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P3‐229: Agitation reduction by music therapists and cnas
Author(s) -
Ray Kendra,
Maier Jan
Publication year - 2015
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.2015.06.1601
Subject(s) - music therapy , intervention (counseling) , dementia , psychological intervention , medicine , physical therapy , psychology , nursing , disease , pathology
Project Description: The management of behavioral problems in LTC is a complex issue requiring clinical practice guidelines to guide assessment and treatment. However, the most commonly referenced guidelines address in detail protocols for psychotropic medication which have serious side effects and can lead to death in elderly patients. The guidelines also lack behavioral interventions other than two main categories: redirection and distraction (Kong, Evans and Guevara 2010, Seitz et. al. 2012). These categories do not take into consideration the resident’s individual needs, ethnicity and cultural beliefs and the applicability to the environment. Seldom, if ever, is implementation issues such as staff education and buy-in mentioned in the guidelines. Providers must consider multiple factors when assessing and treating behavioral problems. The management of behavior is a complex issue that is influenced by the biology of the disease, the environment in which the resident resides, psychosocial factors, and the staff’s knowledge and expertise in managing the behavior. The purpose of this project was to develop a guideline with an understanding of the triggers of common behaviors, evidence-based non-pharmacological interventions that are behavior specific and ethnically appropriate, educational materials and models for staff, and techniques for staff buy-in. The guideline selected was one already developed by the author as her DNP project and the culturally specific material was added as part of a post-doc project along with updates to the original guideline.