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Dissertations / Theses on the topic 'Dementia facility'
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1
Samarin, Sharon Dianne. "Dementia-Spcific Education in an Assisted Living Facility." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/6109.
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Providing competent, high-quality, and person-centered care is important in the healthcare environment, including the care for the aging and training of those who provide care. A knowledge gap in dementia-specific training was identified at an assisted living facility. The purpose of this project was to answer the question whether a dementia-specific educational staff training program would improve staff members' knowledge and application of dementia-specific competencies as well as caring behaviors. Watson's theory of human caring, the theory of planned behavior, and Leininger's framework of culture care were used to inform this project. The educational project evaluated the success of implementing nurse caring behaviors and a dementia-specific training program. Data collection included analysis of the responses of 20 facility personnel to a survey validating the needs assessment. Results of pre- and posttesting of each educational module demonstrated a statistically significant improvement (p =.0001), and observation of staff-resident interactions demonstrated 100% achievement on the competency checklist across all project participants. Qualitative analyses of data gathered from participants' discussions resulted in 4 themes: (a) the characteristics of dementia care, (b) individual caregiver attitudes, (c) knowledge deficit, and (d) the importance of caring behaviors. Educational training methods were found effective to elicit nursing staff behavior change and improve understanding of the dementia patient and requisite care, which represents a significant positive social change and enhanced care for the dementia patient in the assisted living facility.
2
Sharpp, Tara Joy. "An ethnography of dementia care in an assisted living facility." Diss., Search in ProQuest Dissertations & Theses. UC Only, 2008. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3297811.
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Hart, Rebecca Marie. "Hart's Home Away From Home: An Integrative Approach to Dementia Care." Miami University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=miami1311203360.
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Stern, Louise Ann. "The cultural whisper in our ear : intercultural dementia care in a Jewish long-term care facility." Thesis, University of British Columbia, 2012. http://hdl.handle.net/2429/42219.
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Long-term care facilities are becoming more representative of the diverse ethno-cultural demographics of Canadian society in the make-up of residents, family and staff that live and work there. Therefore, it is entirely likely that care given and received in these facilities will be intercultural in nature. That is, the people caring for them may be from different ethno-cultural, racial and religious backgrounds than the people they are caring for. The impacts of this phenomenon on care provision within elder care settings, such as long-term care have not been adequately explored in the research literature, especially in a Canadian context.
The purpose of this qualitative, ethnographic research study was to explore the impact of these intercultural dynamics on care for people with advanced dementia. This study took place over 9 months on a care unit based in a Jewish long-term care facility. The choice of an ethno-culturally specific facility allowed for an exploration of the culture concept in a setting in which culture and cultural identity are deeply embedded within daily life. Field work included approximately 210 hours of participant observation, 21 interviews with a diverse mix of staff and family members, 20 Dementia Care Mapping sessions with residents, and document analysis including resident care charts, and facility-based and systemic policies and procedures.
The findings from this study illustrate the ways in which individuals and groups utilize the culture concept in a myriad of strategic and resourceful ways. They include: helping to secure scarce resources; to make sense of the differences that exist within the health care interactions and dementia care; to help position and locate oneself within the context of an overtly ethno-cultural and medical setting; and to challenge more dominant Western, medical paradigms about dementia, personhood and care that are specific to the end of the dementia process. Dementia care acted as a discursive space through which intercultural dynamics and negotiations were played out that represent and reflect the world outside of the facility. While this study was specific to a Jewish facility, the intercultural dynamic is applicable to a myriad of elder care settings which have different cultural configurations, inferring that the findings could be of benefit to recognizing and further exploring this topic.
5
Dickinson, Joan Ivers. "The effects of visual barriers on the exiting behavior of residents in a dementia care facility." Thesis, This resource online, 1993. http://scholar.lib.vt.edu/theses/available/etd-09192009-040501/.
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Barnett, Elizabeth. "#I need to be me!' : a thematic evaluation of a dementia care facility based on the client perspective." Thesis, University of Bath, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.360465.
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Dionne-Vahalik, Michelle M. "Use of Antipsychotic Medications in Individuals With Alzheimer's Disease in Nursing Facilities." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5179.
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Patients with Alzheimer's disease or other types of dementia often require long-term care in nursing facilities (NF) where they may display out-of-character behaviors complicating their care. While antipsychotic medications are sometimes prescribed for NF residents, their use is considered inappropriate for the control of dementia behaviors. The Centers for Medicare and Medicaid Services have rated Texas the worst state in the country for the inappropriate use of antipsychotic medications for NF residents with dementia. This project was guided by the star model of knowledge transformation with the goal to reduce inappropriate use of antipsychotic medications through NF staff education. The purpose of this project was to develop an educational program for nurses, direct care staff, pharmacists, and prescribers regarding appropriate use of antipsychotic medications, reduction efforts, alternative non pharmacological interventions, and an associated toolkit of educational resources. The program development was accomplished in conjunction with a team of local experts who provided process evaluation regarding their satisfaction with the planning process through the completion of an anonymous, 10-question, Likert-type survey. All participants scored their results with a (5) strongly agree or (4) agree. A descriptive analysis of the survey data provided information that positively supported the development of the project. At the end of the project, the education program and resources were delivered to the Texas Health and Human Services Commission, with a plan for later implementation and outcome evaluation. This project has the potential to achieve positive social change through reducing the numbers of Texan NF residents with dementia who are inappropriately prescribed antipsychotic medications, which will result in an increase in their quality of life.
