Disclosure of Basic Strengths and Basic Weaknesses in Demented Patients during Morning Care, before and after Staff Training: Analysis of Video-Recordings by Means of the Erikson Theory of “Eight Stages of Man”

1996 ◽  
Vol 43 (3) ◽  
pp. 219-233 ◽  
Author(s):  
M. Kihlgren ◽  
A. Hallgren ◽  
A. Norberg ◽  
I. Karlsson
Keyword(s):  
Staff Training ◽  
Clinical Syndrome ◽  
Supportive Environment ◽  
Video Recordings ◽  
Dementia Patients ◽  
Personality Changes ◽  
Before And After ◽  
Caring Activity ◽  
Aging Persons ◽  
Positive Climate

In the field of care for aging persons, it is commonly understood that personality changes occur in dementia patients. It is reported to be a consistent part of the clinical syndrome and to occur early in the disease. The aim of this study was to investigate if strengths and weaknesses, described by E. H. and J. M. Erikson as basic qualities in the person, could be interpreted in severely demented patients during a caring activity, and if a difference in these qualities could be seen after staff completed a training program in “integrity promoting care.” The morning care of five patients was video-recorded and a phenomenological-hermeneutic analysis of the patient's and staff's interaction was conducted. The findings indicate that the complex qualities of someone's personality are more preserved than could be expected considering the cognitive handicap. It seems, however, that demented patients need a special, supportive environment for their full mental potential to be realized. It is reasonable to assume that, if the staff are given knowledge of how to create a positive climate for the demented patients and the opportunity to implement it, the patients will show a rich pattern of mental reactions in spite of their dementia.

Effects of Time and Perceptual Orientation on Actors' and Observers' Attributions

1984 ◽  
Vol 58 (1) ◽  
pp. 23-30
Author(s):  
Donald S. Martin ◽  
Ming-Shiunn Huang
Keyword(s):  
Video Recording ◽  
Control Group ◽  
Control Groups ◽  
Video Recordings ◽  
Before And After ◽  
Perceptual Orientation ◽  
Initial Difference ◽  
Variety Show ◽  
And Control ◽  
Unrelated Variety

The actor/observer effect was examined by Storms in a 1973 study which manipulated perceptual orientation using video recordings. Storms' study was complex and some of his results equivocal. The present study attempted to recreate the perceptual reorientation effect using a simplified experimental design and an initial difference between actors and observers which was the reverse of the original effect. Female undergraduates performed a motor co-ordination task as actors while watched by observers. Each person made attributions for the actor's behaviour before and after watching a video recording of the performance. For a control group the video recording was of an unrelated variety show excerpt. Actors' initial attributions were less situational than observers'. Both actors and observers became more situational after the video replay but this effect occurred in both experimental and control groups. It was suggested the passage of time between first and second recording of attributions could account for the findings and care should be taken when interpreting Storms' (1973) study and others which did not adequately control for temporal effects.

scholarly journals 404 - Effect of Psychoeducation Modul on the Administration of Psychotropic Drugs for Patients with Behavioral and Psychological Symptoms of Dementia at the RS Dr. H. Marzoeki Mahdi Bogor on Caregivers

2020 ◽  
Vol 32 (S1) ◽  
pp. 120-120
Keyword(s):  
Psychotropic Drugs ◽  
Cognitive Abilities ◽  
Health Workers ◽  
Psychological Symptoms ◽  
Clinical Syndrome ◽  
List Type ◽  
Study Program ◽  
Dementia Patients ◽  
Patients Experience ◽  
Behavioral And Psychological Symptoms

Name : Yuniar Pukuk KesumaStudy program : Psychiatry, Specialist II Geriatric PsychiatryCounsellor : Dr.dr. Martina Wiwie S. Nasrun, Sp.KJ(K)Background:Dementia is a clinical syndrome characterized by a decline in cognitive abilities and memory deficits globally. About 90% of patients experience behavioral and psychological symptoms. The use of psychotropic drugs is influenced by the patient symptoms, burden of the caregiver, and the habit of health workers.Objective:To determine the effect of psychoeducation modules to caregivers to increase knowledge, decrease of psychotropic drugs, reduce symptoms and burden of caregivers.Methods:There are 2 steps of studies. The first was a qualitative study to create psychoeducation module and the second was to conduct a pre-experimental study (one group pretest-posttest study). Psychoeducation is given in 2 consecutive weeks.Results:Fourty caregivers of dementia patients aged 41.3 (± 9.72) years. The psychoeducation modules is associated with decreasing symptoms and the use of psychotropic drugs, increasing knowledge and decreasing the burden of caregivers. At the end, 23% of patients were able to stop using psychotropic drugs and 62% of patients reduced their dose and/or the amount of psychotropic drugs.Conclusion:The psychoeducation modules to caregivers is associated with a decrease of patient symptoms and the use of psychotropic drugs. Psychoeducation also increases the knowledge of the caregiver and decreases the burden of the caregiver so that this psychoeducation module can be an additional therapy for patients with dementia.

