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Research Summary Table: Sensory Interventions in Dementia Patients Morgan Shippy (Students Name) Northwest Arkansas Community College NURS9108: Fundamentals of Nursing Summer 2016 (Term Year)
2 Research Summary Table: Sensory Interventions in Dementia Patients Author, Year of Publication
Purpose Sample/
Number of
Participants
Design/Level of Evidence
Findings
Limitations
A. C. Vink et al.
(2012)
To compare the effects of music therapy with general day activities in reducing agitation in people with dementia, residing in nursing homes. A random sample of 77 nursing home residents with a diagnosis of dementia of any type according to the American
Psychiatric
Association, as well as a high level of behavioral problems according to a CohenMansfield Agitation Inventory (CMAI). Experimental/Descriptive (Level II) study of residents with dementia that were regarded to either music therapy or recreational activities offered twice weekly for 4 months.
Alterations in mood/agitation were measured with a modified CMAI at four intervals on each intervention day. The music therapy intervention lasting 4 months had no additional beneficial short-term effect on reducing agitation when compared to the general day activities. A modified version of the CMAI was used to determine the presence
Patient living in the nursing homes with diagnosis of dementia experience Disruptive behavior. According to Burton et al. (2015) more than 44 million people have dementia. Dementia affects memory, thinking and social abilities. These symptoms severely interfere with daily functioning of the patient. Approximately 90% of dementia patients demonstrate psychological and behavioral symptoms such as anxiety, agitation, depression, hallucination, delusion, and aggression (Chen et al., 2014). Behavioral and psychological symptoms of dementia (BPSD) are a varied group of non-cognitive symptoms affecting demented patients. These symptoms are delusion, hallucination, agitation, anxiety, euphoria, disinhibition, night-time behavioral disturbances
Nearly 135 million people worldwide will be impacted by dementia by 2050 (Robinson, Tang, Taylor,. 2015). Dementia is not a disease, it is an overall term that describes a wide range of symptoms associated with the decline in memory and thinking skills. Dementia is a progressive illness that results in the loss of one’s sense of self (Burns, Byrne, Ballard, Holmes, 2002). The two most common forms of dementia are Alzheimer’s disease and Vascular dementia. Dementia is progressive and people with dementia experience complications with short-term memory, keeping track of personal items, paying bills, taking care of themselves and daily tasks (Haigh, Mytton, 2016). Due to the rising number of individuals developing dementia, it is causing major challenges in the healthcare systems and society (Angermeter, Luck, Then, Riedel-Heller, 2016). Utilizing psychotropic medications are often ineffective or harmful to the individual, therefore, many patients decide to utilize sensory therapy as a form of treatment instead (Livingston, Kelly olmes, et al., 2014). Caregivers of individuals with dementia can also experience health consequences related to caregiving at the end of life. Spousal caregivers are 40.5% higher odds of experiencing frailty as a result of caregiving (Carr, Dassel, 2017). Dementia does not only affect the individual, it affects those around them, society, and the healthcare system.
In this research paper, the effectiveness of music therapy on the cognitive degenerative disorder of dementia will be evaluated. To support the contention that music therapy is effective in treating the symptoms of dementia, research documenting this therapy’s impact on memory, emotions, and behavior will be examined. In order to provide a greater understanding of music therapy and dementia, these terms will be defined. Second, research will be examined to determine music therapy’s impact on the psychological and behavioral issues associated with dementia. Finally, a summary of music therapy’s benefits and an evaluation of its effectiveness in treating individuals afflicted with dementia will be discussed.