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Hill, Heather, and heatherhill@hotkey net au. "TALKING THE TALK BUT NOT WALKING THE WALK: BARRIERS TO PERSON CENTRED CARE IN DEMENTIA." La Trobe University. School of Public Health, 2004. http://www.lib.latrobe.edu.au./thesis/public/adt-LTU20041215.100826.
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While the concept of person-centred care in dementia has been around for 15 years or more and has attracted much interest and enthusiasm, aged care facilities continue to have difficulty in actually implementing and maintaining person-centred practices. In this study I explore the experience of one aged care facility in order to identify the barriers to changing care practice. The research took place in an ethno-specific (Jewish) aged care facility, Star of David, which was in the process of setting up a program for its residents with dementia based on person-centred principles. The methodology used in the research study was ethnographic, involving participant observation and interview, with a particular focus on a limited number of participants: four residents and their families, four senior staff, four personal care attendants and the executive director. Interviews were also conducted with staff members from three other aged care facilities. The findings showed that Star of David was unable to bring about substantial change in its care practices, while the external interviews and the literature suggest that other facilities have similar difficulties. I identify three major types of barrier: procedural barriers within the institution itself; (government) policy; and barriers relating to hegemonic values and beliefs which underpin established health care practice. These three types of barrier interact with and reinforce one another. I conclude that if we are to change care practice in institutions, we must address all of these barriers at the same time. Finally, I suggest that person-centred care itself, which continues to place emphasis on professional service provision, may only be the beginning of necessary change. In order to be truly person-centred, we need to move towards a more community based or public health approach which recognizes the need of all persons to be treated both as significant individuals and accepted as part of a community.
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Le, Thao. "Person-centered training to promote quality of care to skilled nursing facility residents affected by dementia| A grant proposal." Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10024098.
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Individuals diagnosed with dementia make up the majority of the population in skilled nursing facilities (SNFs). Certified Nursing Assistants (CNAs) are the primary caretakers of older adults living in SNFs. The purpose of this grant project was to write a proposal for funding to provide Person-Centered Care (PCC) training to help CNAs enhance their skills to better enhance the quality of life of older adults living with dementia in SNFs.
The goal of PCC training is to help CNAs better understand the signs and symptoms of Alzheimer’s and dementia, improve communication skills, and provide strategies to manage the behavioral and psychological symptoms of dementia. Previous research on PCC has found it to be effective in improving the quality of care of older adults who are affected by dementia and who are living in nursing homes.
Actual submission or funding of the grant was not required for the successful completion of this project.
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Grausam, Abigail. "A qualitative study of caregiver stress and coping following the placement of a family member in a dementia care facility." Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10133976.
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The decision to place a memory-impaired loved one in a dementia care facility can be emotionally challenging for families with many factors to consider. The purpose of this study was to explore the stress and coping of caregivers after the facility placement of their family member. Data were collected through 15 in-depth interviews with caregivers who were within the first 6 months of having moved their love one to this type of facility. Results suggested that dementia caregivers experienced high levels of burden due to the disease-related behaviors of their loved one coupled with the emotionally-laden experience of seeing a loved one move to a care facility. Over half of the participants reported a lack of emotional support from service providers during the relocation period, yet all participants reported the Alzheimer's Association as being the most supportive social service agency. Implications for social work practice and future research directions are discussed.
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Ross, April Dawn. "Caring for Residents with Dementia in Assisted Living Facilities: The Experiences of the Care Staff." restricted, 2007. http://etd.gsu.edu/theses/available/etd-04232007-210033/.
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Thesis (M.A.)--Georgia State University, 2007.Title from file title page. Mary Ball, committee chair; Jaye Atkinson, Frank Whittington, committee members. Electronic text (114 p.) : digital, PDF file. Description based on contents viewed Nov. 1, 2007. Includes bibliographical references (p. 106-114).
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Espinoza, Arturo. "Social work practice with a veterans home population: A description of a protocol for the treatment of dementia patients in a skilled nursing facility." CSUSB ScholarWorks, 1999. https://scholarworks.lib.csusb.edu/etd-project/146.
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Marquardt, Gesine, and Nadine Glasow. "Braucht der Wohnbereich einen Ausgang?" Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2006. http://nbn-resolving.de/urn:nbn:de:swb:14-1163786055669-11636.
