banner
Normal view MARC view ISBD view

Tailored Activities to Reduce Neuropsychiatric Behaviors in Persons With Dementia: Case Report / Katherine A. Marx [i 3 més]

By: Marx, Katherine A [autor].
Material type: materialTypeLabelArticlePublisher: American Occupational Therapy Association Bethesda, Maryland Content type: Text Media type: informàtic Carrier type: recurs en líniaISSN: 02729490.Subject(s): Teràpia Ocupacional | Cuidadors | DemènciaOnline resources: Accés restringit usuaris EUIT
Contents:
Janie B. Scott; Catherine Verrier Piersol; Laura N. Gitlin
In: American Journal of Occupational Therapy 2019 MAR-ABR;73(2):7302205160p1-7302205160p9Summary: RESUM: Importance: Neuropsychiatric behaviors of persons with dementia, including agitation, aggression, and rejection of care, are almost universal; occur throughout the disease process; and have negative consequences for both persons with dementia and their caregivers. Nonpharmacological approaches are now recognized as first-line treatment to address these behaviors. One promising approach is activity tailored to the person’s interests, abilities, and physical and social environment. An evidence-based program, New Ways for Better Days: Tailoring Activities for Persons With Dementia and Their Caregivers (TAP), draws on occupational therapy principles (person–environment–occupation fit, activity analysis) to meaningfully engage persons with dementia. Objective: This case report describes the TAP protocol and clinical reasoning processes underlying use of tailored activities as a therapeutic modality to address dementia-related neuropsychiatric behaviors. Design: This is a case study of an African-American woman in her 60s caring for her father, age 92, who has severe dementia and multiple behaviors. Outcomes and Measures: Primary outcomes in this case report include the person with dementia’s engagement in an activity and the reported neuropsychiatric behaviors. In addition, the caregiver’s confidence in using activities is reported. These and other measures from the TAP protocol are described in full. Results: After working with an occupational therapist for eight sessions, the person with dementia’s engagement in activity increased by 50% and his frequency of vocal disturbance decreased, and the caregiver felt more confident in using activities with her father. Conclusion and Relevance: This case report illustrates how occupational therapists working with families of persons with dementia can use the TAP protocol to help them manage neuropsychiatric behaviors by tailoring activities. What This Article Adds: Occupational therapists are uniquely qualified to systematically assess the cognitive functioning of persons with dementia, caregivers, and home environments and to integrate this information to derive and implement activities tailored to the person’s capacities and context, thereby reducing neuropsychiatric behaviors and increasing engagement in meaningful activity.
List(s) this item appears in: Novetats bibliogràfiques. Articles. Març 2019
Tags from this library: No tags from this library for this title. Log in to add tags.
    average rating: 0.0 (0 votes)
Item type Current location Collection Call number Status Notes Date due Barcode
Journal article Journal article Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa
Paper Capses ordenades alfabèticament (Browse shelf) Exclòs de préstec Consulta a sala 0001017285602
Journal Journal Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa
Biblioteca
Paper Capses ordenades alfabèticament (Browse shelf) Exclòs de préstec També consulta en línia 0000101709086

Mini-Assisting Hand Assessment

Dimensions of Mastery Questionnaire

Functional Inventory

Janie B. Scott; Catherine Verrier Piersol; Laura N. Gitlin

RESUM: Importance: Neuropsychiatric behaviors of persons with dementia, including agitation, aggression, and rejection of care, are almost universal; occur throughout the disease process; and have negative consequences for both persons with dementia and their caregivers. Nonpharmacological approaches are now recognized as first-line treatment to address these behaviors. One promising approach is activity tailored to the person’s interests, abilities, and physical and social environment. An evidence-based program, New Ways for Better Days: Tailoring Activities for Persons With Dementia and Their Caregivers (TAP), draws on occupational therapy principles (person–environment–occupation fit, activity analysis) to meaningfully engage persons with dementia.

Objective: This case report describes the TAP protocol and clinical reasoning processes underlying use of tailored activities as a therapeutic modality to address dementia-related neuropsychiatric behaviors.

Design: This is a case study of an African-American woman in her 60s caring for her father, age 92, who has severe dementia and multiple behaviors.

Outcomes and Measures: Primary outcomes in this case report include the person with dementia’s engagement in an activity and the reported neuropsychiatric behaviors. In addition, the caregiver’s confidence in using activities is reported. These and other measures from the TAP protocol are described in full.

Results: After working with an occupational therapist for eight sessions, the person with dementia’s engagement in activity increased by 50% and his frequency of vocal disturbance decreased, and the caregiver felt more confident in using activities with her father.

Conclusion and Relevance: This case report illustrates how occupational therapists working with families of persons with dementia can use the TAP protocol to help them manage neuropsychiatric behaviors by tailoring activities.

What This Article Adds: Occupational therapists are uniquely qualified to systematically assess the cognitive functioning of persons with dementia, caregivers, and home environments and to integrate this information to derive and implement activities tailored to the person’s capacities and context, thereby reducing neuropsychiatric behaviors and increasing engagement in meaningful activity.

English

There are no comments for this item.

Log in to your account to post a comment.

Powered by Koha