The Short-Term Effects of In-Hospital Respite on the Patient With Alzheimer's Disease

Seltzer, Benjamin; Rheaume, Yvette; Volicer, Ladislav; Fabiszewski, Kathy J.; Lyon, Paula C.; Brown, June; Volicer, Beverly J.

doi:10.1093/geront/28.1.121

Cited by 22 publications

(14 citation statements)

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“…From the families' experiences in this study it also appears that there is a need to be presented with the option of in‐hospital respite care in a way that more truly represents the choice as problematic. There were reports of adverse health events for the person with dementia just as has been noted in other studies (Seltzer et al . 1988, Adler et al .…”

Section: Discussionsupporting

confidence: 60%

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Dis/integrated care: family caregivers and in‐hospital respite care

Gilmour

2002

Journal of Advanced Nursing

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Nurses' practices in this study were a critical element in facilitating, or alternately constraining, family caregivers' ability to relinquish care and to take full advantage of the respite time. The research findings highlight the need for nurses and other formal caregivers to locate themselves in a secondary and supporting caregiving role, to acknowledge the family caregivers as the primary caregiver, and use family caregivers in-depth and intimate knowledge of the needs of their relative to inform care within the institutional setting.

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Section: Discussionsupporting

confidence: 60%

“…Nolan and Grant (1992) interviewed older users of respite beds and found that six out of 30 participants felt abandoned and the majority, at best, tolerated the service. In other studies of the effects of in‐hospital care on people with dementia, functionally more able people declined in performance (Seltzer et al . 1988).…”

Section: Introductionmentioning

confidence: 68%

Dis/integrated care: family caregivers and in‐hospital respite care

Gilmour

2002

Journal of Advanced Nursing

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“…Relocation to New Environments.-Findings are mixed regarding the impacts of relocating people with dementia to new environments (Robertson, Warrington, & Eagles, 1993;Seltzer et al, 1988; see Appendix A, Note 6). When moved together as intact units of residents and staff, people with dementia appear to suffer few or no adverse impacts from relocation (Anthony, Procter, Silverman, & Murphy, 1987;McAuslane & Sperlinger, 1994;Robertson et al, 1993).…”

Section: Planning Principlesmentioning

confidence: 99%

The Therapeutic Design of Environments for People With Dementia

Day¹,

Carreon²,

Stump³

2000

The Gerontologist

434

362

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Design of the physical environment is increasingly recognized as an important aid in caring for people with dementia. This article reviews the empirical research on design and dementia, including research concerning facility planning (relocation, respite and day care, special care units, group size), research on environmental attributes (noninstitutional character, sensory stimulation, lighting, safety), studies concerning building organization (orientation, outdoor space), and research on specific rooms and activity spaces (bathrooms, toilet rooms, dining rooms, kitchens, and resident rooms). The analysis reveals major themes in research and characterizes strengths and shortcomings in methodology, theoretical conceptualization, and applicability of findings.

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“…Only a few studies have investigated the effect of those programs on behavior problems and mood of the demented person (Brodaty & Gresham, 1989;Lawton et al, 1989;Mintzer et al, 1997;Seltzer et al, 1988;Vernooij-Dassen & Persoon, 1990;Wells et al, 1990). The results of these studies are ambiguous.…”

mentioning

confidence: 99%

Effect of Integrated Family Support Versus Day Care Only on Behavior and Mood of Patients With Dementia

Dröes

Breebaart²,

Ettema

et al. 2000

Int. Psychogeriatr.

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ABSTRACT. Objective: This study tests the hypothesis that integrated family support, in which patients and caregivers are both supported by one professional staff, is more effective in influencing behavior problems and mood of the dementia patient than nonintegrated support, such as psychogeriatric day care only. Design: A quasi-experimental pretest-posttest control group design with matched groups was applied. Setting: Psychogeriatric day-care centers of four community centers and three nursing homes. Participants: Fifty-six dementia patients living at home and their caregivers. Intervention: The patients in the experimental group (n = 33) participated together with their caregivers in an integrated family support program, whereas the patients in the control group (n = 23) received psychogeriatric day care only. Measurements: Behavior problems and mood were observed using standardized behavior observation scales. Results: After 7months the experimental support program, compared to the regular psychogeriatric day care, showed a large positive effect on the total number of behavior problems (effect size .75), and also specifically on the degree of inactivity (effect size .66) and nonsocial behavior (effect size .61). No effect on mood was found. Conclusions: In influencing the total amount of behavior problems, as well as the degree of inactivity and nonsocial behavior, the integrated family support program proved to be more effective than psychogeriatric day care. Because behavior problems are an important determinant for admission of persons with dementia into a nursing home, integrated family support may contribute to the delay of institutionalization.Behavioral and mood problems of persons with dementia often make it difficult to take care of these people at home. Research shows that behavioral problems constitute the main determinant of institutionalization of a person with dementia into a nursing home (Christie & Wood, 1988;Grafstrom et al., 1994;Reisberg et al., 1987;Steele et al., 1990). It is also well known that behavioral problems

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The Short-Term Effects of In-Hospital Respite on the Patient With Alzheimer's Disease

Cited by 22 publications

References 0 publications

Dis/integrated care: family caregivers and in‐hospital respite care

Dis/integrated care: family caregivers and in‐hospital respite care

The Therapeutic Design of Environments for People With Dementia

Effect of Integrated Family Support Versus Day Care Only on Behavior and Mood of Patients With Dementia

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