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Integrative review: Persistent vocalizations among nursing home residents with dementia

Published online by Cambridge University Press:  10 October 2018

Justine S. Sefcik ,
Mary Ersek ,
Sasha C. Hartnett  and
Pamela Z. Cacchione
Justine S. Sefcik*
Affiliation:
University of Pennsylvania School of Nursing, Philadelphia, PA, USA Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA
Mary Ersek
Affiliation:
University of Pennsylvania School of Nursing, Philadelphia, PA, USA Department of Veterans Affairs, Philadelphia, PA, USA
Sasha C. Hartnett
Affiliation:
University of Pennsylvania School of Nursing, Philadelphia, PA, USA
Pamela Z. Cacchione
Affiliation:
University of Pennsylvania School of Nursing, Philadelphia, PA, USA Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA Penn Presbyterian Medical Center, Philadelphia, PA, USA
*
Correspondence should be addressed to: Justine S. Sefcik, University of Pennsylvania School of Nursing, 418 Curie Blvd, Philadelphia, PA 19104, U.S.A. Phone: +215-898-2689. Email: [email protected]
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Abstract

Background:

Nursing home (NH) residents with dementia commonly exhibit persistent vocalizations (PVs), otherwise known in the literature as disruptive or problematic vocalizations. Having a better understanding of PVs and the research completed to date on this phenomenon is important to guide further research and clinical practice in NHs. This integrative review examines the current literature on the phenomenon of PVs among NH residents with dementia.

Methods:

We conducted a search in the PubMed, Scopus, Ovid Medline, and CINAHL databases for articles published in English. Articles were included if the focus was specifically on research involving vocal behaviors of older adults with dementia residing in NHs.

Results:

Our literature search revealed eight research articles that met the inclusion criteria. These studies were published in 2011 or earlier and involved small sample sizes. Seven of these studies were descriptive and the eighth was a non-pharmacological intervention study for PVs exhibited by NH residents with dementia. These studies were vastly different in their labeling, definitions, and categorization of the PVs as well as methods of measuring PVs.

Conclusion:

The heterogeneity of the evidence limits the ability to make recommendations for practice. Given the paucity of research on this phenomenon; recommendations for additional research are given.

Keywords

integrative reviewpersistent vocalizationsbehavioral symptom of dementianursing home residentsolder adults
Type
Review Article
Information
International Psychogeriatrics , Volume 31 , Issue 5: Issue Theme: Well-Being in Dementia , May 2019 , pp. 667 - 683
Copyright
© International Psychogeriatric Association 2018 

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