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Der Umgang mit möglicher Selbstgefährdung demenzerkrankter Bewohner durch das selbständige Verlassen des Wohnbereichs wird in Altenpflegeeinrichtungen häufig und kontrovers diskutiert. In dieser Studie wurde untersucht, ob eine milieutherapeutische Intervention in Form eines Vorhangs vor der Ausgangstür die Bewohner am Verlassen des Wohnbereichs hindert. Das wesentliche Untersuchungsziel war es dabei zu erfassen, ob Veränderungen in Verhalten und Wohlbefinden der Bewohner zu verzeichnen sind.
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Grahn, Maria, and Sabina Omerbasic. "Vårdmiljöns påverkan på personer med demenssjukdom : En litteraturöversikt." Thesis, Högskolan Dalarna, Omvårdnad, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:du-27670.
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Bakgrund: Demenssjukdom drabbar ofta äldre personer och innebär förlust av kognitiva förmågor och orsakar stort vårdbehov. En åldrande befolkning leder till ökat behov av vårdboenden. Vården skall vara personcentrerad och såväl fysisk som psykosocial vårdmiljö är viktiga delar som kan påverka personens välmående och beteenden. Syfte : Att beskriva hur vårdmiljön påverkar personer med demenssjukdom. Metod : En litteraturöversikt grundad i kvalitativa (n=7), mixade (n=2) samt kvantitativa (n=8) studier. Analysen fokuserade på likheter och olikheter i artiklarnas resultat relaterat till hur fysisk och psykosocial vårdmiljö påverkade personer med demenssjukdom. Som ett steg i analysen skapades två teman och fem subteman för att överskådligt presentera viktiga resultat i forskningsmaterialet. Resultat: Resultaten visar att fysisk och psykosocial vårdmiljö påverkar personer med demenssjukdom. Arkitektur, inredning, sensoriska inslag, gemensam vårdfilosofi samt meningsfullhet har alla betydelse för möjligheten till autonomi och självbestämmande. Slutsats: Demenssjukdom är inte en sjukdom som drabbar alla på exakt samma sätt utan leder till många olika sorters symtom och begränsningar. Den kognitiva nedsättningen påverkar möjligheten till autonomi, integritet och själv-bestämmande. Eftersom personer med demenssjukdom påverkas individuellt av den fysiska och psykosociala vårdmiljön är ett personcentrerat synsätt en förutsättning för att kunna uppnå god omvårdnad med bibehållen livskvalité.Background : Dementia often affects older people and involves loss of cognitive abilities and causes great care needs. An ageing population leads to an increased need for nursing accommodation. Care should be person-centered and physical as well as psychosocial care environment are important elements that can affect the person's wellbeing and behaviors. Aim : To describe how the care environment affects people with dementia. Method : A literature review based on qualitative (n =7), mixed (n =2) and quantitative (n =8) studies. The analysis focused on similarities and differences in their results related to the physical and psychosocial environment affecting people with dementia. As a step in the analysis, two themes and five subthemes were created to clearly present key findings in the research material. Results: The results show that the physical and psychosocial care environment affects people with dementia. Architecture, interior design, sensory elements, common care philosophy and meaningfulness are all important for the possibility of autonomy and self-determination. Conclusion: Dementia is not a disease that affects everyone in exactly the same way but leads to many different kinds of symptoms and limitations. The cognitive reduction affects the possibility of autonomy, integrity and self-determination. Since people with dementia are individually affected by the physical and psychosocial care environment, a person-centered approach is a prerequisite for achieving good care with a maintained quality of life.
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Yazdanmehr, Mehrdad. "Inappropriate medication use in long-term care facility residents with advanced Alzheimer’s disease and other dementias." Master's thesis, Université Laval, 2016. http://hdl.handle.net/20.500.11794/26775.
