Reduction of Behavioral Psychological Symptoms of Dementia by Multimodal Comprehensive Care for Vulnerable Geriatric Patients in an Acute Care Hospital: A Case Series
Management of Behavioral and Psychological Symptoms of Dementia (BPSD) is a key challenge in geriatric dementia care. A multimodal comprehensive care methodology, Humanitude, with eye contact, verbal communication, and touch as its elements, was provided to three geriatric dementia patients for whom...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2016-01-01
|
| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2016/4813196 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832562544354525184 |
|---|---|
| author | Miwako Honda Mio Ito Shogo Ishikawa Yoichi Takebayashi Lawrence Tierney |
| author_facet | Miwako Honda Mio Ito Shogo Ishikawa Yoichi Takebayashi Lawrence Tierney |
| author_sort | Miwako Honda |
| collection | DOAJ |
| description | Management of Behavioral and Psychological Symptoms of Dementia (BPSD) is a key challenge in geriatric dementia care. A multimodal comprehensive care methodology, Humanitude, with eye contact, verbal communication, and touch as its elements, was provided to three geriatric dementia patients for whom conventional nursing care failed in an acute care hospital. Each episode was evaluated by video analysis. All patients had advanced dementia with BPSD. Failure of care was identified by patient’s shouting, screaming, or abrupt movements of limbs. In this case series, conventional care failed for all three patients. Each element of care communication was much shorter than in Humanitude care, which was accepted by the patients. The average of the elements performed during the care was eye contact 0.6%, verbal communication 15.7%, and touch 0.1% in conventional care and 12.5%, 54.8%, and 44.5% in Humanitude care, respectively. The duration of aggressive behavior of each patient during care was 25.0%, 25.4%, and 66.3% in conventional care and 0%, 0%, and 0.3% in Humanitude, respectively. In our case series, conventional care was provided by less eye contact, verbal communication, and touch. The multimodal comprehensive care approach, Humanitude, decreased BPSD and showed success by patients’ acceptance of care. |
| format | Article |
| id | doaj-art-91b035b0c5254cf6ba981676d4280549 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-91b035b0c5254cf6ba981676d42805492025-02-03T01:22:24ZengWileyCase Reports in Medicine1687-96271687-96352016-01-01201610.1155/2016/48131964813196Reduction of Behavioral Psychological Symptoms of Dementia by Multimodal Comprehensive Care for Vulnerable Geriatric Patients in an Acute Care Hospital: A Case SeriesMiwako Honda0Mio Ito1Shogo Ishikawa2Yoichi Takebayashi3Lawrence Tierney4National Hospital Organization Tokyo Medical Center, Meguro, Tokyo 152-0021, JapanTokyo Metropolitan Institute of Gerontology, Itabashi, Tokyo 173-0015, JapanDepartment of Information, Shizuoka University, Hamamatsu, Shizuoka 432-8011, JapanDepartment of Information, Shizuoka University, Hamamatsu, Shizuoka 432-8011, JapanUniversity of California San Francisco, San Francisco, CA 94121, USAManagement of Behavioral and Psychological Symptoms of Dementia (BPSD) is a key challenge in geriatric dementia care. A multimodal comprehensive care methodology, Humanitude, with eye contact, verbal communication, and touch as its elements, was provided to three geriatric dementia patients for whom conventional nursing care failed in an acute care hospital. Each episode was evaluated by video analysis. All patients had advanced dementia with BPSD. Failure of care was identified by patient’s shouting, screaming, or abrupt movements of limbs. In this case series, conventional care failed for all three patients. Each element of care communication was much shorter than in Humanitude care, which was accepted by the patients. The average of the elements performed during the care was eye contact 0.6%, verbal communication 15.7%, and touch 0.1% in conventional care and 12.5%, 54.8%, and 44.5% in Humanitude care, respectively. The duration of aggressive behavior of each patient during care was 25.0%, 25.4%, and 66.3% in conventional care and 0%, 0%, and 0.3% in Humanitude, respectively. In our case series, conventional care was provided by less eye contact, verbal communication, and touch. The multimodal comprehensive care approach, Humanitude, decreased BPSD and showed success by patients’ acceptance of care.http://dx.doi.org/10.1155/2016/4813196 |
| spellingShingle | Miwako Honda Mio Ito Shogo Ishikawa Yoichi Takebayashi Lawrence Tierney Reduction of Behavioral Psychological Symptoms of Dementia by Multimodal Comprehensive Care for Vulnerable Geriatric Patients in an Acute Care Hospital: A Case Series Case Reports in Medicine |
| title | Reduction of Behavioral Psychological Symptoms of Dementia by Multimodal Comprehensive Care for Vulnerable Geriatric Patients in an Acute Care Hospital: A Case Series |
| title_full | Reduction of Behavioral Psychological Symptoms of Dementia by Multimodal Comprehensive Care for Vulnerable Geriatric Patients in an Acute Care Hospital: A Case Series |
| title_fullStr | Reduction of Behavioral Psychological Symptoms of Dementia by Multimodal Comprehensive Care for Vulnerable Geriatric Patients in an Acute Care Hospital: A Case Series |
| title_full_unstemmed | Reduction of Behavioral Psychological Symptoms of Dementia by Multimodal Comprehensive Care for Vulnerable Geriatric Patients in an Acute Care Hospital: A Case Series |
| title_short | Reduction of Behavioral Psychological Symptoms of Dementia by Multimodal Comprehensive Care for Vulnerable Geriatric Patients in an Acute Care Hospital: A Case Series |
| title_sort | reduction of behavioral psychological symptoms of dementia by multimodal comprehensive care for vulnerable geriatric patients in an acute care hospital a case series |
| url | http://dx.doi.org/10.1155/2016/4813196 |
| work_keys_str_mv | AT miwakohonda reductionofbehavioralpsychologicalsymptomsofdementiabymultimodalcomprehensivecareforvulnerablegeriatricpatientsinanacutecarehospitalacaseseries AT mioito reductionofbehavioralpsychologicalsymptomsofdementiabymultimodalcomprehensivecareforvulnerablegeriatricpatientsinanacutecarehospitalacaseseries AT shogoishikawa reductionofbehavioralpsychologicalsymptomsofdementiabymultimodalcomprehensivecareforvulnerablegeriatricpatientsinanacutecarehospitalacaseseries AT yoichitakebayashi reductionofbehavioralpsychologicalsymptomsofdementiabymultimodalcomprehensivecareforvulnerablegeriatricpatientsinanacutecarehospitalacaseseries AT lawrencetierney reductionofbehavioralpsychologicalsymptomsofdementiabymultimodalcomprehensivecareforvulnerablegeriatricpatientsinanacutecarehospitalacaseseries |