Virtual Reality Experience In Long Term Care Resident Older Adults With Dementia: A Case Series

2020 ◽  
Author(s):  
Munira Sultana ◽  
Karen Campbell ◽  
Morgan Jennings ◽  
Manuel Montero-Odasso ◽  
Joseph. B. Orange ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Long Term Care ◽  
Case Series ◽  
Adherence Rate ◽  
Observation System ◽  
Measuring Instruments ◽  
Global Rating ◽  
Term Care ◽  
Convenience Sample

Abstract BACKGROUND: Behavioural and psychological symptoms of dementia (BPSD) worsens as dementia progresses, intensifies caregiver distress and consequent institutionalization. We wanted to evaluate feasibility of Virtual Reality (VR) as non-pharmacologic intervention for BPSD in a Long-Term Care (LTC) home. METHODS: A single site (Henley Place at London, Ontario) case series with a convenience sample (24 older adult residents with moderate to severe dementia). Intervention was 30 minutes of VR experience with Broomx©, five days a week for two weeks. BPSD was measured with Cornell Scale for Depression in Dementia (CSDD), Cohen-Mansfield Agitation Inventory (CMAI) scale, Dementia Observation System (DOS) scale, and proportion of night-time sleep. We validated selected tools with Global Rating of Change (GRC) scale. RESULTS: Implementing VR experience was possible at Henley Place (recruitment rate=40%, the adherence rate=21%, and the attrition=0%) and participants could tolerate it. No emergency transfers or one-to-one staff use were recorded during the intervention period. BPSD measuring instruments also were sensitive to change. CONCLUSION: VR experience can be implemented in a LTC home. TRIAL REGISTRATION: The study was not registered as clinical trial. We obtained ethics approval from ADVARRA Canada Ethics Board before recruiting participants for the study.

scholarly journals Virtual Reality Therapy in Long Term Care Resident Older Adults With Dementia: A Case Series

2020 ◽  
Author(s):  
Munira Sultana ◽  
Karen Campbell ◽  
Morgan Jennings ◽  
Manuel Montero-Odasso ◽  
Joseph. B. Orange ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Long Term Care ◽  
Case Series ◽  
Cognitive Stimulation ◽  
Adherence Rate ◽  
Observation System ◽  
Global Rating ◽  
Term Care ◽  
Convenience Sample

Abstract BACKGROUND: Behavioural and psychological symptoms of dementia (BPSD) worsens as dementia progresses, intensifies caregiver distress and consequent institutionalization. We wanted to evaluate 1) feasibility of Virtual Reality (VR) as cognitive stimulation therapy for BPSD in a Long-Term Care (LTC) home, 2) participants’ tolerance for the therapy, 3) facilitators and barriers to implementing VR therapy, 4) sensitivity to change of the participants’ BPSD to VR therapy, and 5) longitudinal construct validity of BPSD measuring tools. METHODS: A single site (Henley Place at London, Ontario) case series with a convenience sample (24 older adult residents with moderate to severe dementia). Intervention was 30 minutes of VR therapy with Broomx©, five days a week for two weeks. The change in BPSD was measured with Cornell Scale for Depression in Dementia (CSDD), Cohen-Mansfield Agitation Inventory (CMAI) scale, Dementia Observation System (DOS) scale, and proportion of night-time sleep. We validated selected tools with Global Rating of Change (GRC) scale. RESULTS: Implementing VR therapy was possible at Henley Place (recruitment rate=40%, the adherence rate=21%, and the attrition=0%) and participants could tolerate it. No emergency transfers or one-to-one staff use were recorded during the intervention period. CONCLUSION: VR therapy can be implemented in a LTC home. TRIAL REGISTRATION: The study was not registered as clinical trial. We obtained ethics approval from ADVARRA Canada Ethics Board before recruiting participants for the study.

scholarly journals Virtual Reality Experience In Long Term Care Resident Older Adults With Dementia: A Case Series 