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Les personnes atteintes de démence sévère, résidant dans un centre d’hébergement et de soins de longue durée (CHSLD) et approchant la fin de leur vie, ne reçoivent pas systématiquement des soins palliatifs, malgré que ce niveau de soins soit le plus approprié. La plupart de ces personnes reçoivent également un grand nombre de médicaments dont les effets indésirables peuvent contribuer à des souffrances évitables. Une approche axée sur les soins palliatifs serait possiblement associée à une réduction de la charge médicamenteuse et, du même coup, à une prescription plus appropriée. Les objectifs de ce projet de recherche étaient de décrire l’usage des médicaments chez les résidents atteints de démence sévère en CHSLD, de comparer leur usage de médicaments à des critères de pertinence et d’évaluer si la mise en œuvre d'une approche axée sur les soins palliatifs était associée aux médicaments prescrits. Cette étude décrit l’usage des médicaments chez 215 sujets atteints de démence sévère et en fin de vie qui ont participé à une étude d’intervention quasi expérimentale menée dans quatre CHSLD du Québec sur la mise en œuvre d'une approche axée sur les soins palliatifs. L’utilisation des médicaments a été comparée à trois listes de critères pertinents publiés, soit ceux de Holmes, Rancourt et Kröger, en utilisant des statistiques descriptives. Les analyses sur l’usage de 412 médicaments différents chez 120 sujets du groupe expérimental et 95 sujets du groupe témoin ont montré que cette approche axée sur les soins palliatifs n’est pas associée à une prescription plus appropriée des médicaments chez ces personnes particulièrement vulnérables.Individuals with severe dementia in long-term care facilities (LTCFs) near the end of life do not systematically receive palliative care, although this would be the appropriate care level. Most of these people also receive large numbers of medications, and prescribing for them is often challenging. Implementing a palliative care approach may be an important step towards more appropriate medication use. The objectives of this research project were to describe medication use in LTCF residents with severe dementia, to compare this use to criteria of appropriateness, and to assess whether implementation of a palliative care approach was associated with medication prescribing. This study describes medication use in 215 LTCF residents with severe dementia near the end of life who participated in a quasi-experimental clinical trial on the implementation of a palliative care approach in four LTCFs in Quebec province. Using descriptive statistics, medication use has been compared to three sets of published criteria on appropriateness including those of Holmes, Rancourt and Kröger. Analysis on the use of 412 different medications on 120 subjects in the experimental LTCF and 95 subjects in the control LTCF showed that the palliative care approach was not associated with changes in medication prescribing for these particularly vulnerable individuals.
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Liu, Yi-Hsun, and 劉依薰. "Exploring the status of non-dementia residents living with dementia residents in the long term care facility." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/zg3356.
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碩士國立陽明大學
護理學系
107
This study examined the living conditions of residents with and without dementia in long-term care (LTC) institutions. A qualitative research design was adopted, and 30 residents without dementia from 3 institutions in central Taiwan were selected through purposive sampling to participate in semistructured interviews. Additionally, the authors conducted on-site observations at 6 sites at one institution. Qualitative data were first analyzed using inductive content analysis and then converted into quantitative data to calculate the number of occurrences. A thematic analysis yielded the following 3 themes: (1) grievance of living together, (2) acceptance and challenges, and (3) peer companion and reciprocity. The sleep and mood of some residents without dementia were affected by the noise created by their roommates with dementia. Moreover, others presented grievances against residents with dementia, including poor personal hygiene, invasion of other’s privacy caused by wandering in the cohabitation field, asking for food, odd behavior and speech, and interrupting TV shows. Some residents with dementia experienced difficulty in communication and levelled accusations against coresidents without dementia. Furthermore, some residents without dementia felt uncomfortable in the situations created by the residents with dementia but were unable to move out. Additionally, they felt the burden and helplessness from caring for their roommates with dementia. Some residents without dementia overcame the grievances and inability to accept cohabitation with residents with dementia and attempted to defend themselves or solve their problems. However, the residents without dementia exhibited peer accompaniment behaviors and reciprocal gestures. Specifically, coresidents expressed care for each other, greetings, companionship, sharing, advice, and apprehension and transferal of the problematic behavior of residents with dementia. Furthermore, the residents without dementia accepted their fate of cohabitation with those with dementia. They exhibited compassion and empathy toward patients with dementia and provided help, attempted to understand behavioral problems, and endured the negative effects of living with residents with dementia. Both groups helped each other in daily care and sought assistance from institution staff to ensure that the safety of residents with dementia is maintained in a timely manner. Seven (35%) participants did not mention the interference or negative effect of living with dementia residents, whereas 13 (65%) residents did. The main factors that affected the quality of sleep of residents without dementia were the behaviors of their roommates with dementia, such as shouting, muttering, and hitting the bed. Another reported factor was feeling upset about being accused of stealing by roommates with dementia. A total of 23 (76.7%) residents reported that they did not experience any disturbance or negative effect from the dementia residents, and 7 (23.3%) residents reported that they did. Apart from negative effects, positive reciprocal behavior was observed among residents with and without dementia; 10 (50%) participants specified that they had actively helped a roommate with dementia, whereas 8 (26.6%) participants said they had helped a coresident with dementia. From the observations at 6 institutions, this study discovered that among 67 residents who demonstrated behavioral and psychological symptoms of dementia (BPSD), 28 (41.79%) interacted with other residents positively and displayed positive behaviors of mutual help and assisting staff members. This study noted that although cohabitation elicited the negative effects of mental problems related to dementia behaviors, positive and mutually beneficial interactive behaviors occurred between residents with and without dementia. By caring for residents with dementia, residents without dementia experienced positive effects, such as enhanced senses of self-esteem, accomplishment, and gratification from assisting others. Cohabitation also provided opportunities for residents with dementia to participate socially and interact. To mitigate the negative effect of dementia residents’ BPSD on other residents, LTC institutions who actively assist in providing management should consider the negative effects of cohabitation with residents with dementia. Establishing a protective or segregated space in the institutions may be necessary to provide protective isolation temporarily for residents with serious BPSD. This study revealed the advantages and disadvantages of cohabitation between residents with and without dementia in LTC institutions. Cohabitation in care can delay the cognitive impairment and loss of physiological functions of residents with dementia through their social interactions with others, thus creating optimal mutual benefits for cohabitation of residents with and without dementia.
