Asian Journal of Occupational Therapy
Online ISSN : 1347-3484
Print ISSN : 1347-3476
ISSN-L : 1347-3476
CASE REPORTS
The Changes in Agitated Behavior in Severe Dementia in Different Contexts: A Case Report
Yuma Nagata Yoichiro HorikawaTakuma YuriMasaya UedaDaiki IshimaruDaiki NakashimaHiroyuki Tanaka
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JOURNAL OPEN ACCESS

2025 Volume 21 Issue 1 Pages 44-47

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Abstract

Objective: To investigate the variability in agitated behaviour due to different contexts in a patient with dementia.

Methods: We describe the case of an 80-year-old male with dementia who scored 0 on the Mini-Mental State Examination. AwareCare was used to assess his agitated behaviour across 14 response categories, including eyes and facial expressions. One occupational therapist observed his behaviour in a context where activity was not provided in the hospital ward (Phase A) and while he was drinking tea in a quiet room (Phase B) for 10 minutes. The Tau-U A vs B coefficient of the Tau-U test was used for analysis.

Results: Tea consumption was associated with a significant reduction in agitated behaviours, e.g. eye flickering, head movements, and shouting or moaning. There was a notable increase in positive behaviours, including more frequent smiling.

Conclusions: The level of agitated behaviour in an individual with severe dementia may vary depending on the context.

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© 2025 The Author(s)

This article is licensed under a Creative Commons [Attribution 4.0 International] license.
https://creativecommons.org/licenses/by/4.0/
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