Dementia Care and Occupational Therapy

Andrews, June

doi:10.4276/030802210x12706313443820

Cited by 3 publications

(2 citation statements)

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“…Current pharmacological treatment, whilst beneficial, has not provided wholly effective management of behavioural symptoms. A range of non-pharmacological strategies are often employed by health professionals, including occupational therapists (Andrews 2010), as an adjunct to medical management; however, there has been minimal rigorous evaluation of their effectiveness. Occupational therapists play a crucial role in dementia care and 'need to be able to describe a range of simple measures for carers to use and to be able to use the measures in his or her practice' (Andrews 2010, p143).…”

Section: Introductionmentioning

confidence: 99%

Managing Agitated Behaviour in People with Alzheimer's Disease: The Role of Live Music

Cox

Nowak

Buettner

2011

British Journal of Occupational Therapy

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Background: Agitation due to Alzheimer's disease (AD) presents a challenge to occupational therapists working in the older people care sector. Recently, background music and music therapy have emerged as promising tools in the management of agitation in AD. This exploratory study investigated whether live music could reduce agitated behaviour in people with AD. Method: A quasi-experimental one-group repeated measures design investigated the effect of a live, one-to-one, musical violin intervention on agitated behaviour in people with moderate-severe AD in a residential care facility. Seven participants received the musical intervention on three occasions. Participants were video recorded before, during and after each session. Behaviour was assessed by the investigator and a blinded assessor, using an investigator-modified Cohen-Mansfield Agitation Inventory. Thirty agitated behaviours were examined. Data were analysed using the Friedman test. Results: This intervention reduced agitated behaviour among participants. Significant reductions in pacing/aimless wandering (p = 0.023), performing repetitious mannerisms (p = 0.036) and general restlessness (p = 0.007) were observed. The total number of agitated behaviours decreased significantly (median 5 [range 2–8] behaviours before the intervention to 1 [range 0–4] during and 1 [range 0–5] after the intervention [p = 0.005]). Conclusion: Live music may be an effective strategy to reduce short-term agitated behaviour among people with AD.

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Section: Introductionmentioning

confidence: 99%

Managing Agitated Behaviour in People with Alzheimer's Disease: The Role of Live Music

Cox

Nowak

Buettner

2011

British Journal of Occupational Therapy

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“…The increased prevalence of people with dementia is creating significant demands in long-term care, where the role of occupational therapy has expanded (Warchol 2006, Andrews 2010). The medical model has permeated research and care of people with dementia (Lyman 1989) and considerable efforts have been undertaken to study the aetiology and impairments of Alzheimer's disease and related dementias (ADRD).…”

Section: Introductionmentioning

confidence: 99%

A Phenomenological Study of Volition in Everyday Occupations of Older People with Dementia

Raber

Teitelman

Watts

et al. 2010

British Journal of Occupational Therapy

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Aim: The aim of this study was to understand volition in people with moderate dementia. The study provided an in-depth description and analysis of volition in eight older people in a memory-support assisted living unit.Method: Guiding questions focused on understanding past life interests, demonstration of volition, volitional continuity, and the relationship among the social environment, volition and daily occupations. Data collection included participant observation, family and staff interviews, and the Volitional Questionnaire. The Mini-Mental State Examination provided a measure of cognitive impairment.Findings: Three interacting themes emerged: variation in volitional expression, redefining meaningful occupation and potency of the social environment. The participants differed in volitional expression, showed changes in continuity between past and present interests, and tended to modify their occupations to match their abilities.Conclusion: The participants' lived experiences consistently reflected dynamism between the social environment and the person in volitional expression.

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