Effects of a Multi-Strategy Program Upon Elderly with Organic Brain Syndrome

Reichenbach, Velma Russ; Kirchman, Margaret

doi:10.1080/j148v09n03_11

Cited by 10 publications

(3 citation statements)

References 5 publications

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“…121 Multistrategy group therapies including reality orientation, remotivation, sensory stimulation and integration, reminiscence, and exercises improved activities of daily living. 122,123 Conclusions. Two Class I studies show that behavior modification, scheduled toileting, and prompted voiding can reduce urinary incontinence.…”

Section: Do Nonpharmacologic Interventions Other Than Education Impromentioning

confidence: 98%

Practice parameter: Management of dementia (an evidence-based review) [RETIRED]

et al. 2001

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Article abstract-Objective: To define and investigate key issues in the management of dementia and to make literaturebased treatment recommendations. Methods: The authors searched the literature for four clinical questions: 1) Does pharmacotherapy for cognitive symptoms improve outcomes in patients with dementia? 2) Does pharmacotherapy for noncognitive symptoms improve outcomes in patients with dementia? 3) Do educational interventions improve outcomes in patients and/or caregivers? 4) Do other nonpharmacologic interventions improve outcomes in patients and/or caregivers? Results: Cholinesterase inhibitors benefit patients with AD (Standard), although the average benefit appears small; vitamin E likely delays the time to clinical worsening (Guideline); selegiline, other antioxidants, antiinflammatories, and estrogen require further study. Antipsychotics are effective for agitation or psychosis in patients with dementia where environmental manipulation fails (Standard), and antidepressants are effective in depressed patients with dementia (Guideline). Educational programs should be offered to family caregivers to improve caregiver satisfaction and to delay the time to nursing home placement (Guideline). Staff of long-term care facilities should also be educated about AD to minimize the unnecessary use of antipsychotic medications (Guideline). Behavior modification, scheduled toileting, and prompted voiding reduce urinary incontinence (Standard). Functional independence can be increased by graded assistance, skills practice, and positive reinforcement (Guideline).

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Section: Do Nonpharmacologic Interventions Other Than Education Impromentioning

confidence: 98%

Practice parameter: Management of dementia (an evidence-based review) [RETIRED]

et al. 2001

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“…Traditional approaches such as reminiscence therapy and sensory stimulation attempt to abate cognitive declines and provide activities that will reduce behavioral symptomatology among demented adults (Burnside, 1986;Reichenbach & Kirchman, 1991;Paire & Karney, 1984). Although these therapies use a variety of materials that stimulate visual and auditory systems, they also incorporate aspects of olfactory stimuli as part of their techniques.…”

Section: Olfactory Activities and Interventionsmentioning

confidence: 99%

Implications of Olfactory Stimulation in Activities for Adults with Age-Related Dementia

Vance

2003

Activities, Adaptation & Aging

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Group interventions for adults with age-related dementia often utilize olfactory stimulation. The olfactory component is used in reality orientation, reminiscence therapy, and evolving activities and treatments. Contrary to its use, numerous neurological studies show cell death in the olfactory bulb and perception studies indicate that adults with Alzheimer's disease and related dementia perform poorly on tests of smell detection and identification. Therefore, current approaches that use olfactory stimulation for adults with dementia must be reexamined to determine their value in both group and individual activity therapy.

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“…Finalement, l'approche de groupe, en plus d'optimiser l'utilisation du temps du thérapeute, permet de faire bénéficier les participants de l'interaction avec des personnes ayant des déficits semblables (Wilson & Moffat, 1992) Différents programmes thérapeutiques de groupe sont utilisés auprès de la clientèle avec troubles cognitifs aux différents stades de leur évolution (orientation à la réalité, réminiscence, validation, stimulation et intégration sensorielles, exercices physiques, musicothérapie, activités intergénérationnelles, jeux cognitifs., programme multistratégique...) Les objectifs d'intervention et la clientèle visés déterminent le type de programme à privilégier. À la suite d'une recension des écrits sur les différents programmes d'interventions de groupe (Beisgen, 1989;Butler, 1963;Elsayed, Isamaiel & Young, 1980;Quayhagen, Quayhagen, Corbeil, Roth & Rogers, 1995;Robichaud, Hébert & Desrosiers, 1994), un programme multi-stratégique (Reichenbach & Kirchman, 1991) probable que la pratique intensive de tâches reliées au quotidien (Rubinstein, 1996) puisse être bénéfique à une clientèle avec déficits légers, nous avons ajouté des tâches plus écologiques. Un document décrivant plus en détails le programme est disponible auprès des auteurs du présent article.…”

Section: Résuméunclassified