• Title/Summary/Keyword: Agitated Behavior

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Multi-Sensory Environment and Agitated Behavior in Ageing Residents with Dementia

  • Lee, Sook-Young;Morelli, Agneta
    • Architectural research
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    • v.12 no.1
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    • pp.1-8
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    • 2010
  • This research paper explores selected behavioral outcomes of a multi-sensory environment. An experimental study was conducted at a specialized facility for the ageing in Sweden. The objective was to explore the effects of agitated behaviors of ageing residents with dementia and to identify any short-term effects. Appointed nursing staff was instructed to record physically and verbally agitated behaviors on three occasions; pre-session, mid-session, and post-session. Over seven months, nine participants received sixty-one sessions in the multi-sensory room. ANOVA and Post hoc multiple comparisons were performed to identify the differences in mean between each session. Generally irritated/frustrated behavior and eating/drinking non foods revealed statistically significant differences, while there were no significant results in verbally agitated behavior. One short-term effect was observed in one agitated category; a reduction of generally irritated/frustrated behavior. These results suggest that the multi-sensory environment can have positive effects on some manifestations of agitated behavior. This study proposes that a multi-sensory environment may be recommended as an alternative intervention for physically agitated behavior among this category of residents. However, more research is needed to understand the specific effects and the best use of the multi-sensory environment for this population.

A Study on the Behavior of Liquid Free Surface in a Shaking Vessel (진동교반조에서의 액자유표면의 거동에 관한 연구)

  • Lee, Young-Sei;Kim, Moon-Gab
    • Journal of the Korean Society of Industry Convergence
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    • v.3 no.3
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    • pp.209-217
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    • 2000
  • An attempt has been made to examine the highest liquid surface by means of measuring the movement of liquid free surface wave in the agitated vessel wall. Also, Relationship has been investigated between transition frequency, $N_z$ for behavior of liquid free surface and transition frequency for behavior of mass transfer coefficient in the agitated vessel wall. A surface wave is occured within agitated vessel, the highest height of wetted vessel wall, $h_w$ is coincided with the highest liquid surface, h. However the lowest height of wetted vessel, $h^*{_w}$ is not descended to lowest liquid free surface, $h^*$. The proposed model has been tested sucessfully for the behavior of liquid free surface.

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Effects of Snoezelen Room on Agitated Behavior of People with Dementia (스노잘렌 공간이 치매노인 동요행동에 미치는 영향)

  • Lee, Sook-Young;Alan, Dilani
    • Journal of the Korean housing association
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    • v.19 no.4
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    • pp.79-87
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    • 2008
  • Snoezelen, multi-sensory stimulation, provides stimulation through the visual, aural, tactile, olfactory, gustatory and proprioceptive senses. Its aim is to be a relaxing, feeling of safety, novelty and stimulation with no expectations for performance. Agitated behavior of people with dementia causes significant problems and distress for cares. The objective of this research study was to test the effects of Snoezelen room on physical and verbal agitated behaviors of people with dementia. Four patients participated five sessions in Snoezelen room of 'F' dementia care facility in Sweden. Assessment instrument was basically used Cohen-Mansfield Agitation Inventory-Short Form to be rated by caregivers on a 5-point frequency scale. Pre-trial and post-trial assessments were carried out during $27^{th}$ Aug.-$27^{th}$ Sept. 2007. Result shows that Snoezelen room has some short-term positive effect on agitated behavior even though there was a considerable variation individuals responded. This result adds to the increasing evidence that Snoezelen could be a therapeutic environment for the elderly with dementia. Further research study, with larger number of participation, and a control group is required to establish more scientific evidence of Snoezelen effects on health outcome.

A Study on the Influencing Factor of Unplanned Endotracheal Extubation in ICUs (중환자실 환자의 우발적인 기관튜브이탈 관련요인 연구)

