scholarly journals Virtual Reality Based Interventions Among People With Dementia: Applications and Health-Related Outcomes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 197-198
Author(s):  
Yu-Ping Chang ◽  
Yanjun Zhou ◽  
Hanbin Zhang
Keyword(s):  
Virtual Reality ◽  
Controlled Trial ◽  
Diagnostic Process ◽  
Future Research ◽  
Term Care ◽  
People With Dementia ◽  
Health Related ◽  
Virtual Reality Exposure ◽  
Improve Health

Abstract The use of virtual reality (VR) technology to improve health among older adults has been receiving increased attention. VR technology has many applications and can produce benefits for people with various medical conditions such as symptom reduction or improving the diagnostic process. Despite the increase in the number of research studies of VR technology, little is known about how it has been used to improve health-related outcomes among people with dementia. This systematic review aimed to synthesize research evidence regarding the scope and impact of VR based interventions among people with dementia. Five databases, CINAHL, Embase, PsychINFO, PudMed, and Web of Science were searched to identify studies leveraging VR to facilitate interventions designed for people with dementia. Multiple keywords were used in combination including: dementia, Alzheimer’s, VR, virtual reality, and Virtual Reality Exposure Therapy. Articles were screened if they were published between 2000 through 2020. Fifteen studies met the criteria, with ten utilizing a randomized controlled trial. The VR based interventions in those studies included virtual physical exercises, virtual forests or natural landscapes, and virtual basic living activities. The results of these studies show that VR as a display medium can greatly improve decision-making, hearing, vision, motor ability, and memory in people with dementia residing either in the community or in long term care settings. Our review demonstrated that VR showed positive benefits through various applications for people with dementia. Future research is needed to make VR interventions more customized toward effectively meeting the needs of people with dementia.

scholarly journals A Comparison of Long-Term Care Use by Community-Dwelling Older Adults With and Without Dementia

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 349-349
Author(s):  
Ya-Mei Chen ◽  
Kuo-Piao Chung ◽  
Hsiu-Hsi Chen ◽  
Yen-Po Yeh ◽  
Yuchi Young
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Community Dwelling ◽  
Term Care ◽  
Related Services ◽  
People With Dementia ◽  
Centered Care ◽  
Health Related ◽  
Community Dwelling Older Adults

Abstract Introduction. This study compares long-term care (LTC) use among community-dwelling older adults with and without dementia. Methods. Participants (n=14,483) were aged 65+ residents of Changhua County, Taiwan who qualified for LTC services. Data were collected (4/1/2017-10/26/2018) through health assessments. Multivariate logistic regression quantifies the study aim. Results. Preliminary results show that on average participants with dementia are older than people without dementia (81.1 vs. 80.5; p<.001), more females (13.4% vs. 8.0%; p<.001), higher mean ADL (12,4 vs. 9.8; p< .001) and IADL (21.4 vs. 17.8; p<.001), and lower mean comorbidity (2.5 vs. 2.8; p<.001). Multivariate regression results indicate people with dementia use twice the health-related LTC services than their counterpart (OR= 2.0; 95% CI 1.90–2.14). Discussion. People with dementia use more health-related LTC services. Future dementia studies should examine the pattern of non-health-related LTC services concomitant with health-related services, so that person-centered care can be tailored to foster aging-in-community.

scholarly journals Supportive care for older people with dementia: socio-organisational implications

2020 ◽  
pp. 1-33
Author(s):  
Francesco Miele ◽  
Federico Neresini ◽  
Giovanni Boniolo ◽  
Omar Paccagnella
Keyword(s):  
Supportive Care ◽  
Dementia Care ◽  
Future Research ◽  
Cultural Backgrounds ◽  
Term Care ◽  
Care Givers ◽  
People With Dementia ◽  
Depth Analysis

Abstract For many years, dementia care has been dominated by the standard medical approach, in which dementia is treated mainly with drugs, such as anti-anxiety, antidepressant and anti-psychotic medications. With the aim of seeking effective treatments for patients with dementia, over the last years, several contributions have criticised the pervasive use of drugs for the management of behavioural and physiological symptoms related to dementia, proposing personalised interventions aimed at supporting patients and their relatives from diagnosis until death. With particular reference to long-term settings, in this work, we aim at understanding the organisational implications of three types of interventions (labelled supportive care interventions – SCIs) that have characterised this shift in dementia care: person-centred, palliative and multi-disciplinary care. Conducted by following the integrative review method, our review underlines how SCIs have controversial consequences on the quality of care, the care-givers’ quality of life and cultural backgrounds. After an in-depth analysis of selected papers, we offer some considerations about the implications of SCIs for long-term care organisations and future research directions.

scholarly journals Components of palliative care interventions addressing the needs of people with dementia living in long-term care: A systematic review

2020 ◽  
Vol 34 (4) ◽  
pp. 454-492
Author(s):  
Slavica Kochovska ◽  
Maja V Garcia ◽  
Frances Bunn ◽  
Claire Goodman ◽  
Tim Luckett ◽  
...  
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
European Association ◽  
Long Term Care ◽  
White Paper ◽  
Future Research ◽  
Term Care ◽  
People With Dementia ◽  
Almost All