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Ho, Yibang, and 何羿邦. "Facility design of Horticultural Therapy for the elderly dementia day care center." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/08817671373862322455.
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碩士華梵大學
工業設計學系碩士班
100
Horticultural therapy is a therapy to postpone dementia for the elderly. This study aims at facilities needed while conducting horticultural therapy on the elderly. "Interviewing experts in this field" and "observation" are the two methods used in the study; horticultural therapists and social workers working for day care centers are targeted. Data are analyzed on the basis of theories, and conclusions are made that five points are essential for the preparation of the facilities: (1) cutting cost, (2) increasing motivation to participate in the therapy, (3) convenient for the elderly to use, (4) building up physical strength, and (5) keeping plants alive.
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Lin, Yu-cheng, and 林昱成. "Effects Of Music Therapy Among Dementia Patients In Long-team Care Facility-Systematical Review." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/4s8w8m.
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碩士亞洲大學
健康產業管理學系長期照護組碩士在職專班
106
Background Music therapy has been used in treating dementia for many years, however, there is no standard protocol for music therapy. Few studies focused on what kind of music therapy is suitable for different dementia patients. Purpose This study used systematic review to analyze the efficacy in using music therapy for elderly people with dementia living in nursing homes. Method In this systematic literature reviewed of PubMed, CEPS and other recourses between 2000 and 2018. Keywords include dementia、music therapy and nursing home . In total of 369 articles were found. Studies were screened for inclusion criteria, and exclusion non-Chinese or English languages. Sixteen studies on the correlation between music therapy and experimental clinical studies in older people were selected. Result Using music therapy in treating elderly with dementia has significant efficacy at the long-term elderly institutions. However, the research findings present that the different level of dementia patients may experience different outcome after music therapy. In the systematic review, most music therapy can be designed as individualized, familiar, and diverse. Patients with severe dementia need to be re-evaluated for attending music therapy, this is because that symptoms of dementia may be worsen after attending music therapy group.
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Chiang, Hsiu-Ling, and 江秀玲. "Proposing a Predictive Model for Timed Up-and-Go Ability in Elder Facility Adults with Dementia." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/77638030674198931914.
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碩士國立台北護理學院
長期照護研究所
97
Objective: To understand the functional activities and walking function of the dementia subjects in an older facility; to establish a predictive model for the timed up and go ability with mobility related impairment and functional disability factors. Methods: This study used chart review to record the basic personal information and conventional physical therapy assessment of 20 dementia elderly subjects (14 women, 6 men). Basic personal information included age, gender, Mini-mental status examination (MMSE) and Barthel Index scores. Conventional physical therapy assessment included: quadriceps muscle strength, tibialis anterior muscle strength, body flexibility, and 3-meter timed up and go test, 5-meter walking speed, 30 seconds sit to stand, 2 minutes leg lift test, and one leg standing balance. The video records were used in observing the inter-rater reliability (intra-class correlation coefficient) of the 3-meter timed up and go test. Five weeks after the chart review, the 3-meter timed up and go test was repeated on 17 subjects in order to establishe the predictive model using the regression analysis (SPSS software). Results: The mean age of subjects were 80.7 ± 5.8 years, level of cognitive function (MMSE) scores averaged 14.5 ± 5.1 min, the Barthel Index score an average of 80.8 ± 13.6. The timed up and go test result at 5 weeks and the timed up and go test result at the baseline were highly correlated (r=0.92, p<0.001). Pearson correlation analysis results revealed that the cognitive function and daily living skills (Barthel index) were moderately correlated (r = 0.59, p <0.01). Regression analysis revealed that the timed up and go test result at 5 weeks was highly correlated with the walking speed (r = -0.74, p = 0.000) and 30 seconds sit to stand (r = -0.82, p = 0.000). The predictive model was highly significant with an R Square value of 0.93. Clinical Implication: The results from this study suggested that the 3-meter timed up and go test can be used as an early screening tool for dementia clients in and older facility. Development of physical therapy training program may consider activities such as increasing walking speed, sit to stand repetitions, and use of task-oriented activities to enhance the operational capacities of the elderly dementia.
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Oliveira, Mónica Pinho. "ValIDA: a validation therapy-training programme for staff of a residential care facility." Master's thesis, 2019. http://hdl.handle.net/10773/29472.
