Research on treating neuropsychiatric symptoms of advanced dementia with non-pharmacological strategies, 1998–2008: a systematic literature review

Kverno, Karan; Black, Betty S.; Nolan, Marie T.; Rabins, Peter V.

doi:10.1017/s1041610209990196

Cited by 114 publications

(93 citation statements)

References 40 publications

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“…This finding is in keeping with other studies [8,40,41] . It is proposed that family participation results in more individualised, or tailored care for people with dementia, with needs and preferences better identified and meaning attributed to various behaviours.…”

Section: Discussionsupporting

confidence: 94%

Reducing the use of antipsychotics in dementia care through staff education and family participation

Ervin

Cross

Koschel

2012

JNEP

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Background: The widespread use of antipsychotic medication to treat the behavioural and psychological symptoms of dementia in residential aged care facilities is a world wide concern. Despite evidence of the numerous adverse effects of antipsychotic drugs, and the efficacy of non-pharmacological approaches, prescription rates are increasing in aged care. Methods:This controlled before and after study aimed to investigate if an education intervention with family participation in dementia care improved the use of antipsychotic drugs. Antipsychotic use was measured by audit of residents' clinical records. Three similar rural residential aged care facilities (RACF's) participated in the study. At site 1 and 2 staff undertook training in dementia care using an on-line learning tool and peer reviewed literature on the use of antipsychotic drugs in dementia. Additionally, family members participated in 'resident life story telling' at site 2. Site 3 acted as the control.Results: At sites 1 and 2, twenty five staff (25%) volunteered to participate in training. No training was provided at the control site. Across the three sites 47 residents had a clinical diagnosis of dementia with 30 of this group prescribed antipsychotic medication at baseline. At the intervention sites the use of antipsychotic medication reduced from 85% to 69% at site 1 and from 50% to 38% at site 2. At the control site medication use increased from 61% from 69%. Conclusion:Dementia education for staff, especially with family participation in resident life story telling, may reduce antipsychotic medication use in residential aged care. Additionally, positive clinical implications such as reduction in falls were observed. The encouraging findings of this small study support further investigation in a larger sample.

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Section: Discussionsupporting

confidence: 94%

Reducing the use of antipsychotics in dementia care through staff education and family participation

Ervin

Cross

Koschel

2012

JNEP

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“…Though, these non-pharmacological treatments have been suggested and are employed by family and professional care-givers. [10][11][12][13][14] Morning care is a common nursing situation in which PWDs experience frustration with their caregivers as a result of poor communication. The morning care situations are often lead by the caregivers with verbal instructions, including questions, information or requests about the dressing procedure.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of communication behavior in persons with dementia during caregivers’ singing

et al. 2011

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“…Dementia is a life-limiting disease and is characterized by a progressive loss of cognitive and social functions, difficulties with communication and the ability to perform activities of daily living [1,2,3,4]. Progression of the disease results in residents requiring total care and limits the possibility to benefit from interventions that are targeted at persons with mild or moderate stages of dementia [5,6]. In addition, as dementia progresses, satisfactory quality of life becomes a more important goal than prolonging life [2,4].…”

Section: Introductionmentioning

confidence: 99%

The Impact of Individualized Interaction on the Quality of Life of Elderly Dependent on Care as a Result of Dementia: A Study with a Pre-Post Design

Vocht

Hoogeboom

Niekerk³

et al. 2015

Dement Geriatr Cogn Disord

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Background: The aim was to assess the impact of a one-to-one 30-min individualized interaction per day on the behavior and quality of life of care-dependent residents with dementia. Methods: In apre-/post-test study, 15 care-dependent residents with dementia (mean age 88.8 years, 86.7% women) were included. Resident behavior was measured using video observation and quality of life using Qualidem. Health care professionals (n = 13) and direct relatives (n = 4) were interviewed about the effect of the intervention. The effect of the intervention was analyzed using the Friedman analysis of variance. Results: The video observation showed that maintaining eye contact, touching, responding to speaking, tracking observable stimuli and asking questions about the activity significantly increased during the intervention. These findings were supported by interviews with nurses who described experiences of making human-to-human contact with the residents. No significant overall changes were found in quality of life. These findings were partially supported by interviews with health care professionals and relatives as some perceived effects beyond the 30-min intervention. Conclusions: Interaction offered on a one-to-one basis tailored to individual preferences significantly improved positive interactive behavior of care-dependent residents with dementia during the intervention. Surveys revealed no significant overall effect of the intervention. The interviews indicated there might be effects beyond the intervention for some residents.

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Research on treating neuropsychiatric symptoms of advanced dementia with non-pharmacological strategies, 1998–2008: a systematic literature review

Cited by 114 publications

References 40 publications

Reducing the use of antipsychotics in dementia care through staff education and family participation

Reducing the use of antipsychotics in dementia care through staff education and family participation

Evaluation of communication behavior in persons with dementia during caregivers’ singing

The Impact of Individualized Interaction on the Quality of Life of Elderly Dependent on Care as a Result of Dementia: A Study with a Pre-Post Design

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