2020 ◽  
Author(s):  
Munira Sultana ◽  
Karen Campbell ◽  
Morgan Jennings ◽  
Manuel Montero-Odasso ◽  
Joseph. B. Orange ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Long Term Care ◽  
Psychological Symptoms ◽  
Care Home ◽  
Case Series ◽  
Recruitment Rate ◽  
Adherence Rate ◽  
Term Care ◽  
Convenience Sample

Abstract BACKGROUND: Behavioural and Psychological Symptoms of Dementia (BPSD) worsens as dementia progresses, intensifies caregiver distress and consequent institutionalization. We wanted to evaluate feasibility of Virtual Reality (VR) as non-pharmacologic intervention for BPSD in a long-term care home. METHODS: A single site (Henley Place at London, Ontario) case series with a convenience sample (24 older adult residents with moderate to severe dementia). Intervention was 30 minutes of VR experience with Broomx©, five days a week for two weeks. RESULTS: Implementing VR experience was possible at Henley Place (recruitment rate=40%, the adherence rate=21%, and the attrition=0%) and participants could tolerate it. No adverse events and one-to-one staff use were recorded during the intervention period. CONCLUSION: VR experience can be implemented in a care home. TRIAL REGISTRATION: The study was not registered as clinical trial. We obtained ethics approval from ADVARRA Canada Ethics Board before recruiting participants for the study.

Comparison of behavioral and psychological symptoms of Alzheimer's disease among institution residents and memory clinic outpatients

2009 ◽  
Vol 21 (6) ◽  
pp. 1134-1141 ◽  
Author(s):  
Ting-Wen Cheng ◽  
Ta-Fu Chen ◽  
Ping-Keung Yip ◽  
Mau-Sun Hua ◽  
Chi-Cheng Yang ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Long Term Care ◽  
Psychological Symptoms ◽  
Global Rating ◽  
Memory Clinic ◽  
Term Care ◽  
Care Facilities ◽  
Behavioral And Psychological Symptoms

ABSTRACTBackground: Behavioral and psychological symptoms of dementia (BPSD) cause caregiver distress and earlier institutionalization. We compared the prevalence and characteristics of BPSD between institution residents and memory clinic outpatients with Alzheimer's disease (AD) to test the hypothesis that there is more BPSD among institution residents than among their outpatient counterparts.Methods: We assessed BPSD by interviewing the patients’ principal caregivers, either family or professionals, using the Behavioral Pathology in Alzheimer's Disease Rating Scale (BEHAVE-AD). Data from 138 patients with probable AD from the memory clinic and 173 residents with possible AD living in the long-term care facilities were collected. The diagnoses followed the NINCDS-ADRDA criteria.Results: BPSD profiles of the two groups were similar but not identical. The prevalence of at least one BPSD was high in both groups (community 81.9%, institution 74.9%). Activity disturbance was the most frequently reported BPSD in both groups (community 52.2%, institution 38.7%). Delusions, hallucinations, anxiety and aggressiveness were seen more frequently in memory clinic outpatients. The outpatients also had higher scores of BEHAVE-AD subscales in delusion/paranoid ideation, affective disturbance, and global rating of severity. With the increase of disease severity there were significantly more activity disturbance, psychosis, and aggressiveness in patients with AD.Conclusions: Caregiver factor and institution effect were two possible reasons for the higher prevalence and the greater severity of BPSD in community patients. BPSD caused more distress to family caregivers than the professional caregivers. High levels of psychotropic prescriptions for patients living in the long-term care facilities may also play a role.

scholarly journals Virtual Reality Therapy for Depression and Mood in Long-Term Care Facilities

2021 ◽  
Author(s):  
Kevin Zhai ◽  
Azwa Dilawar ◽  
Mohammad S. Yousef ◽  
Sean Holroyd ◽  
Haithem El-Hammali ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Cognitive Abilities ◽  
Place Attachment ◽  
Long Term Care ◽  
The Elderly ◽  
Care Providers ◽  
Term Care ◽  
Positive Effects ◽  
Care Facilities