The last technique of MT for dementia is combining music with activities. There are many more additional studies using MT which includes not only just melody but also with other activities like dancing, rhythmic movements, singing, playing instruments and more. Gómez-Gallego M and his colleagues asked forty-two minor to moderate AD to not only listen to the music they enjoy but also to dance, greet, play instruments and go on. The outcome of six-week intervention indicated that music with other activities could improve the cognitive status and alleviates neuropsychiatric symptoms of AD patients
Along with varying music to achieve different beneficial results from Alzheimer’s patients, there are many different activities that can help engage and improve the mental state of patients with Alzheimer’s from the early stages of the disease’s
This is the playlist I created that I would listen to at ninety years old. After listening to the playlist it changed my mood,took me back through a lot of great times and even made me want to get up and dance. Music is a good source to link memorie and even help someone get through stressful times. Music can also help a person express their personality. This treatment modality is effective for people with dementia because it can be way to recover lost memories from childhood. If the person may have had a bad morning it can change their day. Certain songs may help connect signficiant events in their life. For some people if they enjoyed dancing dancing in the younger days would make them think about their dance moves. Dementia is defined as
Alzheimer’s disease is an insidious illness which leads to cognitive and functional impairment, and is becoming more commonplace than ever before. There is no known cure, treatment, or prevention for this disease; in case of point, researchers have yet to discover a way to slow the progression of the illness. As the treatment of the physical manifestation of this disease is difficult to pinpoint, many researchers have dedicated their resources to finding ways to improve the quality of life of those who are diagnosed. Many patients with Alzheimer’s experience depression, anxiety, aggression, and social isolation as a result of their disease; these emotional responses can be treated. Social, music, and exposure therapy in a combined approach will significantly decrease depression scores on the Geriatric Depression Scale (GDS) and reduce agitation scores on the Cohen-Mansfield Agitation Inventory (CMAI). Participants exposed to our therapy program will show less physical and verbal aggression, demonstrate positive body language as observed by a third rater, increased brain stimulation reflected in fMRI scans and decelerated brain atrophy from the
After watching the documentary, “Alive Inside: A Story of Music and Memory”, I was surprised by the facts, personal stories, and interviews presented about the disease, Alzheimer’s and the use of music as a form of treatment. The most shocking and depressing aspect I found was the personal stories about the environment people with Alzheimer’s are put in. In terms of environment, I am referring to not only the physical environment, but also how people who are suffering from Alzheimer’s receive treatment. Lastly, the facts addressed in the documentary regarding cost and time to treatment is complimentary to the discussions and PowerPoint presented in class.
Our five senses connect our minds with the world that surrounds us. Many people begin to experience difficulties with their senses as they age. If an individual with Alzheimer’s or a related disorder begins to lose some of these senses, the confusion that he or she is already experiencing may worsen. Even when an individual has difficulty making sense of complex sensory stimuli, a pleasant sensation can still provide enjoyment and an unpleasant one can evoke a feeling of disgust. There are numerous positive effects related to stimulating the senses of an individual who has dementia. Sensory stimulation has no boundaries, which is why caregivers are creating sensory rooms for seniors.
Based on the studies, this information will be helpful in the future to promote musical therapy. Since there is strong supporting evidence that music has been found as an important element in the benefits of helping those combating dementia and Alzheimer’s disease. It is through these multiple studies it has proven to aid the therapeutic process and assists with reducing agitation among patients. So one may consider to add positive mind stimulating music as part of their daily routine to help curve the onsets of agitation and
Dementia as the article noted is a universal problem affecting over 35 million people and the number increases annually. In the UK, it is expected that over a million will be affected by 2025 (Alzheimer Society 2007). Dementia causes progressive decline in cognitive functions and complicates the impact of sensory experience by affecting communication, memories, perception, feelings, emotions, and quality of life. McCaffrey (2008) cited by Eells (2014) asserted that music and singing are very important arts used to lessen anxiety and agitation in people with dementia and enhance their quality of life. In a related study article by Sung et al (2010), preferred music and singing intervention provided by trained nursing staff had a profound influence in reducing anxiety in older adults with dementia. Music and singing is increasingly being used as mode of relaxation during mealtimes, reduce stress and agitated behaviours, aid increased food consumption, evokes feeling of happiness and promotes social interaction. Music and singing is also noted by Chan (2007) cited by Eells (2014) to effect physiological changes such as increased oxygen saturation levels, lowers blood pressure, pulse rate and heart rate. Walker (2011) cited by Eells (2014) noted osteoarthritis as the most frequent incapacitating disease in older adults because it inhibits their mobility, and
Does having premorbid musical training affect the rate of symptom incipience in pathology resulting in dementia?
According to the American Music Therapy Association (A.M.T.A.), music therapy is “the clinical and evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a credentialed professional who has completed an approved music therapy program.” As a generally new and upcoming industry, music therapy is often underestimated. By incorporating different areas of the brain, music can reduce stress, ease
Aside from emotions, music can also have an impact on mental illnesses like ADHD, depression, and dementia. To combat depression, Cadena states that “music therapy alleviates pain and promotes calmness by slowing the heart rate and other bodily functions” (2). It provides the patient with a means of escape from the stressful and painful ordeals of life, and can even encourage them to recover from depression. To help children with ADHD, music therapy and medications can be used conjointly. Music, Cadena affirms, “can provide a calming, sedative affect and assist a child with focusing on the task at hand” (2). In regards to dementia, a study was done to investigate the effects that music would have on people with the disease. The findings demonstrated that “mean agitation levels were significantly lower while listening to music than before listening to the music” (3).
Participants were part of The 90+ Study, a population-based longitudinal study of aging and dementia among people aged 90 years and older. Participants were originally members of The Leisure World Cohort Study, an epidemiological health study established in the early 1980s of a retirement community in California (Laguna Woods). The cohort is mostly female, Caucasian, well educated, and upper-middle class. The 1,150 individuals alive and aged 90 and older as of January 1, 2003 were invited to participate and 950 participants had joined as of December 31, 2007.