Feasibility study of a digital screen-based calming device (MindfulGarden) for bathing-related agitation among LTC residents with dementia.
Background: Behavioural and psychological symptoms of dementia (BPSD) are common and disturbing and can deter or disrupt the care process. Bathing is associated with the highest frequency of BPSD, triggering a fear response in dementia patients. As part of a larger feasibility/pilot study, this inve...
| Publicado en: | Gerontechnology Vol. 20; no. 2; pp. 1 - 9 |
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| Autores principales: | , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
International Society for Gerontechnology
2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=155637524&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 155637524 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15691101 904R jtl: Gerontechnology issn: 15691101 maglogo: N pubinfo: dt: 2021 vid: 20 iid: 2 pid: 54298 pub: International Society for Gerontechnology artinfo: ui: 155637524 155637524 155637524 10.4017/gt.2021.20.2.439.04 155637524 ppf: 1 ppct: 8 formats: tig: atl: Feasibility study of a digital screen-based calming device (MindfulGarden) for bathing-related agitation among LTC residents with dementia. aug: au: Gutman, Gloria Karbakhsh, Mojgan Vashisht, Avantika Kaur, Taranjot Churchill, Ryan Moztarzadeh, Amir affil: Gerontology Research Centre, Simon Fraser University, Vancouver, BC, Canada sug: subj: Dementia Patients Nursing Home Residents Bathing and Baths Agitation Prevention and Control Behavioral Symptoms Prevention and Control Mindfulness Digital Technology Equipment and Supplies Human Natural Environment Patient Satisfaction Male Female Aged Aged, 80 and Over Virtual Reality Exposure Therapy Aged: 65+ years Aged, 80 & over Male Female ab: Background: Behavioural and psychological symptoms of dementia (BPSD) are common and disturbing and can deter or disrupt the care process. Bathing is associated with the highest frequency of BPSD, triggering a fear response in dementia patients. As part of a larger feasibility/pilot study, this investigation explored whether exposure to MindfulGarden (MG), a digital screen-based calming device, can minimize BPSD during bathing - an activity well-documented to be problematic for both residents and staff. Objective: To determine outcome trends of exposure to MG on number and type of BPSD exhibited by residents with dementia during bathing and on staff time to undress, shower and re-dress them. Method: 8 long-term care home residents (5F, 3M) mean age 86.00±8.16, diagnosed with dementia and reported by care staff as exhibiting BPSD were observed while being showered in their en-suite bathroom. On Days 1 and 2 staff followed the usual bathing procedure; on Day 3 exposure to MG was added. A 26-item checklist developed in a previous study, based on the Cohen-Mansfield Agitation Inventory and the work of Gutman, MacFadgen and Killam, was used to record type and frequency of BPSD, time of staff entry and exit from the resident's room was recorded, and on Day 3 staff rated MG exposure as having a positive, neutral or negative effect. Results: Days 1 -2 yielded highly similar results - an average of 4 BPSD per resident and an average bathing time of 13-14 minutes, with the most common BPSD on both days being physical resistance, verbal resistance, screaming, complaining, and strange noises. Subsequent to exposure to MG (Day 3) trends were observed towards reduction in number of BPSD and bathing duration. Conclusion: MG shows some promise in calming residents, reducing resistance to care, and allowing bathing to proceed more quickly. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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