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Effects of multisensory and motor stimulation on the behavior of people with dementia
- Authors:
- SPOSITO Giovana, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 16(3), 2017, pp.344-359.
- Publisher:
- Sage
A quasi-experimental study using a pre–posttest design was conducted in four aged care facilities to assess the effects of a person-centred care (PCC) multisensory stimulation (MSS) and motor stimulation (MS) programme, implemented by direct care workers, on the behaviours of residents with dementia. Data were collected at baseline and after the intervention through video recordings of morning care routines. Forty-five residents with moderate and severe dementia participated in the study. A total of 266 morning care routines were recorded. The frequency and duration of a list of behaviours were analysed. The frequency of engagement in task decreased significantly (p = .002) however, its duration increased (p = .039). The duration of gaze directed at direct care workers improved significantly (p = .014) and the frequency of closed eyes decreased (p = .046). There was a significant decrease in the frequency of the expression of sadness. These results support the implementation of PCC–MSS and MS programmes as they may stimulate residents' behaviours. (Edited publisher abstract)
The brain and person-centred care. 5: a deeper look at emotion in dementia
- Author:
- MILWAIN Elizabeth
- Journal article citation:
- Journal of Dementia Care, 18(4), July 2010, pp.20-23.
- Publisher:
- Hawker
This article focuses on the circuitry within the brain that is implicated in coordinating and controlling a person’s emotional responses, and the impact that dementia has on this circuitry. It considers the role of the amygdale in the expression of emotions, and how brain damage in dementia can raise the probably of behavioural disinhibition. The article reviews the evidence to show why it is necessary to consider environmental and personal factors, as well as neurological, when attempting to understand the behaviour of a person with dementia.
The brain and the person-centred care
- Author:
- MILWAIN Elizabeth
- Journal article citation:
- Journal of Dementia Care, 18(2), March 2010, pp.23-28.
- Publisher:
- Hawker
This technical article explains how damage to a specific area of the brain can cause specific difficulties for a person with dementia, and guides care staff on the individual support they may need to give. It describes a functional summary of each of the areas of the brain – the occipital lobe, the left temporal lobe, the right temporal lobe, the left parietal lobe, the right parietal lobe, and the frontal lobe. For each lobe, the article outlines its relevance to people with dementia, and offers guidance for supporting damage to this area. In conclusion, the author suggests knowledge of each of the different lobes can help practitioners understand changes in behaviour and ability, and identify patterns of preservation and impairment.
Person-centred dementia in acute settings
- Author:
- CHAMPION Elizabeth
- Journal article citation:
- Nursing Times, 110(37), 2014, pp.23-25.
- Publisher:
- Nursing Times
Introducing a dedicated dementia activities coordinator into an acute ward for older people improved patient care and reduced costs incurred in use of agency nurses. This article reports on the findings from a six-month pilot on an acute elderly care ward at Maidstone Hospital. The dedicated coordinator was able to provide activities that boosted patients' mobilisation also provided social and cognitive stimulation. The role also reduced the wards' reliance on agency staff to provide on-to-one care. Following the pilot the atmosphere on the ward had changed, staff morale improved, challenging behaviour on the ward has decreased and length of stay on the ward reduced. (Edited publisher abstract)
The relation between mood, activity, and interaction in long-term dementia care
- Authors:
- BEERENS Hanneke C., et al
- Journal article citation:
- Aging and Mental Health, 22(1), 2018, pp.26-32.
- Publisher:
- Taylor and Francis
Objective: The aim of the study is to identify the degree of association between mood, activity engagement, activity location, and social interaction during everyday life of people with dementia (PwD) living in long-term care facilities. Method: An observational study using momentary assessments was conducted. For all 115 participants, 84 momentary assessments of mood, engagement in activity, location during activity, and social interaction were carried out by a researcher using the tablet-based Maastricht Electronic Daily Life Observation-tool. Results: A total of 9660 momentary assessments were completed. The mean age of the 115 participants was 84 and most (75%) were women. A negative, neutral, or positive mood was recorded during 2%, 25%, and 73% of the observations, respectively. Positive mood was associated with engagement in activities, doing activities outside, and social interaction. The type of activity was less important for mood than the fact that PwD were engaged in an activity. Low mood was evident when PwD attempted to have social interaction but received no response. Conclusion: Fulfilling PwD's need for occupation and social interaction is consistent with a person-centred dementia care focus and should have priority in dementia care. (Publisher abstract)
“Wish we would have known that!” communication breakdown impedes person-centered care
- Authors:
- KOLANOWSKI Ann, et al
- Journal article citation:
- Gerontologist, 55, Supplement 1 2015, pp.S50-S60.
- Publisher:
- Oxford University Press
Purpose: To understand how nursing home staff obtain information needed for implementing person-centred care (PCC) to residents with dementia who exhibit behavioural and psychological symptoms of dementia (BPSD), and how they communicate this information to other staff. Barriers to PCC and information exchange were also explored. Design and Methods: Participants were 59 staff from two nursing homes. Focus group methodology captured discussions in eight 1-hr sessions. Sessions were audiotaped and transcribed. Data were analysed using qualitative content analysis to provide a comprehensive summary of real world context of implementing PCC. Results: To deliver PCC staff identified a need for access to psychosocial/medical history of the resident and knowledge of strategies families used for managing BPSD in the past. However, resident information is not routinely shared with all staff and written documentation systems for communicating resident-specific information do not support the time-pressured work pattern of certified nursing assistants (CNAs). Word-of-mouth was considered more reliable and expedient than educational sessions. CNAs described themselves as visual learners who prefer educational programs addressing individual resident emergent behaviours and programs that are scheduled at dedicated times. Implications: To improve PCC the flow of information exchange requires: inclusion of all staff, particularly CNAs; systems of communication that consider the time and resource constraints of nursing homes; development of educational programmes for BPSD that are responsive to staff learning styles; administrative investment in nursing leadership to effect these changes; and reimbursement approaches to encourage culture change investments. (Edited publisher abstract)