Effect of Individualized Social Activity on Sleep in Nursing Home Residents with Dementia

Richards, Kathy; Beck, Cornelia; O’Sullivan, Patricia; Shue, Valorie M.

doi:10.1111/j.1532-5415.2005.53460.x

Cited by 104 publications

(75 citation statements)

References 36 publications

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“…In addition, inactivity leads to loneliness, depression, social isolation, loss of self-esteem, increased disability, and consequently a low quality of life (Richards et al, 2005). Previous studies have found beneficial effects of social activities on DS in nursing home residents (Richards et al, 2005(Richards et al, , 2011. Despite this, an emphasis on social activities that could meaning-fully engage residents has not become a feature of nursing home life.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated With Daytime Sleep in Nursing Home Residents

Chang

Porock

2014

Res Aging

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A retrospective, cross-sectional study was conducted to describe the occurrence of daytime sleep (DS) and to examine factors associated with DS in nursing home residents. We used the Minimum Data Set 2.0 records of 300 residents in a nursing home from January 2005 to March 2010. Descriptive statistics, independent t-test, chi-square, Pearson correlations, and logistic regression were utilized in analysis. About 71.3% of the residents slept more than 2 hours during the day, and this was significantly associated with residents' comorbidity (t ¼ 2.0, p ¼ .04), cognitive performance (t ¼ 7.3, p ¼ .01), activities of daily living (t ¼ 3.7, p ¼ .01), and social involvement (t ¼ -7.6, p ¼ .01). Cognitive performance and social involvement significantly predicted the occurrence of DS with social involvement being the strongest predictor (odds ratio: .58; 95% confidence interval: [.45, .75

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Section: Introductionmentioning

confidence: 99%

Factors Associated With Daytime Sleep in Nursing Home Residents

Chang

Porock

2014

Res Aging

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“…Finally, a recent study by Richards, Beck, O'Sullivan, and Shue (2005) tested an individualized social activity intervention that was a variant of a daytime sleep restriction program and was designed to be delivered by nursing assistants to nursing home residents with dementia. Participants received 1-2 hr of social activities in 15-to 30-min sessions for 21 consecutive days.…”

Section: Treatments Requiring Additional Evidencementioning

confidence: 99%

Evidence-based psychological treatments for insomnia in older adults.

McCurry¹,

Logsdon²,

Teri³

et al. 2007

Psychology and Aging

142

113

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The review describes evidence-based psychological treatments (EBTs) for insomnia in older adults. Following coding procedures developed by the American Psychological Association's Committee on Science and Practice of the Society for Clinical Psychology, two treatments were found to meet EBT criteria: sleep restriction-sleep compression therapy and multicomponent cognitive-behavioral therapy. One additional treatment (stimulus control therapy) partially met criteria, but further corroborating studies are needed. At the present time, there is insufficient evidence to consider other psychological treatments, including cognitive therapy, relaxation, and sleep hygiene education, as stand-alone interventions beneficial for treating insomnia in older adults. Additional research is also needed to examine the efficacy of alternative-complementary therapies, such as bright light therapy, exercise, and massage. This review highlights potential problems with using coding procedures proposed in the EBT coding manual when reviewing the existing insomnia literature. In particular, the classification of older adults as persons age 60 and older and the lack of rigorous consideration of medical comorbidities warrant discussion in the future.

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“…Simon and Ludman (2006) recently found that benzodiazepines were prescribed to older adults in primary care for sleep and anxiety problems without clear indication for use and were continued long term without improvements in symptoms. Many non-pharmacological approaches for pain, sleep, and behavior problems are nurse led (Horgas & Elliott, 2004;Kolanowski, Litaker, & Buettner, 2005;McDowell, Mion, Lydon, & Inouye, 1998;Richards, Beck, O'Sullivan, & Shue, 2005).…”

Section: Nursing Implicationsmentioning

confidence: 99%

Health outcomes associated with potentially inappropriate medication use in older adults

Fick

Mion

Beers

et al. 2007

Research in Nursing & Health

256

198

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The purpose of this study was to examine the prevalence of potentially inappropriate medication use (PIMs) among community-dwelling older adults and the association between PIMs and health care outcomes. Participants were 17,971 individuals age 65 years and older. PIM use was defined by the Beers criteria. Drug-related problems (DRPs) were defined using ICD-9 codes. Forty percent of the 17,971 individuals filled at least 1 PIM prescription, and 13% filled 2 or more PIM prescriptions. Overall DRP prevalence among those with at least 1 PIM prescription was 14.3% compared to 4.7% in the non-PIM group (p < .001). In conclusion, preventing PIM use may be important for decreasing medication-related problems, which are increasingly being recognized as requiring an integrated interdisciplinary approach. Keywordsmedications; healthcare costs; geriatrics; adverse drug events Drug-related problems (DRPs) are prevalent in the older adult population and pose a major patient safety concern. DRPs arise because of the increasing number of medications required by this age group, fragmented systems of care, pre-existing health conditions, and the pharmacokinetic and pharmacodynamic changes that occur with aging (Bigos, Bies, & Pollock, 2006;Cusack, 2004;Gurwitz, 2004;Hajjar et al., 2003;Turnheim, 2004Turnheim, , 2005. Avoiding use of high-risk drugs is an important strategy in reducing DRPs. The purpose of this study was to examine both the prevalence of potentially inappropriate medication (PIMs) use among community-dwelling older adults and the association between PIMs and health care outcomes.One method promoted to identify high-risk medications is the use of an explicit list of PIMs. PIMs were first devised and publicized by Beers et al. for nursing home residents and subsequently expanded to include older adults in all settings (Beers, 1997). PIMs are medications identified through expert panel review as having risks that outweigh benefits (Beers et al., 1991). Since the early 1990s, the prevalence of PIMs has been examined in a (Lau, Kasper, Potter, & Lyles, 2004), outpatient (Aparasu & Sitzman, 1999Curtis et al., 2004), acute care (Onder et al., 2005), and community settings (Zhan et al., 2001). For research purposes, use of explicit criteria is generally preferred over the use of implicit criteria applied by expert reviewers.The clinical validity of using a list of medications based on expert panel review and explicit criteria has been questioned as being overly simplistic and not including all the common drugs causing problems in older adults (Crownover & Unwin, 2005;Shorr, 2004). Moreover, despite the numerous reports of the prevalence of PIMs, only a few investigators (Fu, Liu, & Christensen, 2004;Thapa, Gideon, Cost, Milam, & Ray, 1998) have examined whether PIMs are associated with adverse clinical outcomes. Therefore, we investigated the outcomes associated with PIM use in a population of community-dwelling older adults.The Beers criteria have been revised recently; hence, the current prevalence of PIMs in...

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Effect of Individualized Social Activity on Sleep in Nursing Home Residents with Dementia

Abstract: The ISAI provides an alternative to medications, without side effects.

Cited by 104 publications

References 36 publications

Factors Associated With Daytime Sleep in Nursing Home Residents

Factors Associated With Daytime Sleep in Nursing Home Residents

Evidence-based psychological treatments for insomnia in older adults.

Health outcomes associated with potentially inappropriate medication use in older adults

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