501 Creating a Virtual Burn Camp Experience: Growth, Hope, Dream, Inspire

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S97-S98
Author(s):  
Trudy Boulter ◽  
Nichole F Mayer ◽  
Kerry Mikolaj ◽  
Tim Schuetz
Keyword(s):  
Staff Training ◽  
Burn Injury ◽  
Leadership Team ◽  
Online Application ◽  
Group Activities ◽  
Supportive Environment ◽  
Shared Experiences ◽  
Day Of The Week ◽  
Community Growth ◽  
Virtual Platform

Abstract Introduction Our Burn Camps program has a suite of well-established residential programs. In 2020 we were forced to pivot to a virtual platform. Our goal was to uphold our mission; “to provide children who have sustained a burn injury and their families healing opportunities by offering inspiration, rehabilitation and shared experiences in a safe, nurturing and supportive environment.” Our theme “Always Together” utilized the following program pillars: creating community, growth, inspire, dream and hope. Methods Recruitment Campers/Counselors: The 2018–2020 campers were contacted providing virtual camp logistics and application information. Our best counselors returned as our 2020 staff. We built the same cabin groups as 2019. Staffing Camp leadership team and 2 Psychologists Platform The conference center provided ZOOM access for planning meetings and staff training. Four Zoom accounts were used to manage 8 cabin groups. Application A new online application was developed including the following questions: Coping with the pandemic, current social justice issues and access to technology. Schedule The schedule included 4 live meetings per day for 5 days. We included the anchors of camp: morning exercise, crafts, talent show, banquet, and play day. “Camp in a Box”: 125 boxes were designed and sent to campers, staff and donors. Boxes included envelopes for each day of the week, with content specific for each cabin. Results We had 62 campers registered for camp and 35 staff from across the country. Our “Camp in a Box” was successfully sent to 62 campers, 35 staff and 25 donors. We had four Zoom accounts. Each account was managed by a member of the leadership team. There was one primary Zoom account that hosted the large group activities for consistency. Each live activity that was offered was attended by 40–70 participants. Our Zoom calls were a mix of live and prerecorded videos. Counselors filled out a staff survey at the end of each evening allowing the leadership team feedback about the day’s activities and any camper concerns. Conclusions During a time when connection is so important, our community rose to the challenge and supported our campers. We were able to show that burn camp lives inside each of us no matter the location. Our campers and their families were engaged throughout the week and grateful for the opportunity. We learned a lot about running a virtual program and hope to use these concepts even when the pandemic is over.

Modeling Pedestrian and Motorist Interaction at Semi-Controlled Crosswalks: The Effects of a Change from One-Way to Two-Way Street Operation

2019 ◽  
Vol 2673 (11) ◽  
pp. 433-446 ◽  
Author(s):  
Jon D. Fricker ◽  
Yunchang Zhang
Keyword(s):  
Logistic Regression ◽  
Control Strategies ◽  
Binary Logistic Regression ◽  
Pavement Markings ◽  
Video Recordings ◽  
Ordered Logistic Regression ◽  
Before And After ◽  
The One ◽  
Pedestrian Crossing ◽  
And Control

A large number of crosswalks are indicated by pavement markings and signs, but are not signal-controlled. In this paper, such a location is called “semi-controlled.” At locations where such a crosswalk has moderate amounts of pedestrian and vehicle traffic, pedestrians and motorists often engage in a non-verbal “negotiation” to determine who should proceed first. This paper describes the detailed analysis of video recordings of more than 3,400 pedestrian–motorist interactions at semi-controlled crosswalks. The study also took advantage of a conversion from one-way operation in spring 2017 to two-way operation in spring 2018 on the street chosen for data collection and analysis. This permitted before and after studies at the same location. The pedestrian models used mixed effects logistic regression and binary logistic regression to identify factors that influence the likelihood of a pedestrian crossing under specified conditions. The complementary motorist models used generalized ordered logistic regression to identify factors that impact a driver’s likelihood of decelerating, which was found to be a more useful factor than likelihood of yielding to pedestrian. The data showed that 56.5% of drivers slowed down or stopped for pedestrians on the one-way street. This value rose to 63.9% on the same street after it had been converted to two-way operation. Moreover, two-way operation eliminated the effects of the presence of other vehicles on driver behavior. Relationships were found that can lead to policies and control strategies designed to improve the operation of such a crosswalk.