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The validation therapy comprises the use of humanistic techniques that help to better communicate and interact with persons with dementia, by accepting their reality and by validating their feelings. The aim of this study was to design, implement and evaluate a validation therapy-training programme (VALIDA) for staff members of a residential care facility in Aveiro, Portugal. VALIDA comprised two components: voluntary training sessions in group, and individual monitoring between sessions. This training enrolled 22 staff members. The programme evaluation comprised two modalities: a post-session questionnaire; and focus group interviews six months after the end of the programme. The results indicate that the sessions were well structured; and the group context was considered of value, since it allowed for the normalization of experiences and cooperation between participants. In addition, the individual monitoring was important, as it allowed for clarifying doubts and building a close relationship with the facilitator. Overall, the programme was well accept by the participants, with reported well-being on both personal and professional levels. These results suggest that VALIDA may lessen doubts related to dementia and consequently improve care quality, and, even reduce pharmacological interventions; diminish stress levels of staff; and promote a good work climate and team work among staff members.A terapia de validação envolve um conjunto de técnicas humanistas, que focam competências de comunicação para melhor interagir com pessoas com demência, aceitando as suas realidades e validando os seus sentimentos. O objetivo deste estudo foi desenhar, implementar e avaliar um programa de formação em terapia de validação (VALIDA) para o staff de uma estrutura residencial para idosos em Aveiro, Portugal. O VALIDA envolveu duas componentes: sessões de formação voluntária em grupo e acompanhamento individual entre sessões. Nesta formação estiveram envolvidos 22 elementos do staff. A avaliação compreendeu duas modalidades: questionário pós-sessão de formação; e entrevistas em grupo focal seis meses após o término do programa. Os resultados indicam que as sessões foram bem estruturadas; e o contexto do grupo foi considerado relevante, pois permitiu a normalização das experiências e a cooperação entre participantes. Além disso, o acompanhamento individual foi considerado importante, pois permitiu esclarecer dúvidas e estabelecer uma relação mais próxima com o facilitador do programa. No global, o programa foi bem aceite pelos participantes, que reportaram bem-estar pessoal e profissional. Estes resultados sugerem que o VALIDA pode reduzir as dúvidas relativas à demência e melhorar a qualidade do cuidado, e até reduzir as intervenções farmacológicas; diminuir os níveis de stresse do staff; e promover bom ambiente de trabalho em equipa.
Mestrado em Psicologia da Saúde e Reabilitação Neuropsicológica
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Lu, Chia-Ling, and 盧佳伶. "The effectiveness of aroma-acupressure in improving the depression and social engagement of dementia in long term care facility." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/b82676.
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碩士國立陽明大學
臨床護理研究所
107
Background: Depression has become a common problem among elderly in long term care facilities, where elderly usually experience low mood and maladaptation due to their physical deterioration, environment changes, and low social engagement. Besides medicine therapy towards depression, multiple methods of alternative therapy were widely discussed in recent years, aroma-acupressure is one of the effective methods. Design and Methods: This is an experimental study. Our subjects include sixty-two ≥ 65years old elderly in the long term care facility. All participants were randomized to experimental group and control group. The experimental group received lemon oil aroma-acupressure, on acupoint Hegu(LI 4), Shenmen(HT 7), Sanyinjiao (SP 6), Taixi (KI 3), whereas the control group received common massage. The study instruments are GDS-S, SPMSQ, ISE, and ADL. These instruments were all used in pre-test, middle-test, post-test, and post two-week test. We collected salivary cortisol samples at the pre-test and the post-test. Results: The experimental groups’ GDS scores were significantly lower than the control group (P<0.001), and effectively maintained till the post two-week test. Comparing to the control group, the experimental groups’ SPMSQ scores were significantly changed (P≤0.05), but the effect did not maintain till the post two-week test. As for social engagement scores, there were no significant differences between the two groups, but both groups showed significant progress at both post-test and post two-week test (P≤0.05). Conclusions: Our results suggested that aroma-acupressure was effective to improve depressed mood and cognitive function of dementia elderly. In addition, the intervention resulted in accumulated improvement of social engagement to our both sample group.
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LIU, YI-YI, and 劉懿儀. "A Study on the Effects of Horticultural Therapy Program on Positive Emotion for Dementia Elderly in Long-Term Care Facility." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/udsk3v.
