The Gerontologist, Vol 37, Issue 5 675-682, Copyright © 1997 by The Gerontological Society of America

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Management of the patient with disruptive vocalization

PD Sloane, S Davidson, K Buckwalter, BA Lindsey, S Ayers, V Lenker and LD Burgio
Department of Family Medicine, School of Medicine, University of North Carolina, Chapel Hill 27599-7595, USA.

Disruptive vocalization (DV) is a common problem in the management of cognitively and physically impaired older people. This article reports the results of a consensus meeting convened to provide guidelines for clinicians and recommendations for researchers in this difficult and little-studied behavioral problem. DV arises largely in people with cognitive impairment and generally reflects an underlying need or discomfort. A variety of factors can precipitate and aggravate DV; the key to management is appropriate identification of all possible factors and development of an individualized treatment plan.

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