  • Choi, Yun-Kyoung;Kim, Keum-Soon
    • Quality Improvement in Health Care
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    • v.9 no.1
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    • pp.74-89
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    • 2002
  • Background : The purpose of this study was to investigate the incidence of unplanned endotracheal extubation and to identify the influencing factor of unplanned extubation in ICUs for providing baseline data in developing prevention strategies and administrative standards. the medical records and hospital information system. In order to analyze factors related to unplanned extubation, the subjects of this study were divided by unplanned extubation group and planned extubation group and were matched by its sex, age, and disease groups in a ratio of one to two. The data were analyzed by descriptive statistics, ${\chi}^2$- test, t-test, Fisher's exact test, and logistic regression analysis with SPSSWIN 10.0 program. Result : 1) Forty-seven(4.99%) of 942 intubated patients experienced unplanned extubation 65 times during the twelve-month period. Thirtyfour( 72.34%) of 47 unplanned extubated patients required reintubation, whereas thirteen patients(27.66%) did not. 2) About half of unplanned extubation(46.8%) occurred during the night shift. 3) As for the nursing activity, respiratory nursing activity score(P=.0.06) and total nursing activity score(P=.011) showed statistically significant differences between unplanned extubation group and planned extubation group. 4) As for the patient status, unplanned extubation group showed more lower consciousness level(P=.000), more irritable or agitated behavior(P=.000), and had more applied physical restraints(P=.000) than planned extubation group. 5) As for the intubation related variables, unplanned extubation group revealed more intubated with respiratory failure(P=.000), more dependent on mechanical ventilation(P=.015) than planned extubation group. 6) Factors affecting unplanned extubations in intensive care unit patients were irritable or agitated behavior(odds ratio=13.757), night shift(odds ratio=7.166), and mechanical ventilation(odds ratio=6.257) from conditional logistic regression analysis. Conclusion : The most affecting factor of unplanned extubation was agitated or irritable behavior. Therefore the results of this study could be helpful to ICU nurses for meticulous care, decision making, timely intervention, and development of intervention strategies for preventing unplanned extubation.

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Thermal Behavior of Flow Pattern Defect and Large Pit in Czochralski Silicon Crystals and Effects of Large Pit upon Device Yield (쵸크랄스키 Silicon 단결정의 Large Pit과 Flow Pattern defect의 열적 거동과 Large Pit의 소자 수율에의 영향)

  • Song, Yeong-Min;Mun, Yeong-Hui;Kim, Jong-O;Jo, Gi-Hyeon
    • Korean Journal of Materials Research
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    • v.11 no.9
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    • pp.781-785
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    • 2001
  • The thermal behavior of Flow Pattern Defect (FPD) and Large Pit (LP) in Czochralski Silicon crystal was investigated by applying high temperature annealing ($\geq$$1100^{\circ}C$) and non-agitated Secco etching. For evaluation of the effect of LP upon device performance/yield, commercial DRAM and ASIC devices were fabricated. The results indicated that high temperature annealing generates LPs whereas it decreases FPD density drastically. However, the origins of FPD and LP seemed to be quite different by not showing any correspondence to their density and the location of LP generation and FPD extinction. By not showing any difference between the performance/yield of devices whose design rule is larger than 0.35 $\mu\textrm{m}$, LP seemed not to have detrimental effects on the performance/yield.

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Mixing and Gas Removal Behavior in Scrap Remelt of Light Metal by Impeller Agitation (임펠러 교반에 의한 경량금속 스크랩 용해로에서의 혼합 및 탈 가스 거동)

  • 한정환;이주한;김석범;변지영;심재동
    • Resources Recycling
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    • v.7 no.3
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    • pp.42-51
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    • 1998
  • Hydrogen in atmosphere can easily dissolve in melt of light metal alloys. Increasing demand for recycling of light metal a alloys has, therefore, focused attention on the removal of hydrogen gas, and alloy addition in melt has become an imporLant r refining process. For this purpose behaviors of mixing and hydrogen degassing in impeller agitated refming vessel with/without barnes were investigated. Flow patterns, mixing time behavior and kinetics of degassing in various agitating conditions were analysed in watet model experiments. And, numerical analysis on turbulent flow pattern in impeller agitated vessels was performed.

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A study on the violence victimization of the 119 EMT: Focusing on the physical restraints (119 구급대원 폭행피해에 대한 법적고찰 및 대응방안에 관한 연구 : 신체보호대를 중심으로)

  • Park, Si-Eun;Shin, Dong-Min
    • The Korean Journal of Emergency Medical Services
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    • v.23 no.1
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    • pp.35-48
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    • 2019
  • Purpose: This study aimed to explore the rationality for and countermeasures against the use of prehospital patient restraint (PPR) techniques in efforts to limit violent behavior toward 119 emergency medical technicians (EMTs). Methods: Previous countermeasures to limit violent behavior toward 119 EMTs and medical personnel were focused on strict reactive and passive proactive responses. However, those in support of the countermeasures do not believe that violent and criminal behavior can be limited or extinguished by strengthening the punishment unconditionally. Results: When it comes to the far-reaching effects of stigmatization on people who engage in violent and criminal behavior, it is possible that unconditional punishment leads to more crime, increases the costs of imprisonment, and consequently, adds to the financial burden of the government. Conclusion: Thus, we are faced with an urgent need to prepare legal grounds for the use of PPR techniques by 119 EMTs for agitated or combative patients only, with direct medical oversight. Moreover, the legal foundation for the use of PPR techniques also needs to be established for emergency medical personnel. The use of PPR techniques not only ensures the safety of emergency medical services personnel, but also protects patients from injuring themselves and others.