Background: People with dementia requiring palliative care have multiple needs, which are amplified in long-term care settings. The European Association for Palliative Care White Paper offers recommendations for optimal palliative care in dementia integral for this population, providing useful guidance to inform interventions addressing their specific needs. Aim: The aim of this study is to describe the components of palliative care interventions for people with dementia in long-term care focusing on shared decision-making and examine their alignment to the European Association for Palliative Care domains of care. Design: Systematic review with narrative synthesis (PROSPERO ID: CRD42018095649). Data sources: Four databases (MEDLINE, CINAHL, PsycINFO and CENTRAL) were searched (earliest records – July 2019) for peer-reviewed articles and protocols in English, reporting on palliative care interventions for people with dementia in long-term care, addressing European Association for Palliative Care Domains 2 (person-centred) or 3 (setting care goals) and ⩾1 other domain. Results: Fifty-one papers were included, reporting on 32 studies. For each domain (1–10), there were interventions found aiming to address its goal, although no single intervention addressed all domains. Domain 7 (symptom management; n = 19), 6 (avoiding overly aggressive treatment; n = 18) and 10 (education; n = 17) were the most commonly addressed; Domain 5 (prognostication; n = 7) and 4 (continuity of care; n = 2) were the least addressed. Conclusion: Almost all domains were addressed across all interventions currently offered for this population to various degrees, but not within a singular intervention. Future research optimally needs to be theory driven when developing dementia-specific interventions at the end of life, with the European Association for Palliative Care domains serving as a foundation to inform the best care for this population.

scholarly journals “It Makes You Feel That You Are There”: Exploring the Acceptability of Virtual Reality Nature Environments for People with Memory Loss

Geriatrics ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 27
Author(s):  
Noreen Orr ◽  
Nicola L. Yeo ◽  
Sarah G. Dean ◽  
Mathew P. White ◽  
Ruth Garside
Keyword(s):  
Virtual Reality ◽  
Long Term Care ◽  
Memory Loss ◽  
Lessons Learned ◽  
Framework Analysis ◽  
Term Care ◽  
People With Dementia ◽  
Future Work ◽  
With Memory

Aim: To report on the acceptability of virtual reality (VR) nature environments for people with memory loss at memory cafes, and explore the experiences and perceptions of carers and staff. Methods: A qualitative study was conducted between January and March 2019. Ten adults with memory loss, eight carers and six volunteer staff were recruited from two memory cafes, located in Cornwall, UK. There were 19 VR sessions which were audio recorded and all participants were interviewed at the end of the sessions. Framework analysis was used to identify patterns and themes in the data. Results: During the VR experience, participants were engaged to varying degrees, with engagement facilitated by the researcher, and in some cases, with the help of a carer. Participants responded positively to the nature scenes, finding them soothing and evoking memories. The VR experience was positive; many felt immersed in nature and saw it as an opportunity to ‘go somewhere’. However, it was not always positive and for a few, it could be ‘strange’. Participants reflected on their experience of the VR equipment, and volunteer staff and carers also shared their perceptions of VR for people with dementia in long-term care settings. Conclusions: The VR nature experience was an opportunity for people with memory loss to be immersed in nature and offered the potential to enhance their quality of life. Future work should build on lessons learned and continue to work with people with dementia in developing and implementing VR technology in long-term care settings.

scholarly journals at home” for people with dementia in care environments.

2021 ◽  
Vol 14 (27) ◽  
pp. 133-142
Author(s):  
Jing Chen ◽  
Silvia Maria Gramegna ◽  
Alessandro Biamonti
Keyword(s):  
Built Environment ◽  
Future Research ◽  
Design Strategies ◽  
Term Care ◽  
Research Through Design ◽  
People With Dementia ◽  
Scientific Epistemology ◽  
Feeling At Home ◽  
At Home

This review summarises the challenges of applying evidence that built environment factors contribute to people with dementia feeling at home in long-term care institutions. Eighteen reviewed publications are classified into research-focused and practice-focused study. Research-focused studies from scientific epistemology focus on physical environment aspects that influence residents feeling at home in the care institution. Design-focused studies develop specific design strategies based on evidence from research-focused studies. However, there are limitations in transforming research evidence into design practice due to a mismatched knowledge foundation. Future research should consider standing on design epistemology to gain new insights which reflect built environment contributions to the sense of home for people with dementia living in care institutions by Research through Design approach.

From wandering to wayfaring: Reconsidering movement in people with dementia in long-term care

Dementia ◽  
2015 ◽  
Vol 16 (6) ◽  
pp. 732-749 ◽  
Author(s):  
Megan E Graham
Keyword(s):  
Social Construction ◽  
Long Term Care ◽  
Dementia Care ◽  
Future Research ◽  
Term Care ◽  
People With Dementia ◽  
The Social ◽  
Risk Discourse

The movement of people with dementia in long-term care continues to be an issue of concern among clinicians, caregivers and families. This article will examine the social construction “wandering” and its association with pathology, risk discourse and surveillance technologies. Further, the article will explore the recent shift from the term “wanderer” to the phrase “people who like to walk” in person-centred dementia care. Engaging with Ingold’s concept of movement as wayfaring, an alternative becoming-centred understanding of movement and its significance for people with dementia will be presented and illustrated through a case study. The paper concludes that depathologizing movement opens the possibility to see movement in people with dementia as an intention to be alive and to grow, rather than as a product of disease and deterioration. Suggestions for future research and implications for care interventions are discussed.

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