The spatial distribution of agitation in agitated nursing home residents

Trained observers recorded both the physical location and the specific agitated behaviors manifested by 24 highly agitated and cognitively impaired nursing home residents for 3 months. Results showed that agitation was observed frequently at a variety of locations on the unit, including the toilet, corridor, nurses' station, and another resident's room. Although these residents spent a great deal of time in their own rooms, agitation was not observed most frequently at this locale. Additionally, the type of agitation was found to be directly related to locations in the nursing home. Pacing was frequently observed at many locations (in particular, the corridor, nurses' station, another resident's room), while verbally agitated behaviors and aggressive behaviors were observed primarily at locations in which the residents might be in need of help (e.g., the toilet).