Patients with dementia develop behavioral problems over time. Among these, the investigators object screams or cries or disruptives vocalizations. Their cause is multifactorial and their management difficult in nursing homes. Often this patients are polymedicated, sedated or/and isolated. Many scientific studies are interested in drug and non-drug treatments. In this study, the investigators are looking for a profile for disruptives vocalizations's patients. Thus, the investigators will study the global profile of demented patients residing in EHPAD to determine if there are any similarities between them.
Study Type
OBSERVATIONAL
Enrollment
60
Uhmontpellier
Montpellier, France
Describe the profile of demented patients
Describe the profile of demented patients with disruptives vocalizations in EHPAD aged 75 and over, for whom an intervention of the Mobile Gerontopsychiatry Team (MGT) is requested. Determining the profile of the screaming residents in nursing home : age, sex, type of dementia, severity of dementia (MMSE score), co-morbidities, current treatments, sensory impairments, autonomy, environment (visits, outside workers, activities in the EHPAD, paramedical interventions, …), NPI-ES, psychological state (GDS).
Time frame: 2 years
Efficiency of MGT's intervention on screams
Evaluate the effectiveness of the MGT's intervention on cries (increase, decrease, stop, lack of effectiveness).
Time frame: 2 years
Determination of predictive factors for MGT's effectiveness.
Determine what are the predictive factors of the effectiveness of the intervention of the MGT (time to call after onset of cries, characteristics of the patient and characteristics of the institution).
Time frame: 2 years
Determination if the delay between the symptom's beginning and intervention can influence their effectiveness.
Determine if the delay between the onset of screaming and the intervention of the MGT has an impact on the patient's mortality.
Time frame: 2 years
Determination if disruptives vocalizations could be a dementia premorbid symptom.
Determine whether screaming is a pre-morbid clinical sign by studying the time interval between the onset of screaming and the patient's death.
Time frame: 2 years
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