Managing behavioural and psychological symptoms in community dwelling older people with dementia:1. A systematic review of the effectiveness of interventions

© 2018 The Author(s) This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence CC BY 4.0 (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.Background: Two-thirds of people living with dementia live at home in the UK and many experience distressing behavioural and psychological symptoms. This systematic review evaluates the effectiveness of non-pharmacological interventions for behavioural and psychological symptoms among community-dwelling people living with dementia. Methods: This two-stage review undertook an initial mapping of the literature followed by a systematic review of relevant randomised controlled trials. We searched electronic databases for pertinent studies reporting outcomes from interventions from January 2000 to March 2015 and updated searches in October 2016. We included studies that considered behavioural and psychological symptom management for older people living with dementia who live at home and excluded studies conducted in long-term care settings. This paper presents findings from a narrative synthesis of 48 randomised controlled trials evaluating interventions for people living with dementia alone, family carers alone and patient-carer dyads. Results: We retrieved 17,871 de-duplicated records and screened them for potential inclusion. Evidence from 48 randomised controlled trials suggests that family carer training and educational programmes that target problem behaviours and potential triggers can improve outcomes. Nurses and occupational therapists appear to help people with dementia with behavioural and psychological symptoms, but professional comparisons are lacking and there is no shared language about or understanding of behavioural and psychological symptoms amongst professionals, or between professionals and family carers. Conclusions: Future research should focus on the effectiveness of components of multi-faceted programmes and their cost effectiveness and include qualitative data to better target interventions for behavioural and psychological symptoms. It is important to consider family carer readiness to use non-pharmacological strategies and to develop a shared language about the inherent needs and communications of behavioural and psychological symptoms.Peer reviewe

Nonpharmacological management of behavioral and psychological symptoms of dementia: what works, in what circumstances, and why?

Sherpa Romeo yellow journal. Open access article. Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0) appliesObjective: Behavioral and psychological symptoms of dementia (BPSD) refer to the often distressing, noncognitive symptoms of dementia. BPSD appear in up to 90% of persons with dementia and can cause serious complications. Reducing the use of antipsychotic medications to treat BPSD is an international priority. This review addresses the following questions: What nonpharmacological interventions work to manage BPSD? And, in what circumstances do they work and why? Method: A realist review was conducted to identify and explain the interactions among context, mechanism, and outcome. We searched electronic databases for empirical studies that reported a formal evaluation of nonpharmacological interventions to decrease BPSD. Results: Seventy-four articles met the inclusion criteria. Three mechanisms emerged as necessary for sustained effective outcomes: the caring environment, care skill development and maintenance, and individualization of care. We offer hypotheses about how different contexts account for the success, failure, or partial success of these mechanisms within the interventions. Discussion: Nonpharmacological interventions for BPSD should include consideration of both the physical and the social environment, ongoing education/training and support for care providers, and individualized approaches that promote self-determination and continued opportunities for meaning and purpose for persons with dementia

Alzheimer's disease - the role of nurses in patient care

Alzheimer's disease is the most common degenerative disorder of the brain resulting in dementia. It occurs most frequently among the elderly. This article presents the causes, effects and manner of developing the disease. Described above are the most important aspects of patient care. Particular attention was paid to the adaptation of housing, communication, rehabilitation, diet, forms of support for the patient and caregivers. Due to the nature of care they were also presented specific problems in health and the role of nurses has been determined

A comprehensive program plan for providing therapeutic recreation services in a private practice setting

The purpose of this project was to create a comprehensive program plan and operations manual as an example of a private practice in therapeutic recreation. One goal was to provide a fresh approach to therapeutic recreation, one that embraces a strengths-based paradigm in a holistic environment nurturing the six domains of well-being and the aspirations of individuals served. To operationalize this goal, a thorough review of literature was undertaken and reported on; theoretical foundations and practice models were explored and selected; guiding principles, goals, and objectives were identified; a comprehensive program plan as well as specific intervention plans were created; target populations were identified based on a needs assessment; and best business practices were determined. The outcome is a private practice model that serves as a blueprint for other practitioners to expand upon or reformulate to implement a therapeutic recreation practice. InnerVision Therapeutic Leisure Services and Wellness Coaching, LLC is the end-product of this project. The Operations Manual highlights three specific intervention protocols: Body Luv!, Optimize!, and RetireEase! Also included are protocols for referrals, intake, assessment, planning, implementation, completion, documentation, evaluation, staffing,budgeting, financing, risk management, marketing, and business structure

Atkinson town report, 1981.

This is an annual report containing vital statistics for a town/city in the state of New Hampshire

Managing behavioural and psychological symptoms in people with dementia and their carers living at home/community- A mixed methods evidence synthesis for non-pharmacological interventions

Plain English Summary Background Two-thirds of people with dementia live at home and many experience distressing symptoms such as aggression, wandering, agitation, emotional problems, known as behavioural and psychological symptoms of dementia (BPSD), which result in poor outcomes. We aimed to combine evidence from various sources to find out what types of non-drug based interventions might be helpful for people with dementia and their carers. We also conducted focus groups (FG) and interviews with service users and providers around managing BPSD

Salem, New Hampshire annual report 1977.

This is an annual report containing vital statistics for a town/city in the state of New Hampshire

Spartan Daily, October 29, 1979

Volume 73, Issue 39https://scholarworks.sjsu.edu/spartandaily/6537/thumbnail.jp

The Relationships between Licensed Vocational Nurses\u27 Care, Documentation, and Perceptions of Dementia-Compromised Behaviors in the Nursing Home

Behavioral and psychological symptoms of dementia increase as Alzheimer\u27s disease and related dementias progress; these symptoms occur in as many as 80% of persons with dementia living in nursing homes. Behavioral and psychological symptoms of dementia, also known as dementia-compromised behaviors, are a source of stress for nursing home staff, family members, and other residents and adversely affect the quality of life and safety of residents. Ethnonursing, a qualitative research method, was used to examine the relationship between licensed vocational nurses\u27 responses to dementia-compromised behaviors, documentation, and perceptions of dementia care. Data analysis resulted in three overarching themes related to the licensed vocational nurse caring for persons with dementia residing in the nursing home who exhibit dementia-compromised behavior: (a) the resident with dementia; (b) the licensed vocational nurse; and (c) documentation of dementia-related behaviors. Licensed vocational nurses provided safe and effective care to persons with dementia residing in nursing homes. However, results of this study supported findings from previous research; while the licensed vocational nurses translated theory into practice, knowledge and practice were inconsistent in their documentation