Effect of music care on depression and behavioral problems in elderly people with dementia in Taiwan: a quasi-experimental, longitudinal study

Abstract.Objective: To implement an Occupational Therapy treatment in elderly people with dementia and frailtyMethod: A longitudinal study of a sample of 23 users, 14 women and 9 men aged between 71 and 92 is performed, the average age 84.66 years, users of a residence, presenting frailty and dementia. Carried out an initial assessment and final tests with Short Physical Performance Battery (SPPB) and Dementia Apathy Interview and Rating (DAIR), participants attend occupational therapy sessions.Statistical analysis: it was performed nonparametric Wilcoxon, Spearman correlation and Mann Whitney U test.Results: We observed that the levels of fragility do not improve, there is no relationship of age with frailty, the level of apathy does not decrease with the intervention, there is no difference in the score of apathy or fragility by sex.Conclusions: the results indicate a maintenance of vital functions on both scales, which can be considered beneficial when dealing with degenerative processes.Keywords: fragility, apathy, dementia of Alzheimer’s disease type, psychomotor activities.Resumen.Objetivo: Implementar un tratamiento de Terapia Ocupacional en personas mayores con demencia y fragilidadMétodo: Se realiza un estudio longitudinal sobre una muestra de 23 usuarios, 14 mujeres y 9 hombres con edades comprendidas entre 71 y 92, siendo la edad media 84.66 años, usuarios de una residencia, que presentan fragilidad y demencia. Se lleva a cabo una evaluación inicial y otra final con las pruebas Batería Corta del Desempeño Físico (SPPB) y Dementia Apathy Interview and Rating (DAIR), los participantes asisten a sesiones de Terapia Ocupacional.Análisis estadístico: se llevan a cabo pruebas no paramétricas de Wilcoxon, Correlación de Spearman y U de Mann Whitney.Resultados: se observa que los niveles de fragilidad no mejoran, que no hay relación de la edad con la fragilidad, el nivel de apatía no disminuye con la intervención, no existen diferencias en la puntuación de apatía ni fragilidad según el sexo.Conclusiones. los resultados indican un mantenimiento de las funciones vitales en ambas escalas, lo que se puede considerar beneficioso al tratarse de procesos degenerativos.Palabras clave: fragilidad, apatía, demencia tipo Alzhéimer, actividades psicomotrices.

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Midline fast waves in EEGs of elderly people with dementia

Electroencephalography and Clinical Neurophysiology ◽

10.1016/s0013-4694(97)88599-2 ◽

1997 ◽

Vol 103 (1) ◽

pp. 134

Author(s):

S Ichijoh

Keyword(s):

Elderly People ◽

People With Dementia ◽

Fast Waves

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Effectiveness of the Validation Method in Work Satisfaction and Motivation of Nursing Home Care Professionals: A Literature Review

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18010201 ◽

2020 ◽

Vol 18 (1) ◽

pp. 201

Author(s):

Iván Sánchez-Martínez ◽

Raül Vilar ◽

Javier Irujo ◽

Duna Ulsamer ◽

Dolors Cano ◽

...

Keyword(s):

Job Satisfaction ◽

Literature Review ◽

Older People ◽

Single Case ◽

Case Series ◽

Nursing Home Care ◽

Validation Method ◽

People With Dementia ◽

Cochrane Database ◽

Quasi Experimental

The purpose of this study was to carry out a literature review on the effectiveness of the validation method (VM) in job satisfaction and motivation of care professionals working with older people in nursing homes. The review was carried out in specialised databases: Scopus, PsychINFO, PubMed, Web of Science (WOS), Google Scholar, Scielo, and Cochrane Database of Systematic Reviews. 9046 results were obtained, out of which a total of 14 studies met the inclusion criteria: five quantitative, four qualitative, one single case series, two quasi-experimental and two mixed methods studies. The results of the analysed studies report that the VM can be an effective tool that facilitates communication and interaction in care, reducing levels of stress and job dissatisfaction among care professionals. The VM facilitates communication between professionals and older people with dementia, and improves the management of complex situations that may arise in care, directly influencing a reduction in work stress and increasing job satisfaction.

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Living at the farm, innovative nursing home care for people with dementia – study protocol of an observational longitudinal study

BMC Geriatrics ◽

10.1186/s12877-015-0141-x ◽

2015 ◽

Vol 15 (1) ◽

Cited By ~ 20

Author(s):

B. de Boer ◽

J.P.H. Hamers ◽

H.C. Beerens ◽

S.M.G. Zwakhalen ◽

F.E.S. Tan ◽

...

