Implementing physical exercise and music interventions for patients suffering from dementia on an acute psychogeriatric inpatient ward

Abstract

Background: Increasing attention is focusing on psychosocial interventions for treating patients with dementia.

Aims: This observational intervention study investigated the impact of physical exercise and music interventions among patients with dementia on an acute psychogeriatric ward.

Materials and methods: The data were collected during February 2009–December 2010 (n?=?89; treatment as usual) and during April 2011–March 2013 (n?=?86; treatment as usual with physical exercise, e.g. balance, flexibility, strength training, and music interventions, e.g. singing, listening to music and playing instruments). The primary outcome measure was the Neuropsychiatric Inventory and the secondary outcome measures were the Alzheimer’s Disease Cooperative Study–Activities of Daily Living, the Barthel Index, and the Mini-Mental State Examination.

Results: In both groups, neuropsychiatric symptoms (NPS) decreased (p?<?.001) but daily functioning deteriorated (p?<?.001). No significant between-group differences for either outcome variable were found. Based on linear mixed models, fewer exercise sessions associated with more severe symptoms (p?=?.030), and the time variable (admission/discharge) with a decline in the level of NPS (p?<?.001). Moreover, female gender (p?=?.026) and more exercise sessions (p?=?.039) associated with an increased level of functioning (p?=?.031) and the time variable (admission/discharge) with a drop in the level of functioning during hospitalization (p?<?.001).

Conclusion: Although no differences were found between the study groups, analysis within the intervention group suggest that physical exercise may have some positive effects for both NPS and the level of functioning in some patients with dementia while no positive effects regarding music interventions were found.     

Remaining connected despite separation – former family caregivers’ experiences of aspects that facilitate and hinder the process of relinquishing the care of a person with dementia to a nursing home

Objectives: This qualitative study aimed to illuminate former family caregivers’ experiences of aspects that facilitate and hinder the process of relinquishing the care of a person with dementia to a nursing home.

Method: Ten narrative interviews with former family caregivers were performed and subjected to qualitative content analysis.

Results: An overall theme showed that family caregivers were remaining connected to the person with dementia despite separation. They experienced being ‘caught by surprise’ when the placement occurred. Negative expectations of dementia care made the separation more difficult. Lacking adequate information increased feelings of insecurity. Despite these hurdles, family caregivers found meaning in the new situation as they felt that they could remain connected to their loved one. Being recognized as partners in care of the person with dementia after placement was a facilitating aspect. Family caregivers regarded a well-functioning interaction with staff and a supportive social network as reassuring since they facilitated staying in touch.

Conclusion: Knowledge of the relinquishing process and adequate information about dementia and its progression may help family caregivers better prepare for and adapt to the situation. Family caregivers need to be recognized as partners in care and a welcoming nursing home environment is of utmost importance.     

New Hits as Antagonists of GPR103 Identified by HTS

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