Virtual reality (VR) describes a family of technologies which immerse users in sensorily-stimulating virtual environments. Such technologies have increasingly found applications in the treatment of neurological and mental health disorders. Depression, anxiety, and other mood abnormalities are of concern in the growing elderly population – especially those who reside in long-term care facilities (LTCFs). The transition from the familiar home environment to the foreign LTCF introduces a number of stressors that can precipitate depression. However, recent studies reveal that VR therapy (VRT) can promote positive emotionality and improve cognitive abilities in the elderly, both at home and in LTCFs. VR thus holds potential in allowing elderly individuals to gradually adapt to their new environments – thereby mitigating the detrimental effects of place attachment and social exclusion. Nevertheless, while the current psychological literature is promising, the implementation of VR in LTCFs faces many challenges. LTCF residents must gain trust in VR technologies, care providers require training to maximize the positive effects of VRT, and decision makers must evaluate both the opportunities and obstacles in adopting VR. Here, we concisely review the implications of depression related to place attachment in LTCFs, and explore the potential therapeutic applications of VR.

The Inter-Rater Reliability of the Observation Instrument for Assessing Pain in Elderly With Dementia: An Investigation in the Long-Term Care Setting

2017 ◽  
Vol 25 (3) ◽  
pp. E173-E184 ◽  
Author(s):  
Gerhard Mueller ◽  
Petra Schumacher ◽  
Elisabeth Holzer ◽  
Martin Pallauf ◽  
Eva Schulc
Keyword(s):  
Care Setting ◽  
Long Term Care ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Cross Sectional ◽  
Term Care ◽  
Convenience Sample ◽  
Rater Reliability ◽  
Observation Instrument

Background and Purpose: The Observation Instrument for Assessing Pain in Elderly With Dementia (BISAD) was developed in Germany. The instrument demonstrated high interrater reliability values for the original French version. So far, there are no results to that effect in the Austrian long-term care setting available. The objective of this study was to investigate agreement and inter-rater reliability of BISAD in residents with dementia. Methods: A quantitative multicenter-descriptive cross-sectional design with a convenience sample of 71 residents. Results: Analysis of all eight items demonstrated fair to moderate concordance. Absolute agreement of the total value was 25.32%. Subtotals of the observation before mobilization was 52.11%, and during mobilization 32.39%. Conclusion: The reliability analysis shows that the items are less reliable. Currently, BISAD does not make a reliable contribution to clinical decision making in the tested setting.

scholarly journals Long-Term Care Nurses’ Intent to Stay, Job Characteristics, and Organizational Justice : A Structural Equation Model

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 85-85
Author(s):  
Lin Wang ◽  
Miao Miao ◽  
Xiaoping Yu
Keyword(s):  
Organizational Justice ◽  
Structural Equation ◽  
Long Term Care ◽  
Intent To Stay ◽  
Job Characteristics ◽  
Equation Modeling ◽  
Intention To Stay ◽  
Term Care ◽  
Convenience Sample

Abstract Background：Gratifying the elderly health-care demands and promoting high-quality of nursing services are based on the effort of long-term care(LTC) nurses. However, the high turnover rate of LTC nurses has become very serious in China. What remains unclear is whether the organizational justice and job characteristics affect the LTC nurses’ intention to stay. Objective: The aim was to investigate intention to stay among LTC nurses in relation to organizational justice and job characteristics. Method: A cross-sectional study was conducted with a convenience sample of 545 LTC nurses. Data collection was performed between July and November 2019. Data were analyzed using structural equation modeling. Results: Most of LTC nurses reported to stay in nursing or current work place, however they still had strong desire to leave if there were other job opportunities. Organizational justice and job characteristics were significant predictors of LTC nurses intent to stay. LTC nurses job characteristics partially mediates the relationship between organizational justice and intent to stay. Conclusion: This would suggest the importance of administrators/ managers understanding how to promote organizational justice, foster a justice climate and increase LTC nurses’ perceived job characteristics. The organizational justice culture programs should be develop as LTC nurses retention strategy.

