Effectiveness and acceptability of non‐pharmacological interventions to reduce wandering in dementia: a systematic review

Robinson, Louise; Hutchings, Deborah; Dickinson, Heather O; Corner, Lynne; Beyer, Fiona; Finch, Tracy; Hughes, Julian C.; Vanoli, Alessandra; Ballard, Clive; Bond, John

doi:10.1002/gps.1643

Cited by 113 publications

(75 citation statements)

References 55 publications

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“…As indicated in the intro, doing Participator Design stems from the idea that a design will be better when a person with dementia is involved in the design process (the pragmatic motivation) and that it is an ethical or political belief to do so (the moral motivation). People with dementia have rarely been directly involved in the design process and most technology development has been done via proxies, such as the person with dementia's family, friends or the professional caregiver [11], [12]. An anecdotal example which shows that working with proxies might not always be the best choice has been described by Alm [13].…”

Section: Dementia and Participatory Designmentioning

confidence: 99%

Designing with Dementia: Guidelines for Participatory Design together with Persons with Dementia

Hendriks

Truyen

Duval

2013

Lecture Notes in Computer Science

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Abstract. Involving all stakeholders in the design process is often seen as a necessity from both a pragmatic and a moral point of view [1]. This is always a challenging task for designers and stakeholders and therefore many participatory design methods have been developed to facilitate such a design process. The traditional participatory design methods, however, are not fully appropriate to incorporate persons with dementia [2], [3]. They create issues as they assume that the participants are cognitively able; can make use of visual and hands-on techniques; or require a high level of abstraction ability of the person with dementia.The aim of this paper is to present a number of guidelines which can be used as a starting point to set up participatory design projects with persons with dementia. This overarching set of guidelines provides for practical advice focusing on the role of the moderator, the preparation of a participatory session, the choice and adaptation of the method, the tools used, the role of each participant and the subsequent analysis. The basis for these guidelines stems from similar participatory projects with senior participants, persons with dementia and participants with aphasia or amnesia, two symptoms frequently co-occurring with dementia. All guidelines were evaluated and refined during four sessions with persons with dementia and a trusted family member. These participatory design sessions occurred in the course of the AToM project, a research and design project that tries to design an intelligent network of objects and people to ameliorate the life of persons with dementia.Keywords: participatory design 1 , persons with dementia, method, guidelines 1 We choose to use the term participatory design and not collective design or the Scandinavian tradition, being the predecessors of participatory design [4]. Neither did we use the term participative design which is set more in a UK tradition of participation and is thus less focused on co-creation [5].

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Section: Dementia and Participatory Designmentioning

confidence: 99%

Designing with Dementia: Guidelines for Participatory Design together with Persons with Dementia

Hendriks

Truyen

Duval

2013

Lecture Notes in Computer Science

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“…Healthcare workers need to be aware of the tension between the principles of beneficence and non-maleficence [40]. The aim of rehabilitation is to maximize existing strengths and prevent further loss of abilities [41].…”

Section: Discussionmentioning

confidence: 99%

Use of Physical Restraints in a Rehabilitation Setting: Findings from a Point Prevalence Survey

Lai¹

2015

J Nurs Care

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A point prevalence survey among 125 patients in two units of a rehabilitation facility showed that the physical restraint rate was 12.8% (n=16). The survey examined the reason(s) for restraint use, whether its use had been explained, consent obtained and documented, whether the restraint had been appropriately applied and patients monitored during the period when restraint was applied, and whether alternatives had been attempted. Interestingly, six patients were found to have had their restraints removed either before or after the survey. A slightly less restrictive form of restraint, boxing gloves, was used for seven patients instead of limbs holders. Three patients remained restrained. The results of this study revealed that there was room for improvement in practice of restraints, and that measures to reduce the use of restraints were not necessarily very costly. Applying physical restraints is counter-productive to rehabilitative care. Nurses and other health disciplines need to be better informed regarding restraint reduction programs.

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“…[8] Uygulamada ise davranışsal müdahalenin, hastaların genel durumlarında etkili olmadığı görülmüştür, ancak bazı özgül olan ve problem davranışların azaltılmasına yardımcı olduğu da söylenmektedir. [10,11] Bu müdahalenin demansı olan bireylerde etkinliği konusunda önemli oranda veri eksikliği söz konusudur. Bu müdahale konusunda net bir şeyler söylemek için çalışmaların çoğaltılması gerektiği söylenmekte-dir.…”

Section: Davranışsal Müdahalelerunclassified

Cognitive Activity To Increase Psychosocial Practices in Dementia

Lök¹,

Buldukoğlu²

2014

Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychia

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ÖzetDemanslı bireylerin günlük yaşamlarını daha kaliteli sürdürebilmeleri için bilişsel yönden güçlendi-rilmesi gerekmektedir. Bu nedenle demansta bilişsel aktiviteyi artırıcı psikososyal uygulamalara gereksinim vardır. Demansta bilişsel aktiviteyi artırıcı müdahaleler ilaçla tedaviye yardımcı olarak kullanılmaktadır. Bu müdahaleler; davranış, duygu, algı ve uyarım odaklı yaklaşımlar olarak dört grupta sınıflandırılabilir. Demansta bilişsel aktiviteyi artırıcı bu müdahale ve uygulamaların yaygın-laştırılması ve yaşlı grup için en uygun olan yöntem seçilerek uygulanması gerekmektedir. Bilişsel aktiviteyi artırıcı tüm psikososyal uygulamaları pskiyatrist, uzman psikiyatri hemşiresi, psikolog, sosyal hizmet uzmanları, uğraşı terapistleri tarafından ilgili terapinin eğitimini almak koşulu ile verebilir.Anahtar sözcükler: Demans, bilişsel aktivite, psikososyal uygulamalar. AbstractCognitive aspects of individuals with dementia are needed to be strengthened in order to maintain their quality of life. Thus there is a need for psychosocial practices to enhance cognitive activity in dementia. Cognition enhancer interventions are used as an aid to pharmacological treatment. These interventions could be classified into four groups as behavior, emotion, perception and stimulationoriented approaches. Interventions and practices including such cognitive enhancer activities should be generalized, and medical staff should select the most appropriate method for elder people to apply. All psychosocial practices that enhance cognitive activity could be practiced by any educated medical staff including psychiatrists, psychiatric nurse specialists, psychologists, social workers or occupational therapists.

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Effectiveness and acceptability of non‐pharmacological interventions to reduce wandering in dementia: a systematic review

Cited by 113 publications

References 55 publications

Designing with Dementia: Guidelines for Participatory Design together with Persons with Dementia

Designing with Dementia: Guidelines for Participatory Design together with Persons with Dementia

Use of Physical Restraints in a Rehabilitation Setting: Findings from a Point Prevalence Survey

Cognitive Activity To Increase Psychosocial Practices in Dementia

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