No more fighting and biting during mouth care: applying the theoretical constructs of threat perception to clinical practice.

Rita A. Jablonski, Barbara Therrien, Ann Kolanowski

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

The purpose of this article is to describe how the neurobiological principles of threat perception and fear response can support clinical approaches to prevent and reduce care-resistant behaviors during mouth care. Nursing home residents who exhibit care-resistant behavior are at risk for poor oral health because daily oral hygiene may not be consistently provided. Poor oral health predisposes these older people to systemic problems such as pneumonia, cerebral vascular accidents, and hyperglycemia. Care-resistant behavior is a fear-evoked response to nurses' unintentionally threatening behavior during mouth care. Nurses can safely and effectively provide mouth care to persons with dementia who resist care by using personalized combinations of 15 threat reduction strategies.

Original languageEnglish (US)
Pages (from-to)163-175
Number of pages13
JournalResearch and Theory for Nursing Practice
Volume25
Issue number3
DOIs
StatePublished - 2011

All Science Journal Classification (ASJC) codes

  • Research and Theory

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