Environmental Cues in Double-Occupancy Rooms to Support Patients With Dementia

Motzek, Tom; Bueter, Kathrin; Marquardt, Gesine

doi:10.1177/1937586715619740

Cited by 9 publications

(10 citation statements)

References 24 publications

(30 reference statements)

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“…In their review of the literature about the use of color in designing spaces for persons with dementia, Tofle, Schwarz, Yoon, and Max-Royale (2004) stated, “the evidence-based knowledge, however, for making informed decisions regarding color application has been fragmented, sporadic, conflicting, anecdotal, and loosely tested” (p. 4). In one small non-randomized study, people with dementia found hospital rooms enhanced with bright color (either red or green) more effectively than non-enhanced rooms; however, the effect was short-lived (Motzek, Bueter, & Marquardt, 2016). Another study found that color was identified by persons with dementia as being important for learning how to find their rooms in a newly redesigned dementia unit (Gibson, MacLean, Borrie, & Geiger, 2004).…”

Section: Salient Cuesmentioning

confidence: 99%

Salient Cues and Wayfinding in Alzheimer’s Disease Within a Virtual Senior Residence

Davis

Ohman

Weisbeck

2016

Environment and Behavior

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Wayfinding is a problem for persons with Alzheimer’s disease (AD), especially in complex environments such as senior residential communities. In this study, persons with AD or mild cognitive impairment (MCI) and a control group of older adults were asked to navigate a virtual reality simulation of a senior residential community. Subjects had to find their way repeatedly over multiple trials for two consecutive days in standard (no extra cues) and salient (colorful, memorable cues placed at key decision points) cue conditions. The results showed that all subjects found their way faster and more effectively in the salient cue condition than in the standard cue condition. Those in the AD/MCI group were significantly more impaired in wayfinding ability compared with those in the control group. Persons with impaired wayfinding ability due to AD and MCI can find their way more effectively in virtual environments enhanced with salient environmental cues.

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Section: Salient Cuesmentioning

confidence: 99%

Salient Cues and Wayfinding in Alzheimer’s Disease Within a Virtual Senior Residence

Davis

Ohman

Weisbeck

2016

Environment and Behavior

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“…As mentioned previously, signs of names and assigned numbers with selfreferent items helped improve PwD's room recognition (Nolan et al, 2001). Signages with contrasting colors and information were also helpful for PwD's navigation (Eastham & Cox, 2017;Motzek et al, 2016). Bracken-Scally et al…”

Section: Resultsmentioning

confidence: 91%

“…As mentioned previously, signs of names and assigned numbers with self-referent items helped improve PwD’s room recognition (Nolan et al, 2001). Signages with contrasting colors and information were also helpful for PwD’s navigation (Eastham & Cox, 2017; Motzek et al, 2016). Bracken-Scally et al (2019) reported that a functional electronic display in the emergency department was believed as a helpful orientation aid for PwD by family caregivers.…”

Section: Resultsmentioning

confidence: 99%

Influences of Physical Environmental Cues on People With Dementia: A Scoping Review

Wang

2021

J Appl Gerontol

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Physical environmental cues can provide important support to people with dementia (PwD). Compared to interventions involving construction, some cues can be achieved more easily, with less expense, and with fewer disruptions to PwD’s daily lives. This review aims to examine existing empirical evidence about the impacts of cues on PwD’s behaviors. We adopted the PRISMA scoping review approach and identified 32 articles. The results show visual cues have been frequently studied. The signage facilitates PwD’s wayfinding. Concealed doors (e.g., concealing doorknobs) effectively prevent exit attempts. PwD also eat better with tableware of higher-contrasting colors or good lighting conditions. Clearer toilet signage results in better continence. Applying cues properly contributes to improving PwD’s well-being and decreasing the burden for caregivers. However, knowledge gaps still exist in the impacts of other sensory cues (e.g., tactile, olfactory, and auditory), which require further research.

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“…Specifically, simple environmental changes, such as door camouflage and environmental cues may, at least initially improve door testing and wayfinding. ( 11 , 12 )…”

Section: Discussionmentioning

confidence: 99%

“…Motzek et al . ( 12 ) studied the effectiveness of environmental cues on patients’ abilities to identify their beds and wardrobes on an acute geriatric ward (N = 42). They labeled patients’ beds and wardrobes with the environmental cues “colour” and “number”.…”

Section: Interventions Typesmentioning

confidence: 99%

Optimizing the Physical & Social Environment Within Hospitals for Patients with Dementia: a Systematic Review

2022

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BackgroundAs the population ages, the number of individuals living with dementia is increasing. This has implications for the health-care system, as people living with dementia are hospitalized more frequently and for longer periods. Because patients living with dementia are at increased risk for adverse events during admission, understanding how the acute care physical and social environments influence their outcomes is impera-tive. Thus, the objective of this review was to identify studies that modified the physical and/or social environment in acute care in order to improve care for hospitalized patients living with dementia. MethodsMEDLINE, Embase, and CINAHL databases were used to search for articles up to and including June 2021. PRISMA guidelines were followed. Two independent reviewers as-sessed citations and full texts against the following inclusion criteria: patients living with dementia/cognitive impairment, presence of a control group, and evidence of clinical or health systems outcomes. All published English-language articles meeting inclusion criteria were retrieved. ResultsFollowing the database search, 12,901 citations were retrieved with 11,334 remaining after duplication removal. Of these, 15 papers met inclusion criteria. Seven studies evaluated the physical environment (e.g., addition of electronic sensor alarms and environmental cues). The remaining studies evalu-ated specific programs (e.g., art, music, exercise, volunteer engagement, and virtual reality). The majority of studies were low to very low quality; only three studies were RCTs. Environmental cues may initially improve wayfinding, and exercise may reduce neuropsychiatric symptoms. ConclusionsAlthough there are several interventions, there is a lack of high-quality evidence available to determine what exactly needs to be incorporated into acute care settings to reduce adverse outcomes for patients with dementia.

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Environmental Cues in Double-Occupancy Rooms to Support Patients With Dementia

Cited by 9 publications

References 24 publications

Salient Cues and Wayfinding in Alzheimer’s Disease Within a Virtual Senior Residence

Salient Cues and Wayfinding in Alzheimer’s Disease Within a Virtual Senior Residence

Influences of Physical Environmental Cues on People With Dementia: A Scoping Review

Optimizing the Physical & Social Environment Within Hospitals for Patients with Dementia: a Systematic Review

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