The literature on the use of reminiscence therapy is vast in patients with dementia, but there is minimal evidence in older adults with Alzheimer's disease. The current review seeks to develop a unifying way to administer reminiscence therapy that will be effective for older adults with Alzheimer's disease. The review used the PRISMA guidelines in the literature search and data extraction. Results showed the effectiveness of reminiscence therapy in older adults with Alzheimer's disease, area of cognition, depression, activities of daily living, and quality of life. Additionally, for the therapy to be effective, it must be conducted regularly in a small group of patients for an average of 45 min for 8-to 12-week duration. Patients with mild-to-moderate Alzheimer's disease are most likely to benefit with the use of photographs, videos, and music that are associated with their past experiences. This review highlights innovative ways to render reminiscence therapy to individuals with Alzheimer's disease including technology-aided applications.
Dignity therapy as an intervention has been used for individuals receiving palliative care. The goal of this review is to explore the current state of empirical support to its use for end-of-life care patients. Data sources were articles extracted from search engines PubMed, Cochrane, Embase, CINAHL, Web of Science, and PsycINFO. The years searched were 2009 to 2019 (10-year period). The review process was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Results revealed the feasibility, acceptability, satisfaction, and effectiveness of dignity therapy for life-limiting cases/conditions of patients in different age groups. It also highlighted the importance of the therapy setting and the need to apply this in the cultural context. The meaning of dignity therapy to patients and their family care members also emerged. Findings showed most patients displayed the need to leave a legacy and from this their core values surfaced. In conclusion, this review highlighted the contribution of dignity therapy to the holistic care of patients who hope to leave a legacy. The therapy was also relevant to decrease the anxiety; depression, and burden of family members throughout the palliative care period of their loved ones.
Background: The purpose of the study was to explore the HEARTS (Health, Experience of Abuse, Resilience, Technology, and Safety) in a community sample of older adults (60 years and above) in the Philippines – one of the top ten countries in Asia with the fastest growth rate of the older adult population. Methods: A cross-sectional study design was utilized in collecting data using standardized questionnaires such as PROMIS, CD-RISC, EASI. The study was able to engaged a total of 161 older adults who voluntarily joined the study. Results: Findings show that among the different health indicators (i.e., physical function, anxiety, depression, fatigue, sleep disturbance, ability to participate in roles and activities, pain interference, and pain intensity), only sleep disturbance was significantly correlated with the experience of abuse. Only anxiety and fatigue were significantly correlated with resilience. Resilience was found to have a significant moderating effect between the relationship of experience of abuse and two health indicators (i.e., anxiety and pain interference). Technology use was significantly correlated with the ability to participate in social activities, pain intensity, and resilience. Our results also show that technology use had a significant mediating effect between resilience and anxiety (a health indicator). Conclusion: The results provide preliminary evidence on the protective effect of resilience on the experience of abuse and selected health outcomes among older adults in the Philippines. Resilience in older adults varies across demographic factors, and suspicions of elderly abuse exist in the community. Technology-use among older adults should be included in the framework in addressing older persons' welfare as it serves to provide communication means or entertainment purposes. Studying the health outcomes, resilience, abuse, and technology use among older adults provides a framework on how older adults should be treated and how intervention programs should be addressed.
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