Cargando…

A Novel Intervention for Management of Behavioral and Psychological Symptoms of Dementia in Nursing Home Communal Areas: Results of a Small-Scale Pilot Trial

BACKGROUND: Behavioral and psychological symptoms of dementia (BPSD) exhibited by persons with dementia (PwD) in nursing home communal areas are generally managed by segregation and/or pharmacological interventions. OBJECTIVE: This study trialed MindfulGarden (MG), a novel digital calming device, in...

Descripción completa

Detalles Bibliográficos
Autores principales: Gutman, Gloria, Vashisht, Avantika, Kaur, Taranjot, Karbakhsh, Mojgan, Churchill, Ryan, Moztarzadeh, Amir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: IOS Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8764626/
https://www.ncbi.nlm.nih.gov/pubmed/35088034
http://dx.doi.org/10.3233/ADR-210054
_version_ 1784634205743874048
author Gutman, Gloria
Vashisht, Avantika
Kaur, Taranjot
Karbakhsh, Mojgan
Churchill, Ryan
Moztarzadeh, Amir
author_facet Gutman, Gloria
Vashisht, Avantika
Kaur, Taranjot
Karbakhsh, Mojgan
Churchill, Ryan
Moztarzadeh, Amir
author_sort Gutman, Gloria
collection PubMed
description BACKGROUND: Behavioral and psychological symptoms of dementia (BPSD) exhibited by persons with dementia (PwD) in nursing home communal areas are generally managed by segregation and/or pharmacological interventions. OBJECTIVE: This study trialed MindfulGarden (MG), a novel digital calming device, in a Canadian nursing home. METHODS: Participants were 15 PwD (mean age = 87.67; 5m,10f; mean MMSE = 11.64±7.85). Each was observed by a research assistant (RA) for an average of 8–10 hours on two separate days. The RA followed them during time spent in communal areas of the nursing home including their unit’s dining space, lounges, and corridors and spaces shared with other units (e.g., gym and gift shop) and documented any BPSD exhibited. Day-1 provided baseline data; on Day-2, residents were exposed to MG if nursing staff considered their BPSD were sufficiently intense or sustained to warrant intervention. Staff rated the impact as positive, neutral, or negative. RESULTS: On Day-1, 9 participants exhibited both aggressive and non-aggressive behaviors, 4 non-aggressive behaviors only, and 2 no BPSD. On Day-2, 7 exhibiting aggressive behaviors were exposed to MG. Staff reported MG as having distracting/calming effects and gave positive impact ratings to 6/13 exposures; there were no negative ratings. The most common aggressive BPSD on days of observation were pushing/shoving and screaming. CONCLUSION: MG may have value as a “psychiatric crash cart” in de-escalating agitation and aggression in care home settings.
format Online
Article
Text
id pubmed-8764626
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher IOS Press
record_format MEDLINE/PubMed
spelling pubmed-87646262022-01-26 A Novel Intervention for Management of Behavioral and Psychological Symptoms of Dementia in Nursing Home Communal Areas: Results of a Small-Scale Pilot Trial Gutman, Gloria Vashisht, Avantika Kaur, Taranjot Karbakhsh, Mojgan Churchill, Ryan Moztarzadeh, Amir J Alzheimers Dis Rep Research Report BACKGROUND: Behavioral and psychological symptoms of dementia (BPSD) exhibited by persons with dementia (PwD) in nursing home communal areas are generally managed by segregation and/or pharmacological interventions. OBJECTIVE: This study trialed MindfulGarden (MG), a novel digital calming device, in a Canadian nursing home. METHODS: Participants were 15 PwD (mean age = 87.67; 5m,10f; mean MMSE = 11.64±7.85). Each was observed by a research assistant (RA) for an average of 8–10 hours on two separate days. The RA followed them during time spent in communal areas of the nursing home including their unit’s dining space, lounges, and corridors and spaces shared with other units (e.g., gym and gift shop) and documented any BPSD exhibited. Day-1 provided baseline data; on Day-2, residents were exposed to MG if nursing staff considered their BPSD were sufficiently intense or sustained to warrant intervention. Staff rated the impact as positive, neutral, or negative. RESULTS: On Day-1, 9 