77-88. [DOI] [PubMed] [Google Scholar]
  2. Cooper JK , Mungas D, Weiler P: Relation of cognitive status and abnormal behaviors in Alzheimer's disease. Journal of the American Geriatrics Society. 1990; 38: 867-870. [DOI] [PubMed] [Google Scholar]
  3. Teri L , Borson S, Kiyak A, Yamagishi M: Behavioral disturbance, cognitive dysfunction, and functional skill. Journal of the American Geriatrics Society. 1989; 37: 109-116. [DOI] [PubMed] [Google Scholar]
  4. Zandi T : Understanding difficult behaviors in nursing home residents: A prerequisite for sensitive clinical assessment and care. Alzheimer Disease & Associated Disorders. 1994; 8: S345-S354. [PubMed] [Google Scholar]
  5. Beck CB , Heacock P: Nursing interventions for patients with Alzheimer's disease. Nursing Clinics of North America. 1988; 23: 95-124. [PubMed] [Google Scholar]
  6. Cohen-Mansfield J , Werner MA, Marx MS: An observational study of agitation in agitated nursing home residents. International Psychogeriatrics. 1992; 1: 153-165. [DOI] [PubMed] [Google Scholar]
  7. Langland RM , Panicucci CL: Effects of touch on communication with elderly confused clients. Journal of Gerontological Nursing. 1982; 11: 10-14. [DOI] [PubMed] [Google Scholar]
  8. Cohen-Mansfield J , Marx MS, Werner P: Agitation in elderly persons: An integrative report of findings in a nursing home. International Psychogeriatrics. 1992; 1:153-165. [DOI] [PubMed] [Google Scholar]
  9. Cohen-Mansfield J , Werner P, Marx, MS: The social environment of the agitated nursing home resident. International Journal of Geriatric Psychiatry. 1992; 7: 789-798. [Google Scholar]
  10. Burgerner SC , Jirovec M, Murrell L, Barton D: Caregiver and environmental variables related to difficult behaviors in institutionalized, demented elderly persons. Journal of Gerontology: Psychological Sciences. 1992; 47: P242-P249. [DOI] [PubMed] [Google Scholar]
  11. Gray P , Stevenson JS: Changes in verbal interaction among members of resocialization groups. Journal of Gerontological Nursing. 1980; 6: 86-90. [DOI] [PubMed] [Google Scholar]
  12. Hendy HM : Effects of pet and/or people visits on nursing home residents. International Aging and Human Development. 1987; 25: 279-291. [DOI] [PubMed] [Google Scholar]
  13. York JL , Calsyn RJ: Family involvement in nursing homes. The Gerontologist. 1977; 17: 501-505. [DOI] [PubMed] [Google Scholar]
  14. Moss MS , Kurland P: Family visiting with institutionalized mentally impaired aged. Journal of Gerontological Social Work. 1979; 1: 271-277. [Google Scholar]
  15. Gilleard CJ , Gilleard E, Gledhill K, Whittick J: Caring for the elderly mentally infirm at home: A survey of supporters. Journal of Epidemiology & Community Health. 1984; 38: 319-325. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Reisberg B , Ferris SH, DeLeon MJ, Crook, T: The global deterioration scale for assessment of primary degenerative dementia. American Journal of Psychiatry. 1982; 139: 1136-1139. [DOI] [PubMed] [Google Scholar]
  17. Williamson GM , Schulz R: Caring for a family member with cancer: Past communal behavior and affective reactions. Journal of Applied Social Psychology. 1995; 25: 93-116. [Google Scholar]
  18. Greenhouse SW , Geisser S: On methods in the analysis of profile data. Psychometrika. 1995; 32: 95-112. [Google Scholar]

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