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Design of two studies on non‐pharmacological interventions to reduce agitated behaviours in persons with dementia
Author(s) -
Ploeg E.,
Eppingstall B.,
Griffith J.,
O'Connor D.
Publication year - 2009
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2009.07.034
Subject(s) - dementia , psychological intervention , medicine , psychomotor agitation , aromatherapy , intervention (counseling) , aggression , psychiatry , randomized controlled trial , psychology , alternative medicine , disease , pathology , surgery
pital setting to meet the unique needs of inpatients with memory loss and thinking difficulties. The process is simple and engages carers as active contributors to person-centered care for individuals with disabling conditions such as dementia, sensory impairment, and communication difficulties. Methods: Data sourced from carer stories showed carers were frustrated with healthcare experiences because their knowledge of the unique needs of the person they care for was often overlooked or discounted by staff. Many carers advised that when their expertise was sought, it was not effectively communicated to others. Staff reported difficulties in managing unsettled behaviors of confused patients and were keen to avoid the risk of adverse outcomes. Carer understanding of the person, their behaviors, and patterns of communication was seen as pivotal information for health professionals. Results: A pilot project demonstrated significant improvement in the experiences of patients, carers, and staff. Patients were noted to have a ‘‘quicker recovery,’’ had ‘‘less agitation, frustration and distress’’ and ‘‘more effective communication’’ and ‘‘increased ability to relate.’’ Staff reported a positive increase in their comfort and confidence in working and communication with inpatients with confusion. Carers reported that staff appeared to have an increased awareness of their role as carer and sought and acknowledged their advice. Conclusions: Rolling out Top 5 as a practice improvement initiative in the acute care setting has required the development of resources, an algorithm, staff training, consultations with carers and carer groups, and ongoing evaluation.