Using the Dementia Practice Guidelines in a home setting: A case study
DOI:
https://doi.org/10.5055/ajrt.2014.0065Keywords:
dementia, Dementia Practice Guidelines, in-home recreational therapyAbstract
With approximately 70 percent of individuals with dementia living outside skilled care, the need for quality care is imperative. One such indicator for quality of care when working with individuals with dementia is the use of nonpharmacological interventions to treat disturbing behaviors. Disturbing behaviors within dementia are currently classified as passive behaviors or agitation. These behaviors are more about communicating unmet needs. Within recreational therapy, the Dementia Practice Guidelines for Recreational Therapy: Treatment of Neuropsychiatric Behaviors (DPG) provided protocols to assist the practitioner in providing interventions to treat passive behaviors and agitation. This case report used the DPG on a single female living in a family member’s home. Results indicate improvement in passive behaviors, she engaged not only in sessions but also in the home environment.
References
Alzheimer’s Association of America: Dementia Care Practice Recommendations for Professionals Working in a Home Setting: Phase 4. Available at www.alz.org/qualitycare. Accessed September 20, 2013.
Callahan CM, Arling G, Tu W, et al.: Transitions in care for older adults with and without dementia. JAG. 2012; 60: 813-820.
Leahey A, Singleton JF: Utilizing therapeutic recreation to empower persons with Alzheimer’s in a day center: A case report. Ther Recreation J. 2011; 45(2): 135-146.
Underwood LF: Best practices in dementia care: How NEST approach works in assisted living. Act Dir Q Alzheimers Other Dement Patients. 2010; 11(1): 43-46.
Kolanowski A, Litaker M, Buettner L, et al.: A randomized clinical trial of theory-based activities for the behavioral symptoms of dementia in nursing home residents. JAGS. 2011; 59: 1032-1041.
Conti A, Voelkl JE, McGuire FA: Efficacy of meaningful activities in recreation therapy on passive behaviors of older adults with dementia. Annu Ther Recreation. 2008; 16: 89-101.
Buettner L, Kolanowski A: Practice guidelines for recreation therapy in the care of people with dementia. Geriatr Nurs. 2003; 24(1): 18-23.
Algase DL, Beck C, Kolanowski A, et al.: Need-driven dementia-compromised behavior: An alternative view of disruptive behavior. Am J Alzheimers Dis Other Demen. 1996; 11: 10-19.
Vernooij-Dassen M: Meaningful activities for people with dementia. Aging Ment Health. 2007; 11(4): 359-360.
Schreiner AS, Yamamoto E, Shiotani H: Positive affect among nursing home residents with Alzheimer’s dementia: The effect of recreational activity. Aging Ment Health. 2005; 9(2): 129-134.
Kwansky AN, Harrison BE, Whall AL: Quality of life and dementia: An integrated review of the literature. Alzheimers Care Today. 2010; 11(3): 186-195.
Buettner L, Fitzsimmons S: Dementia Practice Guideline for Recreational Therapy: Treatment of Neuropsychiatric Behaviors. Hattiesburg, MS: American Therapeutic Recreation Association, 2008.
Buettner LL, Richeson N, Connolly P: Content validity, reliability, and treatment outcomes of the Buettner assessment of needs, diagnoses, and interests for recreational therapy in long-term care (BANDI-RT). Am J Recreat Ther. 2012; 11(1): 41-56.
Saliba D, Buchanan J: Development and validation of a revised nursing home assessment tool: MDS 3.0, CMS MDS 3.0 Validation Contract No. 500-00-0027/Task Order #2. 2008.
Phinney A, Chaudhury H, O’Connor DL: Doing as much as I can do: The meaning of activity for people with dementia. Aging Ment Health. 2007; 11(4): 384-393.
Published
How to Cite
Issue
Section
License
Copyright 2000-2023, Weston Medical Publishing, LLC
All Rights Reserved