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Effects of an environmental manipulation emphasizing client-centred care on agitation and sleep in dementia sufferers in a nursing home

Citation

Matthews, EA and Farrell, GA and Blackmore, AM, Effects of an environmental manipulation emphasizing client-centred care on agitation and sleep in dementia sufferers in a nursing home, Journal of Advanced Nursing, 24, (3) pp. 439-447. ISSN 0309-2402 (1996) [Refereed Article]

DOI: doi:10.1046/j.1365-2648.1996.02102.x

Abstract

This study was designed to determine whether a change from a task-oriented care approach to a client-oriented care approach affects (a) the level of agitation and (b)24-hour sleep in residents suffering from dementia in a nursing home. The levels of dementia and sleep of33 nursing home residents were measured four times over12 weeks (twice before and twice after the change in care approach) using the Cohen-Mansfield agitation inventory and the dementia mood assessment scale. Verbal agitation levels significantly decreased6 to8 weeks following the change, whereas more infrequent agitated behaviours, which were classified as 'other', significantly increased. Daytime sleep increased initially after the change but then returned to baseline levels after6 weeks. While the main focus of the study was on residents' behaviour following an environmental manipulation, anecdotal observations of staff members interactions with residents indicated that they felt less rushed and were more tolerant of residents' behaviour following the intervention.

Item Details

Item Type:Refereed Article
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Mental Health
Objective Division:Health
Objective Group:Other Health
Objective Field:Health not elsewhere classified
Author:Farrell, GA (Professor Gerald Farrell)
ID Code:7726
Year Published:1996
Web of Science® Times Cited:29
Deposited By:Health Sciences B
Deposited On:1996-08-01
Last Modified:2011-10-12
Downloads:0

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