{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T15:49:43Z","timestamp":1791042583578,"version":"4.1.0"},"reference-count":41,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2001,9,19]],"date-time":"2001-09-19T00:00:00Z","timestamp":1000857600000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2001,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This case series describes the various contributors of disruptive behavior in demented nursing home residents and outlines the necessary steps to identify and treat them.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Evaluation of overall clinical improvement and agitation at discharge from the hospital and at follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Nursing home residents consecutively admitted to the geriatric psychiatry service of a psychiatric university hospital in the New York metropolitan area.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients<\/jats:title><jats:p>15 elderly demented nursing home residents with agitation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measures<\/jats:title><jats:p>Overall clinical improvement was assessed with the \u2018global assessment of functioning scale\u2019. Agitation was evaluated with the \u2018brief agitation rating scale\u2019 and the \u2018nursing home scale for agitation\u2019. Medication side\u2010effects were measured with the \u2018Simpson\u2013Angus scale\u2019 and the \u2018abnormal involuntary movement scale\u2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The patients showed significantly more overall clinical improvement at discharge compared with admission. Additionally, agitation scores were significantly lower at discharge and at follow\u2010up compared with admission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A comprehensive medical and neurological assessment, an accurate identification of comorbid psychopathology, evaluation of drug toxicity, and a thorough history of psychotropic medication trials are essential steps for a successful treatment. 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