Multisensory Stimulation for People With Dementia

Sánchez, Andrés García; Millán-Calentí, José Carlos; Lorenzo-López, Laura; Maseda, Ana

doi:10.1177/1533317512466693

Cited by 97 publications

(99 citation statements)

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“…7 One of the distinguishing elements of the Snoezelen compared to other therapies is the one-to-one attention and the adoption of a nondirective approach, which encourages patients to engage with sensory stimuli of their choice. 8 In a recent review, 9 evidence supported the claim that MSSE in Snoezelen rooms seems to provide immediate positive effects on the mood and behavior of people with dementia. Also, it has also been observed that a more structured approach of multisensory stimulation has effective outcomes in the functional performance of people with dementia.…”

Section: Introductionmentioning

confidence: 89%

Multisensory Stimulation on Mood, Behavior, and Biomedical Parameters in People With Dementia

Maseda

Sánchez

Marante-Moar

et al. 2014

Am J Alzheimers Dis Other Demen

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The purpose of this study was to assess the effects of multisensory stimulation in a multisensory stimulation environment (MSSE) such as a Snoezelen room versus one-to-one activity sessions with regard to mood, behavior, and biomedical parameters (heart rate and blood oxygen saturation). The MSSE group and activity group (one-to-one activities) of patients with dementia participated in 2 weekly individualized intervention sessions over 16 weeks, where mood and behavior before, during, and after the sessions, and biomedical parameters immediately before and after, were recorded. Immediately after the sessions, patients spoke more spontaneously, related better to others, were more attentive to their environments, more active/alert, less bored/inactive, and more relaxed/content. Both groups exhibited decreases in heart rate and increases in oxygen saturation (Spo 2) values from before to after the sessions. The MSSE sessions in a Snoezelen room were found to be as effective as activity sessions, highlighting the importance of the one-to-one interaction with the therapist.

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Section: Introductionmentioning

confidence: 89%

Multisensory Stimulation on Mood, Behavior, and Biomedical Parameters in People With Dementia

Maseda

Sánchez

Marante-Moar

et al. 2014

Am J Alzheimers Dis Other Demen

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“…Les recherches mettent de plus en plus en évidence les bienfaits d'une sensorialisation de l'environnement pour les patients atteints de MAA, surtout à un stade sévère [30], notamment sur les SPCD dont l'intensité diminue [38]. En ce sens, différentes médiations peuvent être tentées pour reconstruire le lien du patient à son environnement, qu'elles soient intégrées en une activité artistique structurée (art-thérapie) ou plus élémentaires notamment sensorielles.…”

Section: Proposition D'une Méthode De Soinunclassified

“…En ce sens, différentes médiations peuvent être tentées pour reconstruire le lien du patient à son environnement, qu'elles soient intégrées en une activité artistique structurée (art-thérapie) ou plus élémentaires notamment sensorielles. La stimulation multisensorielle des sujets atteints de démence grâce à leur environnement produit des effets d'apaisement de l'intensité des SCPD [38]. La méthode de la stimulation multisensorielle appliquée aux patients souffrant de la MAA à un stade modéré a montré un effet positif sur leur état cognitif, mais également sur la dépression, l'anxiété [39] et l'apathie [40][41][42][43][44].…”

Section: Proposition D'une Méthode De Soinunclassified

Le cri dans la maladie d’Alzheimer à un stade sévère : vers une découverte du primitif

Deboves

2015

NPG Neurologie - Psychiatrie - Gériatrie

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“…Sensoristasis, which has been in use since the 1970s, is a balance between being over-and under-stimulated (Sanchez 2013). A specialised multisensory room may contain items such as coloured lights, water columns and aromatherapy.…”

Section: Multisensory Approachesmentioning

confidence: 99%

“…A specialised multisensory room may contain items such as coloured lights, water columns and aromatherapy. Sanchez et al (2013) carried out a review to determine the efficacy of this approach in dementia. They reviewed papers from 1990 to 2012 and although 63 studies were found, only 18 fulfilled their inclusion criteria.…”

Section: Multisensory Approachesmentioning

confidence: 99%

Psychosocial interventions for dementia: from evidence to practice

Patel¹,

Perera²,

J³

et al. 2014

Adv. psychiatr. treat

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ARTICLEThis article is an update to the overview in Advances by Douglas et al (2004). We summarise the most well-researched psychosocial approaches for dementia by focusing on those with goodquality evidence, and acknowledge some of the newer and less-researched interventions listed in Box 1.The recurrent theme throughout the literature regarding the efficacy of non-pharmacological interventions for dementia is the need for more robust evidence. Reasons for this include that research funding is largely targeted at biomedical approaches and that study designs are not always a good fit for the outcomes measured. Kitwood (1997) proposed that a person-centred approach should be the bedrock for supporting people with dementia. The essential tenet is that personhood remains throughout the experience of dementia and it is the caregiver's responsibility to ensure that it is maintained. Person-centred practice recognises the underlying needs of the individual, often expressed through behaviour. The paradigm shift from 'managing' behavioural and psychological symptoms of dementia (BPSD) towards improving well-being, engagement and quality of life represents a significant change. These goals are more hopeful, leaving therapeutic nihilism in the past. Reducing antipsychotic prescribing (Banerjee 2009) presents another opportunity to exploit these approaches. A review of 26 non-pharmacological intervention categories concluded that non-pharmacological therapies are useful, versatile and potentially cost-effective in improving outcomes and quality of life (Olazarán 2010); however, they necessitate staff time, raising issues regarding priorities and risk (Lawrence 2012).The essential component is the belief that distress and behaviour are expressions of unmet need -all behaviour having meaning -and are a response to the challenges dementia presents (Kitwood 1997). The key appears to be formulation or behavioural analysis (Moniz-Cook 2012) to understand the behaviour and its function for each person. is not yet robust enough to clearly suggest which interventions are most suited for which environment. However, from our literature review there appears to be reason to use music therapy, aromatherapy, life story work, animal-assisted therapy and post-diagnosis/carer support work. We focus on both the traditional outcome measures of behavioural and psychological symptoms of dementia (BPSD) and the more difficult to measure, but equally important, person-centred outcomes of non-pharmacological interventions, as their properties are distinctly different from those of pharmacological agents. LEARNING OBJECTIVES•• Be aware of the range of psychosocial interventions.•• Have a better understanding of the possible outcomes from given interventions.•• Be aware of the paradigm shift from managing BPSD to a person-centred approach that focuses on the patient's well-being and quality of life. DECLARATION OF INTERESTNone.BOX 1 Psychosocial approaches for dementia that are in use but research is ongoing

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Multisensory Stimulation for People With Dementia

Cited by 97 publications

References 35 publications

Multisensory Stimulation on Mood, Behavior, and Biomedical Parameters in People With Dementia

Multisensory Stimulation on Mood, Behavior, and Biomedical Parameters in People With Dementia

Le cri dans la maladie d’Alzheimer à un stade sévère : vers une découverte du primitif

Psychosocial interventions for dementia: from evidence to practice

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