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Basiswissen zu herausforderndem Verhalten: Vortrag von Georg Franken

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Die Präsentation von Georg Franken (Pflegewissenschaftler, DZD) bildete die Basis zu dem Vortrag "Herausforderndes Verhalten: Beschreibung und Vorkommen". Die Folien zum Vortrag enthalten zudem einen weiterführenden Link zu einer Liste mit Fachliteratur zum Thema "Umgang mit herausforderndem Verhalten in der Versorgung von Menschen mit Demenz".

Der Vortrag wurde auf der Tagung "Möglichkeiten und Grenzen psycho-sozialer Interventionen bei Demenz" vom Dialog- und Transferzentrum Demenz (DZD) am 25. Februar 2015 an der Universität Witten/Herdecke abgehalten.

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Basiswissen zu herausforderndem Verhalten: Vortrag von Georg Franken

  1. 1. www.dialogzentrum-demenz.de Herausforderndes Verhalten: Beschreibung und Vorkommen 3. Newsletter-Day 25.02.2015 Universität Witten/ Herdecke Georg Franken, MScN Universität Witten/ Herdecke Dialog- und Transferzentrum Demenz (DZD)
  2. 2. www.dialogzentrum-demenz.de Gliederung Einleitung „Herausforderndes Verhalten“ Verstehende Diagnostik Literatur
  3. 3. www.dialogzentrum-demenz.de „Herausforderndes Verhalten“ Kennzeichen einer Demenz: kognitive Beeinträchtigungen psychische und Verhaltenssymptome (Behavioural and Psychological Symptoms of Dementia, BPSD) (IPA 2010) Häufigkeit im Pflegeheim (Mittelwerte): (Selbaek et al. 2013) 82% (38-95) zumindest ein Symptom 79 % (66-83:CMAI) Agitation 32 % (23-48:NPI) Apathie 20% (10-26:NPI) Zeichen von Depression 19% (11-26:NPI) Wahn 9% (5-14:NPI) Halluzination individuell sehr unterschiedliche Verläufe mit teilweise wechselnden Symptomen
  4. 4. www.dialogzentrum-demenz.de „Herausforderndes Verhalten“ Bedeutsamkeit von BPSD: Belastung für PA und beruflich Pflegende (Wolfs et al. 2012, Etters et al. 2008, Wood et al. 1999) Erschwernis in der akut-stationären Versorgung von MmD (Schütz & Füsgen 2013) Vorzeitige Institutionalisierung der MmD (Gaugler et al. 2009) Kostensteigerung (Murman et al. 2002, Jönsson et al. 2006) Einfluss auf die Lebensqualität der MmD (Beerens et al. 2013)
  5. 5. www.dialogzentrum-demenz.de „Herausforderndes Verhalten“ Begrifflichkeit: Rahmenempfehlungen (BMG 2007) Verhaltensstörung, Verhaltensproblem, Verhaltensauffälligkeit Abweichung von der Norm Bewertung → Ursache im MmD → Fokus auf Verhaltensänderung Herausforderndes Verhalten: Herausforderung für andere Psychosoziale Perspektive Zusammenwirken innerer und äußerer Ursachen Abhängigkeit der Herausforderung vom Kontext
  6. 6. www.dialogzentrum-demenz.de „Herausforderndes Verhalten“ Sinnhaftigkeit des Verhaltens für den Menschen mit Demenz (BMG 2007): Herausforderndes Verhalten als Resultat der Unfähigkeit, sich verständlich zu machen Herausforderndes Verhalten als Reaktion auf eine unverständliche Umwelt
  7. 7. www.dialogzentrum-demenz.de Verstehende Diagnostik Verstehende Diagnostik: (BMG 2007) Perspektive des Menschen mit Demenz Beobachtung/ wertneutrale Beschreibung des Verhaltens in seinen Entstehungsbedingungen Sinnhaftigkeit des Verhaltens vor dem Hintergrund von Beeinträchtigungen, Biographie, Um- und Mitwelt
  8. 8. www.dialogzentrum-demenz.de Verstehende Diagnostik Need-driven dementia-compromised behaviour (NDB-) Model (Algase et al. 1996, Kolanowski 1999, Kolanowski & Whall 2000, Kolanowski et al. 2002) Hintergrundfaktoren Neurologischer Status Kognitiver Status Gesundheitsstatus Psychosoziale Variablen Nahe Faktoren Persönliche Faktoren Physische Umgebung Soziale Umgebung NDB Wandern (körperlich nicht aggressives Verhalten) Akustische Störungen Körperliche Aggressivität
  9. 9. www.dialogzentrum-demenz.de Literatur Literaturliste über http://dzd.blog.uni-wh.de/files/2015/03/Herausforderndes-Verhalten_Fachliteratur.pdf
  10. 10. www.dialogzentrum-demenz.de 10 Dialog- und Transferzentrum Demenz (DZD) Universität Witten/Herdecke Stockumer Str. 10 58453 Witten Tel: 02302 926306 georg.franken@uni-wh.de dialogzentrum@uni-wh.de Dialogzentrum-Online: web: www.dialogzentrum-demenz.de Youtube: https://www.youtube.com/user/DialogzentrumDemenz facebook: https://www.facebook.com/DialogzentrumDemenz twitter: https://twitter.com/DemenzDialog

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