Mental Fatigue: Impairment of Technical Performance in Small-Sided Soccer Games

2016 ◽  
Vol 11 (8) ◽  
pp. 1100-1105 ◽  
Author(s):  
Oliver O. Badin ◽  
Mitchell R. Smith ◽  
Daniele Conte ◽  
Aaron J. Coutts
Keyword(s):  
Physical Performance ◽  
Stroop Task ◽  
Perceived Exertion ◽  
Mental Fatigue ◽  
Subjective Ratings ◽  
Performance Variables ◽  
Technical Performance ◽  
Video Recordings ◽  
Before And After ◽  
Computer Based

Purpose:To assess the effects of mental fatigue on physical and technical performance in small-sided soccer games. Methods:Twenty soccer players (age 17.8 ± 1.0 y, height 179 ± 5 cm, body mass 72.4 ± 6.8 kg, playing experience 8.3 ± 1.4 y) from an Australian National Premier League soccer club volunteered to participate in this randomized crossover investigation. Participants played 15-min 5-vs-5 small-sided games (SSGs) without goalkeepers on 2 occasions separated by 1 wk. Before the SSG, 1 team watched a 30-min emotionally neutral documentary (control), while the other performed 30 min of a computer-based Stroop task (mental fatigue). Subjective ratings of mental and physical fatigue were recorded before and after treatment and after the SSG. Motivation was assessed before treatment and SSG; mental effort was assessed after treatment and SSG. Player activity profiles and heart rate (HR) were measured throughout the SSG, whereas ratings of perceived exertion (RPEs) were recorded before the SSG and immediately after each half. Video recordings of the SSG allowed for notational analysis of technical variables. Results:Subjective ratings of mental fatigue and effort were higher after the Stroop task, whereas motivation for the upcoming SSG was similar between conditions. HR during the SSG was possibly higher in the control condition, whereas RPE was likely higher in the mental-fatigue condition. Mental fatigue had an unclear effect on most physical-performance variables but impaired most technical-performance variables. Conclusions:Mental fatigue impairs technical but not physical performance in small-sided soccer games.

scholarly journals Evaluative Conditioning with Facial Stimuli in Dementia Patients

2013 ◽  
Vol 2013 ◽  
pp. 1-6
Author(s):  
Andreas Blessing ◽  
Jacqueline Zöllig ◽  
Roland Weierstall ◽  
Gerhard Dammann ◽  
Mike Martin
Keyword(s):  
Random Order ◽  
Evaluative Conditioning ◽  
Control Group ◽  
Healthy Controls ◽  
Conditioning Paradigm ◽  
Facial Stimuli ◽  
Dementia Patients ◽  
Before And After ◽  
Rating Changes ◽  
Unfamiliar Faces

We present results of a study investigating evaluative learning in dementia patients with a classic evaluative conditioning paradigm. Picture pairs of three unfamiliar faces with liked, disliked, or neutral faces, that were rated prior to the presentation, were presented 10 times each to a group of dementia patients (N = 15) and healthy controls (N = 14) in random order. Valence ratings of all faces were assessed before and after presentation. In contrast to controls, dementia patients changed their valence ratings of unfamiliar faces according to their pairing with either a liked or disliked face, although they were not able to explicitly assign the picture pairs after the presentation. Our finding suggests preserved evaluative conditioning in dementia patients. However, the result has to be considered preliminary, as it is unclear which factors prevented the predicted rating changes in the expected direction in the control group.

scholarly journals Effects of a Multicomponent Exercise Program on Spatiotemporal Gait Parameters, Risk of Falling and Physical Activity in Dementia Patients

2015 ◽  
Vol 5 (3) ◽  
pp. 350-360 ◽  
Author(s):  
Anaïck Perrochon ◽  
Achille E. Tchalla ◽  
Joelle Bonis ◽  
Florian Perucaud ◽  
Stéphane Mandigout
Keyword(s):  
Physical Activity ◽  
Gait Speed ◽  
Exercise Program ◽  
Gait Disorders ◽  
Risk Of Falling ◽  
Gait Performance ◽  
Specific Effects ◽  
Dementia Patients ◽  
Gait Parameters ◽  
Before And After