Keyword(s):

Nursing Home ◽

Longitudinal Study ◽

Home Care ◽

Study Protocol ◽

Nursing Home Care ◽

People With Dementia

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An evaluation of Cognitive Stimulation Therapy sessions for people with dementia and a concomitant support group for their carers

Dementia ◽

10.1177/1471301215626851 ◽

2016 ◽

Vol 16 (8) ◽

pp. 985-1003 ◽

Cited By ~ 4

Author(s):

Jan Bailey ◽

Paul Kingston ◽

Simon Alford ◽

Louise Taylor ◽

Edward Tolhurst

Keyword(s):

Support Groups ◽

Support Group ◽

Qualitative Data ◽

Cognitive Stimulation ◽

Structured Interviews ◽

Post Intervention ◽

Cognitive Stimulation Therapy ◽

People With Dementia ◽

Quasi Experimental ◽

The Impact

This research aimed to ascertain the impact of a pragmatic Cognitive Stimulation Therapy course of 10 sessions on the cognitive function of people living with dementia and whether attending a concomitant carers support group was beneficial to carers. A mixed method quasi-experimental approach was adopted; data were collected pre- and post-intervention. The quantitative arm utilised three validated questionnaires rated by the carers. Qualitative data were collected via semi-structured interviews with carers regarding their perceptions of the impact of Cognitive Stimulation Therapy and the carers support group. Quantitative data analysis found no statistically significant differences within or between groups. The qualitative data demonstrated that carers perceived Cognitive Stimulation Therapy had some benefits for the people living with dementia, especially social benefits. Carers also perceived that attending the carers support group was beneficial for them in terms of gaining a better understanding of dementia, developing coping skills and having peer support. The study was limited in scale and further research with a larger sample, using direct measures of the impact of Cognitive Stimulation Therapy with people living with dementia and supplementary research exploring which characteristic of carers support groups are effective would be worthwhile.

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Mortality in Dementia from 1996 to 2015: A National Registry-Based Cohort Study

Journal of Alzheimer s Disease ◽

10.3233/jad-200823 ◽

2021 ◽

Vol 79 (1) ◽

pp. 289-300

Author(s):

Lærke Taudorf ◽

Ane Nørgaard ◽

Gunhild Waldemar ◽

Thomas Munk Laursen

Keyword(s):

Elderly People ◽

Age Groups ◽

Mortality Rates ◽

Similar Rate ◽

National Registry ◽

Healthcare Data ◽

Appropriate Care ◽

People With Dementia ◽

Rate Ratios ◽

Annual Mortality

Background: It remains unclear whether the increased focus on improving healthcare and providing appropriate care for people with dementia has affected mortality. Objective: To assess survival and to conduct a time trend analysis of annual mortality rate ratios (MRR) of dementia based on healthcare data from an entire national population. Methods: We assessed survival and annual MRR in all residents of Denmark ≥65 years from 1996–2015 using longitudinal registry data on dementia status and demographics. For comparison, mortality and survival were calculated for acute ischemic heart disease (IHD) and cancer. Results: The population comprised 1,999,366 people (17,541,315 person years). There were 165,716 people (529,629 person years) registered with dementia, 131,321 of whom died. From 1996–2015, the age-adjusted MRR for dementia declined (women: 2.76 to 2.05; men: 3.10 to 1.99) at a similar rate to elderly people without dementia. The sex-, age-, and calendar-year-adjusted MRR was 2.91 (95%CI: 2.90–2.93) for people with dementia. MRR declined significantly more for acute IHD and cancer. In people with dementia, the five-year survival for most age-groups was at a similar level or lower as that for acute IHD and cancer. Conclusion: Although mortality rates declined over the 20-year period, MRR stayed higher for people with dementia, while the MRR gap, compared with elderly people without dementia, remained unchanged. For the comparison, during the same period, the MRR gap narrowed between people with and without acute IHD and cancer. Consequently, initiatives for improving health and decreasing mortality in dementia are still highly relevant.

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Older people dying with dementia: a nationwide study

International Psychogeriatrics ◽

10.1017/s1041610212000865 ◽

2012 ◽

Vol 24 (10) ◽

pp. 1581-1591 ◽

Cited By ~ 27

Author(s):

Koen Meeussen ◽

Lieve Van den Block ◽

Michael Echteld ◽

Nicole Boffin ◽

Johan Bilsen ◽

...

Keyword(s):

Older People ◽

End Of Life ◽

Elderly People ◽

Cognitive Abilities ◽

End Of Life Care ◽

Large Scale ◽

Care Home ◽

Life Care ◽

Early Palliative Care ◽

People With Dementia

ABSTRACTBackground: Large-scale nationwide data describing the end-of-life characteristics of older people with dementia are lacking. This paper describes the dying process and end-of-life care provided to elderly people with mild or severe dementia in Belgium. It compares with elderly people dying without dementia.Methods: A nationwide retrospective mortality study was conducted, via representative network of general practitioners (GPs) in 2008 in Belgium, with weekly registration of all deaths (aged ≥ 65) using a standardized form. GPs reported on diagnosis and severity of dementia, aspects of end-of-life care and communication, and on the last week of life in terms of symptoms that caused distress as judged by the GP, and the patients’ physical and cognitive abilities.Results: Thirty-one percent of our sample (1,108 deaths) had dementia (43% mildly, 57% severely). Of those, 26% died suddenly, 59% in care home, and 74% received palliative treatment, versus 37%, 19%, and 55% in people without dementia. GP–patient conversations were less frequent among those with (45%) than those without (73%) dementia, and 11% of both groups had a proxy decision-maker. During the last week of life, physical and psychological distress was common in both groups. Of older people with dementia, 83% were incapable of decision-making and 83% were bedridden; both significantly higher percentages than found in the group without dementia (24% and 52%).Conclusions: Several areas of end-of-life care provision could be improved. Early communication and exploration of wishes and appointment of proxy decision-makers are important components of an early palliative care approach which appears to be initiated too infrequently.

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