Special acute care unit for older adults with Alzheimer's disease

Soto, María; Nourhashémi, Fati; Arbus, Christophe; Villars, H.; Balardy, L.; Andrieu, Sandrine; Vellas, Bruno

doi:10.1002/gps.1865

Cited by 22 publications

(12 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Hence, medications and the treatment environment in the WED might be effective for BPSD, especially relative to delusions and sleep disturbances. Regarding admission, Soto et al20 reported that the main cause of admission to a special acute care unit for elderly people with dementia was aggressiveness and that the frequencies of wandering and sleep disorders were high. Ono et al21 found that the major causes of admission to the WED were violence and wandering in men and wandering and care distress in women.…”

Section: Discussionmentioning

confidence: 99%

Treatment in a ward for elderly patients with dementia in Japan

Taniguchi¹,

Narumoto²,

Shibata³

et al. 2013

NDT

View full text Add to dashboard Cite

BackgroundJapan has become the world’s most aged country. The percentage of elderly people in Japan is estimated to reach 25.2% in 2013, and the number of patients with dementia is estimated to reach 2.5 million in 2015. In addition to its deterioration of physical function and activities of daily living (ADL), behavioral and psychological symptoms of dementia (BPSD) often become major clinical problems, greatly annoying patients and their caregivers. In Japan, we utilize wards for elderly patients with dementia (WEDs) for BPSD treatment. However, there are few studies investigating the effectiveness of treatment in a WED. In such treatment, physical complications are a challenge physicians must overcome while treating BPSD and safely returning patients home or to the institutions in which they live. Therefore, we investigated the effectiveness of treatment in a WED, focusing on physical complications.MethodsThe subjects were 88 patients who were admitted to and discharged from a WED. Severity of dementia, basic ADL, and BPSD were investigated using the Clinical Dementia Rating, Physical Self-Maintenance Scale (PSMS), and Neuropsychiatric Inventory. Differences in characteristics between patients discharged from the WED because of physical complications and all other patients were also examined.Results:We found significant improvements in the PSMS score and decreases in delusions and sleep disturbances in all patients. Patients discharged from the WED because of physical complications had significantly greater severity of dementia at discharge compared to all other patients.Conclusion:Treatment in a WED seems to be effective for BPSD and ADL, but care should be taken regarding physical complications, especially in patients with advanced dementia.

show abstract

Section: Discussionmentioning

confidence: 99%

Treatment in a ward for elderly patients with dementia in Japan

Taniguchi¹,

Narumoto²,

Shibata³

et al. 2013

NDT

View full text Add to dashboard Cite

show abstract

“…In these contexts, the presence of cognitive, behavioral, and emotional problems is very common, has a direct impact on the well-being of patients and caregivers and, although there has been considerable debate (Angelini et al, 2007), is at the basis of the extensive use of psychotropic drugs. Behavioral and emotional disturbances in people with cognitive impairment are in fact a very important issue in terms of human and financial costs and they have been the focus of several studies (e.g., Doody et al, 2001; Soto et al, 2008). …”

Section: Introductionmentioning

confidence: 99%

Can Doll therapy preserve or promote attachment in people with cognitive, behavioral, and emotional problems? A pilot study in institutionalized patients with dementia

et al. 2014

View full text Add to dashboard Cite

Doll therapy is a non-pharmacological intervention aimed at reducing behavioral and psychological disorders in institutionalized patients with dementia. This therapy as a care tool has been integrated into the context of long-term care institutions, in which the need to find solutions to cognitive, behavioral and emotional problems showed by people with dementia meets the primary objective of developing good care practices focusing on patients and their needs. In the present work we adopt the Bowlby’s theory of attachment to investigate the effectiveness of Doll therapy. The hypothesis that we here propose is that the emotional experience of the person with dementia during Doll therapy activates caregiving and exploration systems together with the attachment one. To test this hypothesis we compared institutionalized patients with dementia undergoing Doll therapy with a control group and assessed measures of the relational dimension with the environment, such as gaze direction, behaviors of exploration, and behaviors of caregiving. We used an experimental protocol consisting of 10 non-consecutive sessions structured with the goal of recreating a situation of (1) separation from a known figure and (2) interaction with the environment in order to partially recreate the prototypical phases of the “Strange situation.” All sessions were videotaped and analyzed through an observational grid. Results support the effectiveness of Doll therapy in promoting and maintaining the affective-relational dimension of attachment-caregiving and the attentive dimension of exploration in patients with advanced stage of dementia. Thus, our results suggest that the use of Doll therapy promotes clinically significant improvements in the ability to relate with the surrounding world. This may be important for managing and caring for patients with dementia in institutionalized context.

show abstract

“…the SACU functioned as usual (Soto et al, 2008). During year 1, the intervention was not implemented, that is.…”

Section: Methodsmentioning

confidence: 99%

“…This is a 20 beds short-stay geriatric unit with 12 behind a security sector, admitting an average of 500 patients a year for a mean length of stay of 10 days (Soto et al, 2008). This is a 20 beds short-stay geriatric unit with 12 behind a security sector, admitting an average of 500 patients a year for a mean length of stay of 10 days (Soto et al, 2008).…”

Section: Settingmentioning

confidence: 99%