Psychosocial Reaction Patterns to Alopecia in Female Patients with Gynecological Cancer undergoing Chemotherapy

  • Ishida, Kazuko;Ishida, Junko;Kiyoko, Kanda
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.3
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    • pp.1225-1233
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    • 2015
  • This study aims to clarify the psychosocial reactions of female patients with gynecological cancer undergoing chemotherapy and in the process of suffering from alopecia and to examine their nursing support. The target group comprised female patients who had received two or more cycles of chemotherapy, were suffering from alopecia, and were aged 30-65. Data were collected from semi-structured interviews, conducted from the time the patients were informed by their doctors that they might experience alopecia due to chemotherapy to the time they actually experienced alopecia and until they were able to accept the change. Inductive qualitative analysis was employed to close in on the subjective experiences of the cancer patients. The results showed the existence of six phases in the psychosocial reactions in the process of alopecia: phase one was the reaction after the doctor's explanation; phase two was the reaction when the hair starts to fall out; phase three was the reaction when the hair starts to intensely fall out; phase four was the reaction when the hair has completely fallen out; phase five was the reaction to behavior for coping with alopecia; and phase six was the reaction to change in interpersonal human relationships. The results also made it clear that there are five types of reaction patterns as follows: 1) treatment priority interpersonal relationship maintenance type; 2) alopecia agitated interpersonal relationship maintenance type; 3) alopecia agitated interpersonal relationship reduction type; 4) alopecia denial interpersonal relationship reduction type; and 5) alopecia denial treatment interruption type. It is important to find out which of the five types the patients belong to early during treatment and provide support so that nursing intervention that suits each individual can be practiced. The purpose of this study is to make clear the process in which patients receiving chemotherapy come to accept alopecia and to examine evidence-based nursing care on patients with strong mental distress from alopecia.

Average Particle Size Prediction of Rubber Dispersed Phase in High Impact Polystyrene (내충격성 폴리스티렌의 고무상 입자경 예측)

  • Lee, Seong-Jae;Chung, Kyung-Ho
    • Elastomers and Composites
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    • v.31 no.5
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    • pp.327-334
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    • 1996
  • A correlative analysis has been carried out to predict the average particle size of rubber dispersed phase In high impact polystyrene manufactured by bulk polymerization. To do the correlation, a mechanistic model suggested previously by the author was used for describing the size of stabilizing particles agitated under the turbulent viscous shear subranges in a prepolymerization reactor, where the rubber particles were assumed to be formed at the time of phase inversion in the reactor. Viscosities required for the model were postulated to describe the overall behavior of butadiene rubber and polystyrene mixture along the wide range of conversion. The good agreement between the model and the experimental data from a plant was quite satisfactory for the prediction of the average rubber particle size of high impact polystyrene.

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Agitation Effects of an Ultrasonic Standing Wave on the Dynamic Behavior of Methane/Air Premixed Flame (메탄/공기 예혼합화염의 동역학적 거동과 정상초음파의 교반)

  • Seo, Hang-Seok;Lee, Sang-Shin;Kim, Jeong-Soo
    • Journal of the Korean Society of Propulsion Engineers
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    • v.16 no.3
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    • pp.16-23
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    • 2012
  • This study has been conducted to scrutinize agitation effects of an ultrasonic standing wave on the dynamic behavior of methane/air premixed flame. The propagating flame was caught by high-speed Schlieren images, through which local flame velocities of the moving front were analyzed in unprecedent detail. It is revealed that the propagation velocity agitated by the ultrasonic standing wave is greater than that without agitation at the stoichiometric ratio: the velocity enhancement diminishes as the equivalence ratio approaches upper flammability limit or lower flammability limit. Also, vertical locations of the wave-affected frontal distortions do not vary appreciably, unless the propagating-mode characteristics (pressure amplitude and driving frequency) of ultrasonic standing wave were not changed.