BackgroundSensory modulation rooms (SMRs) are therapeutic spaces that use sensory modulation concepts and strategies to assist service users to self-regulate and modulate arousal levels. SMRs are increasingly being explored as strength-based and person-centered adjuncts to care for people receiving inpatient psychiatry services. The aim of this study is to understand health provider and inpatient service user perceptions on the use of SMRs on acute psychiatric units.MethodsWe conducted semi-structured interviews with ten service users and nine health providers (four occupational therapists and five nurses) regarding their experiences of the SMRs located on three acute inpatient units in a large urban tertiary care hospital. We audio recorded and transcribed the focus groups and used thematic analysis to analyze the data.ResultsOur results suggested four common themes amongst health provider and service user experiences of sensory modulation rooms: (1) service user empowerment through self-management, (2) emotional regulation, (3) an alternative to current practices, and (4) health provider and service user education.ConclusionOur study supports the ecological utility of SMRs as person-centred adjunct therapeutic space viewed positively by both service users and health providers. This understanding of SMRs is critical for future service design, research and policy aimed at improving the service user experience and care for this population. Future research is needed to validate the experience of the SMRs with other patient groups and health providers.
of elected code status from TOE to TOD (Figure 1; Pearson chi-square = 5.08, P = .03).After performing univariate analyses on all predictor variables, a multivariate model was constructed including race, number of medical diagnoses, diagnosis of dementia, and HCA that demonstrated that longer time of enrollment in PACE was independently associated with change in code status toward less-aggressive care (P = .048).Regarding other secondary outcomes, 88% of participants received care consistent with their code status at TOD, 2% had their code status changed by family members or while receiving emergency medical services and hospitalized, and 5% were hospitalized although they had requested DNH. For 4% of participants, records from outside hospitals could not be obtained. Overall, participants were hospitalized only 7.1 ± 13.6 days during the last 6 months of life, and 63% of participants died in a nonhospital setting.These data suggest that longer exposure to the IDT results in less-aggressive code status at time of death. This trend toward less-aggressive care and the statistically significant association with ongoing code status discussions has not been well described previously. Because these code status discussions commenced at enrollment and were addressed regularly, it is likely that these individuals had more time to weave their knowledge of options and their preferences into a plan that could be shared with community members and be followed. In comparison, a 25% rate of discussion regarding end of life and resuscitation was described to occur in a study population of ill older adults. 9 Efforts to elicit and document patient preferences and HCA designation possibly resulted in the death of the participants in the current study having better alignment with their preferences.In summary, focused commitment to regular discussions and documentation of advance care planning and endof-life care implementation by the PACE interdisciplinary team can serve as a model for positive outcomes in end-oflife geriatric care.
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