scholarly journals EXPLORING RELATIONSHIPS BETWEEN RELIGIOUS COPING AND GENERAL COPING STRATEGIES IN OLDER LONG-TERM CARE RESIDENTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S503-S503
Author(s):  
Nathaniel Andrew ◽  
Suzanne Meeks
Keyword(s):  
Coping Strategies ◽  
Religious Coping ◽  
Long Term Care ◽  
Coping Styles ◽  
Future Research ◽  
Term Care ◽  
Convenience Sample ◽  
Coping Process ◽  
General Coping

Abstract Aging long-term care residents utilize a variety of coping strategies to manage stressors. While many older adults report religious faith is important in the coping process, it is unclear how religious coping appraisals and religious coping styles fit within a broader coping framework. This poster explores relationships between religious coping and general coping strategies in a convenience sample of older nursing home and assisted living residents (median age = 71.5). In this cross-sectional study, we interviewed residents (N = 102) from long-term care facilities (N = 11) in the Louisville metropolitan area and southern Indiana. Participants responded to questions about religious practices, religious coping, general coping, stress, life satisfaction, psychological distress, and health. The present analyses examined correlations between religious coping appraisals/styles and general coping strategies. We found: 1) small to moderate associations between theoretically adaptive religious coping appraisals/styles (e.g., positive appraisals, collaborative/deferring styles) and theoretically adaptive general coping strategies (e.g., positive reframing, instrumental support), and 2) small to moderate associations between theoretically maladaptive religious coping appraisals/styles (e.g., negative appraisals, self-directing styles) and theoretically maladaptive general coping strategies (e.g., denial, behavioral disengagement). Our results identify interesting conceptual relationships suggesting residents who report positive religious coping appraisals and less independent religious coping styles use adaptive coping strategies more frequently. These constructs may be explored in future research through examining their theoretical uniqueness and whether they independently account for variance in clinically-relevant outcomes. Further study of religious coping in these settings may help promote resilience and optimal aging for long-term care residents.

Art Activities and Quality of Life for People With Dementia in the Long Term Care Setting: A Case Series

2014 ◽  
Vol 15 (3) ◽  
pp. B3
Author(s):  
Rebecca S. King-Tucker ◽  
Rebecca S. King-Tucker ◽  
Maria Knupp ◽  
Terry Edwards ◽  
Elizabeth Walters
Keyword(s):  
Quality Of Life ◽  
Care Setting ◽  
Long Term Care ◽  
Case Series ◽  
Term Care ◽  
People With Dementia ◽  
Art Activities

scholarly journals Virtual Reality Therapy for Depression and Mood in Long-Term Care Facilities

Geriatrics ◽  
2021 ◽  
Vol 6 (2) ◽  
pp. 58
Author(s):  
Kevin Zhai ◽  
Azwa Dilawar ◽  
Mohammad S. Yousef ◽  
Sean Holroyd ◽  
Haithem El-Hammali ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Cognitive Abilities ◽  
Place Attachment ◽  
Long Term Care ◽  
Older Individuals ◽  
Care Providers ◽  
Term Care ◽  
Positive Effects ◽  
Care Facilities

Virtual reality (VR) describes a family of technologies which immerse users in sensorily-stimulating virtual environments. Such technologies have increasingly found applications in the treatment of neurological and mental health disorders. Depression, anxiety, and other mood abnormalities are of concern in the growing older population—especially those who reside in long-term care facilities (LTCFs). The transition from the familiar home environment to the foreign LTCF introduces a number of stressors that can precipitate depression. However, recent studies reveal that VR therapy (VRT) can promote positive emotionality and improve cognitive abilities in older people, both at home and in LTCFs. VR thus holds potential in allowing older individuals to gradually adapt to their new environments—thereby mitigating the detrimental effects of place attachment and social exclusion. Nevertheless, while the current psychological literature is promising, the implementation of VR in LTCFs faces many challenges. LTCF residents must gain trust in VR technologies, care providers require training to maximize the positive effects of VRT, and decision makers must evaluate both the opportunities and obstacles in adopting VR. In this review article, we concisely discuss the implications of depression related to place attachment in LTCFs, and explore the potential therapeutic applications of VR.

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