participants exhibited both aggressive and non-aggressive behaviors, 4 non-aggressive behaviors only, and 2 no BPSD. On Day-2, 7 exhibiting aggressive behaviors were exposed to MG. Staff reported MG as having distracting/calming effects and gave positive impact ratings to 6/13 exposures; there were no negative ratings. The most common aggressive BPSD on days of observation were pushing/shoving and screaming. CONCLUSION: MG may have value as a “psychiatric crash cart” in de-escalating agitation and aggression in care home settings. IOS Press 2021-12-09 /pmc/articles/PMC8764626/ /pubmed/35088034 http://dx.doi.org/10.3233/ADR-210054 Text en © 2021 – The authors. Published by IOS Press https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial (CC BY-NC 4.0) License (https://creativecommons.org/licenses/by-nc/4.0/) , which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Report
Gutman, Gloria
Vashisht, Avantika
Kaur, Taranjot
Karbakhsh, Mojgan
Churchill, Ryan
Moztarzadeh, Amir
A Novel Intervention for Management of Behavioral and Psychological Symptoms of Dementia in Nursing Home Communal Areas: Results of a Small-Scale Pilot Trial
title A Novel Intervention for Management of Behavioral and Psychological Symptoms of Dementia in Nursing Home Communal Areas: Results of a Small-Scale Pilot Trial
title_full A Novel Intervention for Management of Behavioral and Psychological Symptoms of Dementia in Nursing Home Communal Areas: Results of a Small-Scale Pilot Trial
title_fullStr A Novel Intervention for Management of Behavioral and Psychological Symptoms of Dementia in Nursing Home Communal Areas: Results of a Small-Scale Pilot Trial
title_full_unstemmed A Novel Intervention for Management of Behavioral and Psychological Symptoms of Dementia in Nursing Home Communal Areas: Results of a Small-Scale Pilot Trial
title_short A Novel Intervention for Management of Behavioral and Psychological Symptoms of Dementia in Nursing Home Communal Areas: Results of a Small-Scale Pilot Trial
title_sort novel intervention for management of behavioral and psychological symptoms of dementia in nursing home communal areas: results of a small-scale pilot trial
topic Research Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8764626/
https://www.ncbi.nlm.nih.gov/pubmed/35088034
http://dx.doi.org/10.3233/ADR-210054
work_keys_str_mv AT gutmangloria anovelinterventionformanagementofbehavioralandpsychologicalsymptomsofdementiainnursinghomecommunalareasresultsofasmallscalepilottrial
AT vashishtavantika anovelinterventionformanagementofbehavioralandpsychologicalsymptomsofdementiainnursinghomecommunalareasresultsofasmallscalepilottrial
AT kaurtaranjot anovelinterventionformanagementofbehavioralandpsychologicalsymptomsofdementiainnursinghomecommunalareasresultsofasmallscalepilottrial
AT karbakhshmojgan anovelinterventionformanagementofbehavioralandpsychologicalsymptomsofdementiainnursinghomecommunalareasresultsofasmallscalepilottrial
AT churchillryan anovelinterventionformanagementofbehavioralandpsychologicalsymptomsofdementiainnursinghomecommunalareasresultsofasmallscalepilottrial
AT moztarzadehamir anovelinterventionformanagementofbehavioralandpsychologicalsymptomsofdementiainnursinghomecommunalareasresultsofasmallscalepilottrial
AT gutmangloria novelinterventionformanagementofbehavioralandpsychologicalsymptomsofdementiainnursinghomecommunalareasresultsofasmallscalepilottrial
AT vashishtavantika novelinterventionformanagementofbehavioralandpsychologicalsymptomsofdementiainnursinghomecommunalareasresultsofasmallscalepilottrial
AT kaurtaranjot novelinterventionformanagementofbehavioralandpsychologicalsymptomsofdementiainnursinghomecommunalareasresultsofasmallscalepilottrial
AT karbakhshmojgan novelinterventionformanagementofbehavioralandpsychologicalsymptomsofdementiainnursinghomecommunalareasresultsofasmallscalepilottrial
AT churchillryan novelinterventionformanagementofbehavioralandpsychologicalsymptomsofdementiainnursinghomecommunalareasresultsofasmallscalepilottrial
AT moztarzadehamir novelinterventionformanagementofbehavioralandpsychologicalsymptomsofdementiainnursinghomecommunalareasresultsofasmallscalepilottrial