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American Journal of Alzheimer's Disease and Other Dementias®, Vol. 11, No. 6, 10-19 (1996)
DOI: 10.1177/153331759601100603

Need-driven dementia-compromised behavior: An alternative view of disruptive behavior

Donna L. Algase, PhD, RN

School of Nursing, University of Michigan; institute of Geronntology, University of Michigan Medical Center, Ann Arbor, Michigan

Cormelia Beck, PhD, RN, FAAN

Research and Evaluation, University of Arkansas for Medical Sciences, Little Rock, Arkansas

Ann Kolanowski, PhD, RN

Department of Nursing, Wilkes University, Wilkes Barre, Pennsylvania

Ann Whall, PhD, RN, FAAN

School of Nursing; Geriatric Center, University of Michigan, Ann Arbor, Michigan

Stanley Berent, PhD

University of Michigan, School of Medicine, Ann Arbor Michigan

Kathy Richards, PhD, RN

University of Arkansas for Medical Sciences, Little Rock, Arkansas

Elizabeth Beattie, MA, RN

Department of Nursing Sciences, James Cook University, Townsville, Queensland, Australia

The disruptive behavior of persons with dementia is a problem of considerable clinical interest and growing scientific concern. This paper offers a view of these behaviors as expressions of unmet needs or goals and provides a comprehensive conceptual framework to guide further research and clinical practice. Empiricalfindings and clinical impressions related to wandering, vocalizations and aggression to support and illustrate the framework are presented


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