Search results for ‘Subject term:"agitation"’ Sort:
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Agitation in the morning: symptom of depression in dementia?
- Authors:
- THEISON Anna-Katharina, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(4), April 2009, pp.335-340.
- Publisher:
- Wiley
Data were collected from three independent nursing homes in an urban setting in Germany. Trained nursing home staff pre-selected 110 demented and agitated patients with a minimum age of 60 years. Three main groups were formed based on agitation peak either: in the morning, evening or none. Each is respectively: sunrisers, sundowners and constants. Agitation was assessed by the same staff twice a day for a 2-week timeframe using the CMAI (Cohen-Mansfield Agitation Inventory); MMSE (Mini-Mental State Examination) for dementia re-evaluation and staging; CSDD (Cornell Score for Depression in Dementia) for depression screening. Sixty-three (60%) of all patients were depressive but only 16 patients of them were treated with antidepressants. Forty-four patients were classified as belonging
Nonpharmacological intervention for agitation in dementia: a systematic review and meta-analysis
- Authors:
- KONG Eun-Hi, EVANS Lois K., GUEVARA James P.
- Journal article citation:
- Aging and Mental Health, 13(4), July 2009, pp.512-520.
- Publisher:
- Taylor and Francis
Seven electronic databases (to 2004) were searched, and randomized clinical trials employing nonpharmacologic interventions for agitation in dementia published in English or Korean were selected. In addition, the reference lists from relevant review articles and all eligible studies were searched to identify other trials. Interventions were categorized into seven types: sensory intervention, social contact, activities, environmental modification, caregiver training, combination therapy, and behavioural therapy. Studies were abstracted, and data were pooled by intervention category. Fourteen studies were included. Sensory interventions were statistically significantly effective in reducing agitation, while social contact, activities, environmental modification, caregiver training, combination therapy, and behavioural therapy interventions were not significantly effective in reducing agitation. These results were consistent among higher quality studies. Among the seven types of nonpharmacological interventions available for agitation in older adults with dementia, only sensory interventions had efficacy in reducing agitation. More trials are needed to confirm this finding and future
Exploring dance as a therapy for symptoms and social interaction in a dementia care unit
- Authors:
- DUIGNAN Debbie, HEDLEY Lynne, MILVERTON Rachael
- Journal article citation:
- Nursing Times, 4.8.09, 2009, pp.19-22.
- Publisher:
- Nursing Times
This pilot study evaluated Wu Tao dance therapy as an intervention for dementia and assessed its impact on agitation. The four week pilot involved six clients with dementia attending dance sessions with members of staff in a residential dementia facility in Australia. Agitation was measured using the Cohen Mansfield Agitation Inventory (CMAI). Agitation scores were reduced in four out of six
Ambitious study of complex interventions
- Author:
- BROOKER Dawn
- Journal article citation:
- Journal of Dementia Care, 17(3), May 2009, pp.37-38.
- Publisher:
- Hawker
The Australian study, Caring for Aged Dementia Care Resident Study (CADRES) provided evidence to show that both person-centred care and Dementia Care Mapping (DCM) reduces agitation in people with dementia living in residential care. The study compared these two complex interventions across fifteen residential care homes. This article summarises the research and its findings, and offers some
Non-pharmaceutical management of behavioural symptoms in nursing homes
- Authors:
- DEUDON Audrey, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(12), December 2009, pp.1386-1395.
- Publisher:
- Wiley
Behavioural and psychotic symptoms of dementia (BPSD), such as agitation, aggression, oppositional behaviour and psychotic disturbances, are often reported in institutions for the elderly. This study evaluates the effectiveness of a staff educational programme to help staff manage these symptoms. The study was conducted in 16 nursing homes in 2 French regions (Alpes Maritimes and Gironde). Three summarised practical advice on how to deal with BPSD, and individual interactive sessions in which trainers provided constructive feedback on how the staff dealt with BPSD. The results demonstrated that agitation and aggressiveness decreased significantly immediately after the 2-month programme and was still present 3 months later. The results demonstrate that a programme including a group teaching session
Long term care staff beliefs about evidence based practices for the management of dementia and agitation
- Authors:
- AYALON Liat, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(2), February 2009, pp.118-124.
- Publisher:
- Wiley
Despite a growing literature on effective interventions for Alzheimer's disease (AD) and agitation, the management of these conditions in long term care (LTC) often is inadequate. The goals of this American study were: (a) to evaluate existing beliefs about evidence based practices (EBP) for the management of Alzheimer's disease and agitation among LTC staff; and (b) to evaluate the contribution of demographic and attitudinal variables to LTC staff beliefs about these EBP. A cross sectional study of 371 LTC staff members completed an EBP questionnaire, a short demographic questionnaire, and an attitudinal questionnaire about AD and agitation. Results found paraprofessional caregivers, those of lower educational level, and ethnic minorities were more likely to be in disagreement with the EBP views examined in this study. Those in disagreement with the EBP views also reported a preference towards not working with residents with AD and agitation and a sense of helplessness associated with such work. Disagreement with EBP views was associated with both normalization and stigmatization of AD and agitation. Paraprofessional caregivers, ethnic minorities, and people of lower educational level are most at need for educational activities about AD and neuropsychiatric symptoms. Educational efforts geared towards changing the belief system of LTC staff should target not only EBP but also information about AD and agitation as conditions that are deviant from the normal aging process, yet non-stigmatizing. It is expected that following EBP will empower staff and improve staff motivation to work with residents with AD and agitation.