Monday, December 05, 2016

Disruptive Vocalizations

Classification for Disruptive Vocalizations

  • emotional expression - positive or negative
  • need for attention - an innate human need
  • goal directed
  • self-stimulation - aware or non-aware


Need-Driven Reasons for Calling Out

  • physical pain
  • mental pain and depression
  • loneliness or deep anxiety
  • frustration
  • disorientation
  • need for comfort
  • need for escape
Verbal Disruption in Dementia has been Associated with
  • decline in cognition
  • frontal lobe atrophy
  • loss of activities fo daily living
  • poor functional status
  • female gender
  • social isolation and lack of activity
  • over stimulation
  • depression
  • chronic pain
  • attempt at communication
Common Antecedents for Vocalizations
  • overstimulation
  • under stimulation, sensory deprivation
  • immobility, restricted movement
  • pain, discomfort
  • fatigue
  • psychotic symptoms
  • depression
  • psychological distress
  • caregiver behaviour
  • environmental factors

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