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碩士實踐大學
家庭研究與兒童發展學系高齡家庭服務事業碩士在職專班
105
This study aims at combining both the horticultural therapy and the positive emotion related theory to design a treatment program for elderly with early- and mid-stage dementia.The research adopts a one-group pretest-posttest design as the research method, supported with experimental design collected data on patient information leaflets of 12 early- and mid-stage dementia elderly patients from a conservation organization at Sanxia District in New Taipei City. The experimental treatment program was conducted 12 times on each patient, at the frequency of 2 times per week, and 90 minutes each time. Data collected from both forms: “Positive Emotion Scales Questionnaire - for Elderly with Dementia” and “The Efficacy of Horticultural Therapy Evaluation Form” , as well as records from “Patient Information Leaflets” were analysis using the statistical software package SPSS 18.0. The software was analyzed by descriptive statistics, and the wilcoxon signed rank test was used to analyze the differences between the subjects before and after the program. In addition, the Pearson correlation coefficient was used to analyze the seven items before and after the " The efficacy of horticultural therapy evaluation form", and to understand the influencing factors of the participants before and after the program. This research shows: A. the treatment program works the best in increase “Contentment “ emotion; B. Elderly with dementia think they were most benefit on “Sense of Accomplishment” and “Relaxation” after the treatment program; C. the treatment program can turn positive emotion into positive circle of influence; D. the treatment program works most effectively on elderly with early- stage dementia ; E. Elderly with dementia have more expectations towards life and increased conversation with children. Based on the research conclusion, the following recommendations are made: (A). Each individual nurse aide to learn or become a horticultural therapist, which is more than a vocational skill, also help to discharge individual’s negative emotion from working in a high-pressure environment; (B). Conservation organizations to adopt horticultural therapy into daily routine, and to train and develop more nurse aides in becoming horticultural therapists; (C). Suggestion for future work, the researchers should extend the research attempt to evaluate the extended effects in more longer term. And lastly, hope the treatment program used in this study provides the frame of reference of horticultural therapy in dementia care and in clinical practice. Keywords: Horticultural therapy program; elderly with dementia; positive emotion
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Yen-LinChen and 陳彥霖. "The development and psychometric testing of nurse’s competence in advance directive planning for resident with dementia in long-term care facility." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/5r49zu.
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Persaud, Malini. "Pleasure in the Daily Lives of People Living with Advanced Dementia in a Long-term Care Facility: A Multiple Case Study Approach." Thesis, 2009. http://hdl.handle.net/1807/17816.
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According to the Canadian Study of Health and Aging most of the 12,630 Canadians living with advanced dementia reside in long-term care facilities. This number is rising due to an aging population. The purpose of this study is to address an identified gap in our knowledge about what creates pleasure in people with advanced dementia, through first understanding family caregivers’ ways of eliciting and interpreting positive emotions in their relatives and then having the personal support worker (PSW) try these same approaches to see if similar responses are achieved. This study used a qualitative multiple case study design. Data collection methods included digitally recorded interviews and video-recorded observations of interactions between residents and caregivers. A case is defined as a resident with moderately to severely advanced dementia. Each case had two informants: a family member and a PSW meeting inclusion criterion. There were seven cases. The resident participants spanned a range from moderately advanced to severely advanced dementia. Data analysis used both inductive and deductive coding with sensitizing concepts of selfhood, personhood, continuity of personality and well-being.
The results of this study centred on four main themes related to the research questions about the sources and indicators of pleasure and the potential for PSWs to replicate what family members did with residents. Some sources of pleasure were lost, some were maintained and new ones developed post-illness in all of the residents. Both family members and PSWs were knowledgeable about sources and indicators of pleasure for the people with dementia they were involved with. The analysis demonstrated that for individuals with very advanced dementia, the concept of pleasure or enjoyment is not applicable. The family members of the two residents with very advanced dementia used music, touch and sweets to elicit a pleasurable response but the resident did not display indicators of pleasure in response; instead, the residents responded with grasping or other responses which require further research to understand fully. Future research should build upon these findings in order to further understand the concept of positive affect: pleasure, interest and enjoyment in people with advanced dementia of the Alzheimer type.
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JŮNOVÁ, Miluše. "Aspekty adaptačního syndromu u klientů v domově důchodců." Master's thesis, 2007. http://www.nusl.cz/ntk/nusl-46305.
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This thesis concentrates on the issues of both negative manifestation of adaptation syndrome and individual nursing care planning in elderly patients during their first days after the admission to the rest home.The theoretical part is engaged in the problems of process of adaptation and adaptation syndrome itself. The results of the research projectare presented in the practical part of the thesis.In the realization of this research there has been used such techniques and methods and as direct observation, analysis of the residents documentetion, the review of causation initiating into the issue of adaptation of a women client suffering the severe form of dementia.
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Zih-Syuan, Jhang, and 張紫漩. "A Survey on the Application Situation of Reality Orientation Setting And Facilities for the caring Facility of Demented Elderly." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/44681120702626838834.