Background: Exercise programs are presumed to rehabilitate gait disorders and to reduce the risk of falling in dementia patients. This study aimed to analyze the specific effects of multicomponent exercise on gait disorders and to determine the association between gait impairments and the risk of falling in dementia patients before and after intervention. Methods: We conducted an 8-week multicomponent exercise program in 16 dementia patients (age 86.7 ± 5.4 years). All participants were assessed several times for gait analysis (Locométrix®), Tinetti score and physical activity (Body Media SenseWear® Pro armband). Results: After 8 weeks of the exercise program, the mean gait speed was 0.12 m/s faster than before the intervention (0.55 ± 0.17 vs. 0.67 ± 0.14 m/s). The multicomponent exercise program improved gait performance and Tinetti score (p < 0.05). Gait performance (gait speed, stride length) was correlated with the Tinetti score (p < 0.05). Conclusion: Analysis of spatiotemporal gait parameters using an accelerometer method provided a quick and easy tool to estimate the benefits of an exercise program and the risk of falling.

Do Many of the Behavioral and Psychological Symptoms of Dementia Constitute a Distinct Clinical Syndrome? Current Evidence Using the BEHAVE-AD

2000 ◽  
Vol 12 (S1) ◽  
pp. 155-164 ◽  
Author(s):  
Barry Reisberg ◽  
Isabel Monteiro ◽  
Istvan Boksay ◽  
Stefanie Auer ◽  
Carol Torossian ◽  
...  
Keyword(s):  
Rating Scale ◽  
Psychological Symptoms ◽  
Clinical Syndrome ◽  
Current Data ◽  
Current Evidence ◽  
Pharmacologic Intervention ◽  
Dementia Patients ◽  
Placebo Intervention ◽  
And Function ◽  
Behavioral And Psychological Symptoms

The Behavioral Pathology in Alzheimer's Disease Rating Scale (BEHAVE-AD) was specifically designed to assess behavioral and psychological symptoms of dementia (BPSD) that would be remediable to both psychologic and pharmacologic intervention. Furthermore, the BEHAVE-AD was designed to assess categories of symptoms that would respond in a cohesive (syndrome) manner in dementia patients, independently of effects of interventions on cognition and functioning. Current data indicate that the BEHAVE-AD does indeed assess a cohesive, cognition- and function independent syndrome in AD and in related dementias that is responsive to psychologic and appropriate pharmacologic intervention. Evidence is also increasing for differential responsiveness of this BPSD syndrome to select pharmacologic agents compared with nonspecific psychologic (placebo) intervention. This article reviews the evidence for this BPSD syndrome in dementia patients, as assessed with the BEHAVE-AD.

scholarly journals Personality Changes after Deep Brain Stimulation in Parkinson’s Disease

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Uyen Pham ◽  
Anne-Kristin Solbakk ◽  
Inger-Marie Skogseid ◽  
Mathias Toft ◽  
Are Hugo Pripp ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Deep Brain Stimulation ◽  
Brain Stimulation ◽  
Sensation Seeking ◽  
Eysenck Personality Questionnaire ◽  
Personality Changes ◽  
Before And After ◽  
Stn Dbs ◽  
Deep Brain

Objectives. Deep brain stimulation of the subthalamic nucleus (STN-DBS) is a recognized therapy that improves motor symptoms in advanced Parkinson’s disease (PD). However, little is known about its impact on personality. To address this topic, we have assessed personality traits before and after STN-DBS in PD patients.Methods. Forty patients with advanced PD were assessed with the Temperament and Character Inventory (TCI): the Urgency, Premeditation, Perseverance, Sensation Seeking impulsive behaviour scale (UPPS), and the Neuroticism and Lie subscales of the Eysenck Personality Questionnaire (EPQ-N, EPQ-L) before surgery and after three months of STN-DBS. Collateral information obtained from the UPPS was also reported.Results. Despite improvement in motor function and reduction in dopaminergic dosage patients reported lower score on the TCI Persistence and Self-Transcendence scales, after three months of STN-DBS, compared to baseline (P=0.006;P=0.024). Relatives reported significantly increased scores on the UPPS Lack of Premeditation scale at follow-up (P=0.027).Conclusion. STN-DBS in PD patients is associated with personality changes in the direction of increased impulsivity.

scholarly journals Evaluation of reactivity and stunning efficiency in cattle before and after slaughterhouse staff training

2021 ◽  
Vol 78 ◽  
Author(s):  
L. S. R. Cunha ◽  
L. S. Escobar ◽  
C. J. Piazzon ◽  
H. P. Flores ◽  
A. G. Gonçalves ◽  
...  
Keyword(s):  
Staff Training ◽  
Before And After
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