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P4‐257: BPSD Nursing Care in Japan: A Review of the Literature
Author(s) -
Otsuka Shizuka,
Hamahata Akiko,
Komatsu Misa
Publication year - 2016
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.2016.06.2351
Subject(s) - dementia , dignity , reminiscence , medicine , confusion , massage , nursing homes , nursing care , nursing , narrative , psychiatry , psychology , alternative medicine , disease , linguistics , philosophy , pathology , political science , psychoanalysis , law , cognitive psychology
Background:The way elderly people with dementia are viewed in Japan changed in 2004. Since that time, nursing practices have emphasized greater respect for the dignity of the individual. Various approaches and methods from western countries have been introduced for nursing with people who have behavior disorders centered on behavioral and behavioral psychological symptoms of dementia (BPSD), and these methods are being used on trial basis to see what works. Nursing for older adults with dementia and BPSD who are hospitalized or live in a nursing home is currently in a state of confusion. We therefore conducted a review of the literature for a general view of nursing for older adults with dementia and BPSD. Methods: A narrative review was chosen as the approach, using an electronic search ICHUSHI (JapanMedical Abstracts Society), which is Japan’s biggest medical literature database, from 2005 to 2015. The full text of selected abstracts was obtained from the journal carrying the article. The literature on nursing was critically reviewed and results are presented as a narrative. Results:Of 56 articles, the subjects were psychiatric hospitals in 24 cases, general hospitals in 12 cases, older adult facilities in 11 cases, individuals’ homes is 2 cases, and other in 7 cases. The general topic was nursing activities in 39.3%, with modifications including touching, validation therapy, activity, hand massage, reminiscence therapy, dementia care mapping (DCM), progressive muscle relaxation, increased involvement time, and others. Of the articles, 14.3% were on the status of BPSD, 12.5% on inciting factors, 10.7% on understanding behavior, 8.9% on handling differences between professions, 7.1% on family support, and 7.1% on handling difficulties experienced by nurses. Conclusions: Nursing studies on BPSD in Japan have been done in psychiatric hospitals, general hospitals, and elderly care facilities, and covered a wide range of nursing settings for older adults with dementia. Nurses also attempted various different ways of dealing with BPSD, and made efforts to elucidate and understand the factors in their behavior.