Search for: [Abstract = "Conclusions\:1\) The results of this study indicatethat behavioral symptoms and unsettled relationships constitute a significant problem in the LTCF population \(occurred in 22.9% and 28.8% of patients respectively\).The most frequent were the symptoms of verbal aggression \(13.4%\), followed by inappropriate social behaviors \(11%\) and resistance to prescribed care or treatment \(8.6%\). The frequency of the unsettled relationships was comparable in the form of conflicts among patients \(20.5%\) and between the patient and staff \(19.4%\). In addition, 17.4% of thenursing staff reported frustration in contact with resident.2\) Behavioral symptoms in LTCF residents have a complex etiology. The factors that increase the risk of verbal aggression are symptoms of depression and\/or abnormal thinking process. The risk of resistance to prescribed care or treatment is higher when the patient experiences delusions. Inappropriate social behaviors are more likely in patients from 71 to 85 years old, presenting symptoms of depression, cognitive impairment, aphasia or symptoms of abnormal thinking process. Factors that reduce the risk of behavioral symptoms in LTCF residents are a consistent positive outlook \(reduces the risk of verbal aggression\) and having supportive relationships with family members \(minimizes the chances of resistance to prescribed care or treatment\).4\) The unsettled relationships in LTCF residents have multifactorial etiology. The risk factors are the occurrence of behavioral, depressive and\/or psychotic symptoms in LTCF resident. The influence of these factors is independent of the patient's cognitive status. At the same time, moderate cognitive impairments reduce the risk of unsettled relationships between residents, as well as the staff report less likely the frustration in caring for these residents.5\) Some somatic and neurological diseases increase the risk of unsettled relationships among LTCF residents. Patients with congestive heart failureand obesity \(BMI≥30 kg\/m²\) significantly more likely initiate the conflicts with staff. At the same time, staff statistically more likely experience the frustration in the care of patients struggling with chronic, progressive neurological diseases such as multiple sclerosis, hemiplegia, paraplegia or quadriplegia.6\) Men have a higher risk of presenting behavioral symptoms, unsettled relationships between resident and staff, as well as staff have greater risk to experience the frustration in contact with male patient comparing to women. 7\) The occurrence of depressive symptoms is a strong factor increasing the risk of all considered behavioral symptoms as well as unsettled relationships in LTCF residents."]

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