Monitoring Quality of Care for Nursing Home Residents With Behavioral and Psychological Symptoms Related to Dementia

ABSTRACTBackground:Non-pharmacological interventions for Behavioral and Psychological Symptoms of Dementia (BPSD) have been developed; however, a systematic review on the effectiveness of this type of intervention from a perspective of ergonomics is lacking. According to ergonomics, the capabilities of Persons with Dementia (PwD) should be considered in the interventions for the outcomes to be reliable. We aimed to systematically review the non-pharmacological interventions for BPSD in nursing home residents with an additional assessment criterion based on ergonomics, specifically, capability consideration.Methods:The electronic databases MEDLINE, EMBASE, and PsycINFO were searched for non-pharmacological interventions treating BPSD in nursing homes. The interventions were categorized according to the capabilities of PwD required to participate. Study quality was assessed by National Health and Medical Research Council (NHMRC) evidence hierarchy and the capability consideration.Results:Sixty-four clinical trials met the inclusion criteria; 41 trials reported a significant reduction in at least one BPSD symptom; 20 trials reported no significant reduction in BPSD symptoms; three trials reported adverse effects after the intervention. Interventions were categorized into sensory-, cognition-, and movement-oriented. Capabilities of PwD were not considered in 28 trials, especially for sensory capabilities.Conclusions:The majority of the clinical trials reported a significant reduction in BPSD. The quality of evidence for nonpharmacological interventions in these trials is low due to the lack of capability consideration, data inhomogeneity, and inadequate study design and reporting. Future studies should focus on improving the quality of evidence by including capability consideration and examining if a relationship between capability consideration and effectiveness of non-pharmacological interventions exists.

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Quality of Care for Florida Nursing Home Residents With Serious Mental Illness

PsycEXTRA Dataset ◽

10.1037/e533112007-001 ◽

2006 ◽

Author(s):

Kathy Hyer ◽

Christopher Johnson ◽

Victor A. Molinari ◽

Marion Becker

Keyword(s):

Mental Illness ◽

Nursing Home ◽

Quality Of Care ◽

Serious Mental Illness ◽

Nursing Home Residents

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Factors Relating to the Quality of Care for Nursing Home Residents in Korea: Using the Delphi Method

Journal of Korean Academy of Nursing ◽

10.4040/jkan.2019.49.6.783 ◽

2019 ◽

Vol 49 (6) ◽

pp. 783 ◽

Cited By ~ 2

Author(s):

Juh Hyun Shin ◽

Eun Mee Kim ◽

Ji Yeon Lee

Keyword(s):

Nursing Home ◽

Quality Of Care ◽

Delphi Method ◽

Nursing Home Residents

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Improving the Quality of Care of Long-Stay Nursing Home Residents in France

Journal of the American Geriatrics Society ◽

10.1111/jgs.13874 ◽

2016 ◽

Vol 64 (1) ◽

pp. 193-199 ◽

Cited By ~ 19

Author(s):

Yves Rolland ◽

Celine Mathieu ◽

Christine Piau ◽

Françoise Cayla ◽

Catherine Bouget ◽

...

Keyword(s):

Nursing Home ◽

Quality Of Care ◽

Nursing Home Residents

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Behavioral and Psychological Symptoms of Dementia: Physical Nonaggressive Agitation

International Psychogeriatrics ◽

10.1017/s104161020000689x ◽

2000 ◽

Vol 12 (S1) ◽

pp. 125-127 ◽

Cited By ~ 2

Author(s):

Martin Haupt

Keyword(s):

Quality Of Life ◽

Nursing Home ◽

Psychological Symptoms ◽

Institutional Care ◽

Nursing Home Admission ◽

Behavioral And Psychological Symptoms

Agitated behaviors occur frequently in patients with dementia. These behaviors affect the quality of life of the dementia sufferers and their caregivers. For example, these behaviors can greatly complicate everyday management in familiar surroundings and in institutional care, and they predict premature nursing home admission.

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Behavioral and Psychological Symptoms in Dementia in Nursing Home Residents: The Economic Implications

International Psychogeriatrics ◽

10.1017/s1041610200006761 ◽

2000 ◽

Vol 12 (S1) ◽

pp. 51-57 ◽

Cited By ~ 13

Author(s):

Judith A. O'Brien ◽

Lori A. Shomphe ◽

J. Jaime Caro

Keyword(s):

Nursing Home ◽

Caregiver Burden ◽

Behavioral Problems ◽

Sleep Disturbances ◽

Psychological Symptoms ◽

Violent Behavior ◽

Nursing Home Residents ◽

Level Of Care ◽

Economic Implications ◽

Behavioral And Psychological Symptoms

A variety of behavioral and psychological symptoms are inherent to dementia, such as delusional thinking, hallucinations, agitation, violent behavior, verbal outbursts, wandering, sleep disturbances, and sexually inappropriate behavior (Jackson et al., 1989; Reisberg et al., 1987; Teri et al., 1992; Yeager et al., 1995). Although opinions in the literature differ concerning behavioral problems and how they relate to caregiver burden and institutionalization (Martinson et al., 1995; Mega et al., 1996; Reisberg et al., 1987), this analysis focuses on their role in increasing the level of care once the patient is placed in permanent residential care.

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