Use of Environmental Manipulation and Modified Informal Reality Orientation With Institutionalized, Confused Elderly Subjects: A Replication

Williams, Ray; Reeve, Wayne; Ivison, David; Kavanagh, David J.

doi:10.1093/ageing/16.5.315

Cited by 32 publications

(13 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Originalmente, el énfasis estaba centrado en administrar al paciente información a cualquier oportunidad. Más recientemente, se ha desarrollado una aproximación más ecológica en la que el staff responde directamente a las preguntas o dudas de los pacientes o les ayuda a descubrir las respuestas por ellos mismos 6,7 . Esta variante probablemente tenga menos riesgo de sobreestimulación para el paciente que cuando se le proporciona información que no es capaz de asimilar.…”

Section: Terapia De Orientación a La Realidadunclassified

Estimulación psicocognoscitiva en las demencias

Francés¹,

Barandiarán²,

Marcellán³

et al. 2003

Anales Sis San Navarra

View full text Add to dashboard Cite

RESUMENLa enfermedad de Alzheimer es un trastorno neurodegenerativo que provoca una progresiva pérdida de memoria y de otras funciones cognitivas, con síntomas también en la esfera conductual y psicológica, pérdida de autonomía y todo ello con una importante sobrecarga para la familia y el entorno social. El abordaje de este trastorno y de otras demencias afines requiere una estrategia multidimensional que pueda afrontar las diversas necesidades que plantea el enfermo y su familia. En ausencia de un tratamiento farmacológico curativo, a lo largo de los años, han ido surgiendo intervenciones psicososiales dirigidas a optimizar la función del enfermo y apoyar a la familia en su cuidado, técnicas muy diversas en cada uno de los ámbitos de intervención (cognitivo, conductual, ambiente, familiar). En esta revisión, hacemos una descripción de las intervenciones más estudiadas en el campo de la estimulación cognitiva, desde las aproximaciones más globales (terapia de orientación a la realidad, terapia de reminiscencia, programas de psicoestimulación) a las más específicas en el campo de la rehabilitación de la memoria (entrenamiento de memoria explícita, téc-nica de recuerdo demorado, difuminación, aprendizaje sin error, entrenamiento de memoria procedimental y empleo de ayudas externas), y se muestran los resultados de algunos estudios realizados siguiendo estas téc-nicas de intervención.Palabras clave. Enfermedad de Alzheimer. Demencia. Entrenamiento cognitivo. Psicoestimulación. Terapias no farmacológicas. ABSTRACTAlzheimer's disease is a neurodegenerative disorder that provokes a progressive loss of memory and of other cognitive functions, with additional symptoms in the behavioural and psychological sphere, loss of autonomy and an important overburdening for the family and the social milieu. Dealing with this disorder and other related dementias requires a multidimensional strategy that is able to face the different needs raised by the patient and his family. Given the lack of a curative pharmacological treatment, psychosocial interventions have emerged over the years that are directed at optimising the function of the patient and supporting the family in caring for him, with very different techniques in each of the spheres of intervention (cognitive, behavioural, environmental, family). In this review, we make a description of the interventions that have been most studied in the field of cognitive stimulation, from the most global approaches (reality orientation therapy, reminiscence therapy, psychostimulation programs) to the most specific ones in the field of memory rehabilitation (training of the explicit memory, technique of delayed remembrance, vagueness, errorfree learning, procedure training of the memory and the use of external help), and the results are shown of some studies carried out using these techniques of intervention.

show abstract

Section: Terapia De Orientación a La Realidadunclassified

Estimulación psicocognoscitiva en las demencias

Francés¹,

Barandiarán²,

Marcellán³

et al. 2003

Anales Sis San Navarra

View full text Add to dashboard Cite

show abstract

“…There is a substantial literature on reality orientation (RO) (see Holden and Woods, 1995, for a detailed review). Studies by Reeve and Ivison (1985) and Williams et al (1987) indicate that the introduction of a form of 24-hour RO was associated with improvements in general behavioural function as well as more speci®cally in ward orientation. More speci®c training appears to be needed to in¯uence behaviour and function.…”

Section: Continencementioning

confidence: 99%

Promoting well‐being and independence for people with dementia

Woods

1999

Int. J. Geriat. Psychiatry

View full text Add to dashboard Cite

This paper reviews the research evidence relating to non-pharmacological interventions with people with dementia aiming to improve well-being and independence. There have been a number of attempts to improve the person's level of independent functioning through programmes training and supporting self-care skills, mobility, continence, orientation and participation in activities. Well-being has been less often directly addressed, although recently studies have begun to specifically target aspects of it. Increased independence does not necessarily lead to greater well-being, and it is clear that the greatest potential for increasing function is in tackling the excess disability which many care giving situations in effect impose on the person with dementia. In carrying out research in this area, the limitations of randomized controlled trials are evident, and there is much to be said for the reporting of series of carefully controlled single-case studies in addition to group studies. Further development of methods of measuring well-being in people with dementia is also required.

show abstract

“…Both the more recent RO research literature (Baines, Saxby & Ehlert, 1987;Williams et al, 1987) and the literature on practice concepts (Davis & Kirkland, 1988;Edelson & Lyons, 1985;Fabiano, 1987;Holden & Woods, 1982;Judd, 1983;Zgola, 1987) reflect an evolution of the approach to reality orientation programming. For example, RO groups as described by Holden & Woods (1982) include meaningful activities, sensory rich experiences, music, structured reminiscence, familiar clues and structured socialization, and emphasize success experiences and adaptability of approach.…”

Section: Where Do We Go From Here?mentioning

confidence: 99%

“…For example, RO groups as described by Holden & Woods (1982) include meaningful activities, sensory rich experiences, music, structured reminiscence, familiar clues and structured socialization, and emphasize success experiences and adaptability of approach. The preliminary research on these groups (Baines, et al 1987;Williams, et al 1987) suggests that they positively affect not only verbal orientation, but also other functional behaviours such as communication and activities of daily living. This reformulated approach is taking hold especially in Britain and the conventional RO classroom "cookbook" approach is falling by the wayside.…”

Section: Where Do We Go From Here?mentioning

confidence: 99%

Reality Orientation Thirty Years Later: Are We Still Confused?

Bowlby¹

1991

Can J Occup Ther

View full text Add to dashboard Cite

Reality Orientation (RO) inte rvention represents the first significant attempt at rehabilitation programming for the disoriented, institutionalized elderly. Early anecdotal accounts reported sweeping positive effects. A first sign of hope for this severely disabled population, RO rapidly became widely implemented and continues to be a commonly accepted approach by numerous disciplines. However, careful examination of the research and clinical practice literature reveals many difficulties with the conventional RO classroom programme.Reliable research is limited and weakly suppo rts a modest, temporary gain in verbal orientation after involvement in conventional classroom RO. The actual significance of these gains for these severely disabled elderly persons and their caregivers is doubtful.Although not yet clearly articulated, other approaches (eg. sensory stimulation, environmental manipulation) and a reformulation of RO itself are showing promise of effecting a broader range of functional behaviours (eg. self-feeding). Orientation information presented for reassurance, not rearticulation, is proving to be both more nurturing for clients and more clinically significant.

show abstract

Use of Environmental Manipulation and Modified Informal Reality Orientation With Institutionalized, Confused Elderly Subjects: A Replication

Cited by 32 publications

References 0 publications

Estimulación psicocognoscitiva en las demencias

Estimulación psicocognoscitiva en las demencias

Promoting well‐being and independence for people with dementia

Reality Orientation Thirty Years Later: Are We Still Confused?

Contact Info

Product

Resources

About