Abstract:Objectives: To evaluate the benefits of TimeSlips, a group creative storytelling intervention used in residential care settings, on quality of life (QOL), interactions with caregivers, and Mini-Mental State Examination (MMSE) scores for persons with varying degrees of dementia severity. Design: A mixed-methods approach was used weekly over a 6-month period to measure QOL and resident-caregiver relationships. Setting: A dementia care unit in Pennsylvania. Participants: Twenty-two residents with mildto-severe de… Show more
“…These outcomes are related to a fact described in four of the selected articles, where participants found the space to reminisce about their lives, something that provided them with joy and happiness. Additionally, storytelling helped them socialize with others as they shared memories, even if it required making an effort ( Loizeau et al, 2015 ; Swinnen and De Medeiros, 2018 ; Vigliotti et al, 2019 ).…”
Museums and cultural institutions are increasingly striving to respond to the interests and needs of the society that hosts them. This means, apart from other actions, that these institutions must be involved in the health and wellbeing of society, and the creation of cultural activities aimed at people with cognitive impairment, a group of individuals that is growing worldwide due to the aging of society and the increasing prevalence of dementia. The involved sectors are aware of the potential and benefits of activities for this population, even though there is much research to be conducted. To date, no systematic review has focused on the benefits of cultural activities for cognitively impaired people. This study aimed to explore the benefits of different modalities of cultural activities with evidence from 145 studies from various databases, which met the inclusion criteria. Significant improvements in general cognition, quality of life (QoL), emotional wellbeing, socialization, and communication were generally reported after interventions, with a reduction in depression symptoms. There was not enough evidence to prove memory, language, or daily functioning improvements attributable to cultural interventions. There were no significant reductions reported in apathy, sadness, agitation, or anxiety.
“…These outcomes are related to a fact described in four of the selected articles, where participants found the space to reminisce about their lives, something that provided them with joy and happiness. Additionally, storytelling helped them socialize with others as they shared memories, even if it required making an effort ( Loizeau et al, 2015 ; Swinnen and De Medeiros, 2018 ; Vigliotti et al, 2019 ).…”
Museums and cultural institutions are increasingly striving to respond to the interests and needs of the society that hosts them. This means, apart from other actions, that these institutions must be involved in the health and wellbeing of society, and the creation of cultural activities aimed at people with cognitive impairment, a group of individuals that is growing worldwide due to the aging of society and the increasing prevalence of dementia. The involved sectors are aware of the potential and benefits of activities for this population, even though there is much research to be conducted. To date, no systematic review has focused on the benefits of cultural activities for cognitively impaired people. This study aimed to explore the benefits of different modalities of cultural activities with evidence from 145 studies from various databases, which met the inclusion criteria. Significant improvements in general cognition, quality of life (QoL), emotional wellbeing, socialization, and communication were generally reported after interventions, with a reduction in depression symptoms. There was not enough evidence to prove memory, language, or daily functioning improvements attributable to cultural interventions. There were no significant reductions reported in apathy, sadness, agitation, or anxiety.
“… 4 Story-sharing activities were shown to be effective in improving QOL in people with milder dementia in a memory care setting and less effective in people with severe dementia. 22 A systematic review and meta-analysis of social isolation and cognitive function in later life found that participation in social activities was significantly associated with improved cognitive outcomes. 14 …”
Section: Positive Effects Of Social Interactionmentioning
confidence: 99%
“…To achieve positive outcomes in addressing social isolation and loneliness in older adults, an individualized, patient-centered approach should be used when addressing social isolation and loneliness. 22 , 23 , 24 , 26 , 29 , 30 , 31 , 32 Older adults who actively participate in the creation and execution of goals, interventions, implementation, and evaluation have better outcomes. 27 , 28 , 33 Careful consideration should be paid to the participant’s limitations when creating interventions.…”
Section: Interventionsmentioning
confidence: 99%
“…In the age of social distancing, the use of technology is an increasingly popular option for improving social connectedness. Remote connections with family members satisfy the public health recommendation for social distancing by remotely connecting older adults with family and friends 26 via video conferencing 22 and the use of social media such as Facebook and Whatsapp. 26 , 35 Bzdok and Dunbar 2 reported that virtual face-to-face interaction is superior to nonvisual modes of communication, such as the telephone.…”
Hypertensive crises (HCs) are common occurrences and can result in immediate or delayed organ damage. Given the complex pathophysiological process associated with HCs, selecting the appropriate treatment can be a challenge. The goal of this report is to provide nurse practitioners with an up-to-date and evidencebased mnemonic tool to help effectively manage HCs. Using an alphabetized mnemonic provides nurse practitioners with quick recall into the treatment options of HCs. The ABCD mnemonic will cover antihypertensive drug classes such as Arterial/venous dilators, Beta (b)-blockers, Calcium channel blockers, and Diuretics.
“…This tool has been previously published and assessed in peer-reviewed publications (Heuer & Willer, 2020. ; Vigliotti et al, 2019). Figure 1.Average changes in perceived emotional support ( N = 12).…”
For people living with dementia and their care partners, a decline in the ability to effectively communicate can cause significant distress. However, in recent decades, the arts have emerged as an effective care modality in fostering communication and expression for those with declining verbal skills and memory loss. Opening Minds through Art (OMA) is a national initiative that empowers people living with dementia by facilitating creative expression and social engagement through art-making in partnership with trained college student volunteers. Research has demonstrated that participation in the program benefits quality of life for those living with dementia and also improves student attitudes toward dementia. To date, however, no research has involved primary care partners. We implemented an OMA program at three residential care homes in State College, Pennsylvania, with residents cocreating artwork alongside primary care partners (i.e., a family member or primary medical personnel) over the course of four art-making sessions. We evaluated the effects of participation on quality of life and care partner burnout through pre–post use of “emotional thermometers” (measuring levels of distress, anxiety, depression, anger, and perceived quality of life), the National Institute of Health NIH emotional support scale, and the NIH caregiver assessment (care partner burnout). For people living with dementia, participation significantly increased perceived quality of life while decreasing distress, anxiety, depression, and anger ( p < .01; n = 12) after each class; however, the intervention did not significantly impact perceived emotional support. For care partners, participation significantly lowered post-intervention measures of burnout and self-rated stress ( p < .01; n = 9). This preliminary study suggests that a structured art-based activity appears to positively impact acute mood for patients and, importantly, decrease care partner burnout. Future research can bring more robust methods to bear in determining how to use OMA and other arts interventions to optimize social support for people living with dementia and their care partners.
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