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碩士國立雲林科技大學
建築與室內設計系
104
With the gradual aging of the population, while the population of Taiwan dementia climb up year by year increase, the current population of more than twenty twenty thousand dementia, and dementia research is becoming the development trend of international research, dementia the problem is that the behavior of families in the care process will always cause inconvenience, but now the current international such as Europe, America, Australia, and Japan and other countries, are actively involved in the care of dementia-related work. Because cognitive impairment leading to dementia in patients with respect to time, place, people and other confusing messages can not correctly understand the meaning of things and the reality of the individual and the completion of activities, so that the loss of self-confidence. Reality-oriented people with dementia is considered an important measure of the occupational therapy intervention, allowing the current understanding of dementia cases in this environment is what is happening and to strengthen its perception of the surrounding environment and interests and promote their autonomy to be able to carry on daily life activities; and therefore realistic guide has been confirmed by many researchers for cognitive function in cases of dementia, behavioral symptoms helpful. This study :the first,survey dementia care facilities (zone, day care center) of the reality orientation and the type of facility, for our dementia care facilities for the elderly to use the current situation and reality orientation situations facility . The second, Discussion with dementia guide for the use of reality orientation situations and phenomena facility, Providing for future reality orientation people with dementia care institutions Applications. The present study Method of reality orientation type of activity through the literature review, operating methods and reality orientation activities program, reality orientation situational construal. In people with dementia northern, central and southern regions of the care area targeted selection of a sample survey covering Classroom real guide and 24-hour reality orientation, interactive phenomena recorded with a variety of people with dementia reality of the situation through observation guide. The results are follows: the first, Dementia elderly care environment establish the reality of the situation and guide facilities current information, provide dementia care personnel planning applications in reality orientation activities .The second, Application scenarios and situational analysis of reality orientation facility and a preliminary understanding of its impact on people with dementia
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Zou, Jyuan-Jyuan, and 鄒娟娟. "A Research On The Hallucination Of Demented Elders Caused By Building Material And Facility In The Environment Of Special Care Unit." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/73853804664818454787.
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碩士雲林科技大學
空間設計系碩士班
96
Demented elders population has been up to thirteen ten thousand in Taiwan area. The population has been up to 25 percentages on the hallucination of demented elderly population. The hallucination of occur frequently in demented patients and represent one of the most difficult items in their care. Dementia caregiving has been the first issue for the promotion of long-term care in my country. From the finding of experiment by local research, the influence on the decreasing of hallucination frequency was obviously comfirmed. On the other hand, avoiding building material and facility which may cause demented residents into hallucination has been recognized as very important issue in the special care unit for demented elderly. Hallucination may cause demented residents becoming confusing and unstable or defensive behavior from the feeling of threat. Thus, the environmental design should make the environment with the function of therapy, and degrade the exceeding stimulation of perception through the living setting in order to decrease the hallucination of demented elderly. This is the urgent issue of caregiving enviroment for futural study. This research is the environment of special care unit for Taiwan area, the methodology includes the use of the observation visiting to discuss the environment effect on the hallucination of demented elders caused by building material and facility in the environment of special care unit. In this research, the nineteen people of the hallucination of occur frequently in demented are processing question behavior evaluation after into the protection environment for three months, and have to depth visit all the carry person and observe the patient’s behavior situation in order to discuss the patient live in the process to affect the hallucination behavior﹔Finally uses a model of the building material and facility to evaluate, and the result according to “t” examination to analyze around cross-reference the question behavior have difference of the frequency. From the study results, we can find the environmental of hallucination frequency was significantly affected by the interview of caregiver for the special care unit by building material and facility. The most problem to cause in Hallucination Behavior are Texture, Color, Combination of the color contrast, Reflective material, Reflection of the light, Shadow, Motion of the phantom, Sound. This could confirm that are benefit to improvement of hallucination of Demented Patients.
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Yang, Shiou-Jen, and 楊秀珍. "Research on the knowledge,attitude and behavior of palliative care professionals in a long-term care facility：A study of advanced dementia care." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/jmg9pk.
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碩士國立臺北護理健康大學
長期照護研究所
102
The palliative care is an important concept for long-term health care professionals who are involved in the health care of patients with advanced dementia, and each professionals should possess related knowledge, attitude, and behavior. Using the advanced dementia as a case example, this study is aimed at the investigation of the conditions and correlating factors concerning how the health care professionals working at long-term care institutions are trained with proper knowledge, attitude, and behavior regarding the hospice care. The research results are intended to be used as a reference for advice and improvement on future health care service and practice as well as the formulation of related policy regarding palliative care. This study was based on quantitative analysis of secondary data collected from a sampling of 442 persons who were health care professionals working at domestic long-term care institutions. The collected data were processed for descriptive statistical analysis, including independent sample t-test, Pearson product-moment correlation coefficient (Pearson’s r) analysis, and multiple regression analysis. The results revealed the following facts. Firstly, it was shown that demographic background, working experience in health care, and education/training of the health care practitioners were positively correlated with their scores in knowledge , attitude , and behavior regarding the hospice care. A higher score in knowledge indicated a more positive attitude and a better performance of behavior in the performance of hospice care. Secondly, it was shown that religious faith, duration of health care experience, and level of education were significant differentiating factors that were correlated with the performance of palliative care by the health care professionals. In conclusion, the overall proportion of domestic long-term health care practitioners who perform palliative care for patients with advanced dementia is still very low. From this study, it was found that the majority of the long-term health care professionals still lack adequate knowledge, attitude, and behavior regarding the palliative care of advanced dementia. Therefore, it is suggested that in-service continuing education and practical training should be further emphasized and implemented to allow the long-term care institutions and professionals to pay more attention to hospice care. It is hoped that this study can help improve the quality of health care for patients with advanced dementia. Key word: professionals in a long-term care facility、palliative care、 advanced dementia care