Transitions between hospital and community are particularly challenging for vulnerable adults experiencing behavioural and psychological symptoms (BPSD) of dementia. Too often, miscommunication results in triggering a recurrence of disruptive behaviours leading to frustration of staff and families. As part of the implementation of Health Quality Ontario (HQO) Quality Standards, this project involved improving transitions using an electronic-based care plan on a 23-bed geriatric dementia unit in a mental health hospital. "My Dementia Careplan," is an interprofessional care plan that was developed in the electronic medical record (EMR) to enhance communication of information between healthcare providers when patients are being discharged to the community. It is written from the patient's perspective in collaboration with the family and interprofessional team. It describes strategies to manage behavioural challenges along with the standardized tools to objectively monitor progress. This care planning will help to support transition of knowledge between hospital and community.
Introduction: There are over 100 different forms of dementia which is a broad term employed to describe
symptoms effecting the brain caused by neurological and vascular diseases. It is a neurological disease that
results in a decline in cognitive, social and physical disability which currently has no cure. The prevalence
is expected to triple by 2050, due to the aging population trends in Canada. It has been estimated that 24.3
million people have dementia, and there are 4.6 million new cases annually, which accounts for one case
every 3 seconds globally.
Objectives: This systematic review examines the effects of music therapy on behavioral psychological
symptoms of dementia and the quality of life.
Methods: A systematic literature search was performed in Ovid Medline, CINAHL and PsycINFO from
January 2000 until August 2019. A data abstraction template was employed to for data management and
organization. We included all peer reviewed, English articles, RCT’s, systematic reviews, meta-analysis,
abstract pool and all or some key words.
Results: From 968 potentially relevant records, 55 studies were evaluated for eligibility, and 20 met the
inclusion criteria. Overall the studies showed a significant impact on mitigating agitation, reducing BPSD
and improving memory, cognition, QOL and decreasing anxiety and symptoms associated with depression.
Conclusion: The role of musical interventions found in the literature demonstrates the benefits of music
therapy on dementia patients due to its positive effects on BPSD, quality of life and other behavioral
symptoms.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.