THE IMPACT OF NURSING CARE ENVIRONMENT ON BEHAVIOURAL DISTURBANCES IN DEMENTIA: A LITERATURE REVIEW
DOI:
https://doi.org/10.24269/ijhs.v8i2.8883Abstract
Most of the dementia population will suffer from behavioural and psychological symptoms of dementia (BPSD), causing them to undergo progressive disturbances such as agitation, depression, elation, delusions, and hallucinations. Most evidence favours non-pharmacological intervention, including managing the physical environment settings, to tackle this issue. Adjusting the physical environment care will massively support people with dementia to continue their daily living. Providing a better nursing care environment has a significant impact on their orientation. Giving them a home-like and social opportunity allows them to regain their sense of normal life. Access to sensory stimulation will aid them to feel comfortable and promote better sleep. The green neighbourhood creates reciprocity feelings among people with dementia toward their environment. Tailoring the physical environment design can help lessen the behavioural symptoms of people with dementia, including their agitation, apathy, and depressive complaints. More high-quality trials and interventions with bigger sample sizes are required
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References
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[27] Bessey LJ, Walaszek A. Management of behavioral and psychological symptoms of dementia. Current psychiatry reports. 2019 Aug;21(8):1-1. https://doi.org/10.1007/s11920-019-1049-5
[28] Mukherjee A, Biswas A, Roy A, Biswas S, Gangopadhyay G, Das SK. Behavioural and psychological symptoms of dementia: correlates and impact on caregiver distress. Dementia and geriatric cognitive disorders extra. 2017;7(3):354-65. DOI: https://doi.org/10.1159/000481568
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https://doi.org/10.3389/fphar.2020.01168
[31] Tible OP, Riese F, Savaskan E, von Gunten A. Best practice in the management of behavioural and psychological symptoms of dementia. Therapeutic advances in neurological disorders. 2017 Aug;10(8):297-309. DOI: 10.1177/1756285617712979
[2] Gale SA, Acar D, Daffner KR. Dementia. Am J Med. 2018 Oct;131(10):1161-1169. DOI: 10.1016/j.amjmed.2018.01.022. Epub 2018 Feb 6. PMID: 29425707.
[3] Dening T, Sandilyan MB. Dementia: definitions and types. Nursing Standard (2014+). 2015 May 13;29(37):37. DOI:10.7748/ns.29.37.37.e9405
[4] Dominguez LJ, Veronese N, Vernuccio L, Catanese G, Inzerillo F, Salemi G, Barbagallo M. Nutrition, physical activity, and other lifestyle factors in the prevention of cognitive decline and dementia. Nutrients. 2021 Nov 15;13(11):4080. DOI: 10.3390/nu13114080
[5] Nichols E, Steinmetz JD, Vollset SE, Fukutaki K, Chalek J, Abd-Allah F, Abdoli A, Abualhasan A, Abu-Gharbieh E, Akram TT, Al Hamad H. Estimation of the global prevalence of dementia in 2019 and forecasted prevalence in 2050: an analysis for the Global Burden of Disease Study 2019. The Lancet Public Health. 2022 Feb 1;7(2):e105-25. DOI: 10.1016/S2468-2667(21)00249-8
[6] Schwertner E, Pereira JB, Xu H, Secnik J, Winblad B, Eriksdotter M, Nägga K, Religa D. Behavioral and Psychological Symptoms of Dementia in Different Dementia Disorders: A Large-Scale Study of 10,000 Individuals. Journal of Alzheimer's Disease. 2022(Preprint):1-2. DOI: 10.3233/JAD-215198
[7] Abraha I, Rimland JM, Trotta FM, Dell'Aquila G, Cruz-Jentoft A, Petrovic M, Gudmundsson A, Soiza R, O'Mahony D, Guaita A, Cherubini A. Systematic review of systematic reviews of non-pharmacological interventions to treat behavioural disturbances in older patients with dementia. The SENATOR-OnTop series. BMJ open. 2017 Mar 1;7(3):e012759. DOI: 10.1136/bmjopen-2016-012759
[8] Wang S, Yan D, Temkinâ€Greener H, Cai S. Nursing home admissions for persons with dementia: Role of homeâ€and communityâ€based services. Health Services Research. 2021 Dec;56(6):1168-78. DOI: 10.1111/1475-6773.13715
[9] Livingston G, Sommerlad A, Orgeta V, Costafreda SG, Huntley J, Ames D, Ballard C, Banerjee S, Burns A, Cohen-Mansfield J, Cooper C. Dementia prevention, intervention, and care. The Lancet. 2017 Dec 16;390(10113):2673-734. http://dx.doi.org/10.1016/ S0140-6736(17)31756-7
[10] Chaudhury H, Cooke HA, Cowie H, Razaghi L. The influence of the physical environment on residents with dementia in long-term care settings: A review of the empirical literature. The Gerontologist. 2018 Sep 14;58(5):e325-37. https://doi.org/10.1093/geront/gnw259
[11] Soril LJ, Leggett LE, Lorenzetti DL, Silvius J, Robertson D, Mansell L, Holroyd-Leduc J, Noseworthy TW, Clement FM. Effective use of the built environment to manage behavioural and psychological symptoms of dementia: a systematic review. PLoS One. 2014 Dec 17;9(12):e115425. DOI: 10.1371/journal.pone.0115425
[12] Wan Z, Dong W, Sun D, Ma D, Zhao Y, Li H, Sun J. Modifiable factors associated with behavioural and psychological symptoms of dementia among patients residing at home: the impacts of patient, caregiver and environmental variables. Geriatric Nursing. 2021 Mar 1;42(2):358-65. https://doi.org/10.1016/j.gerinurse.2021.01.008
[13] Harrison SL, Dyer SM, Laver KE, Milte RK, Fleming R, Crotty M. Physical environmental designs in residential care to improve quality of life of older people. Cochrane Database of Systematic Reviews. 2022(3). DOI: 10.1002/14651858.CD012892.pub2
[14] De Boer B, Beerens HC, Katterbach MA, Viduka M, Willemse BM, Verbeek H. The physical environment of nursing homes for people with dementia: Traditional nursing homes, small-scale living facilities, and green care farms. InHealthcare 2018 Nov 26 (Vol. 6, No. 4, p. 137). MDPI. https://doi.org/10.3390/healthcare6040137
[15] Seetharaman, K., Chaudhury, H., Kary, M., Stewart, J., Lindsay, B., & Hudson, M. (2020). Best Practices in Dementia Care: A Review of the Grey Literature on Guidelines for Staffing and Physical Environment in Long-Term Care. Canadian Journal on Aging / La Revue Canadienne Du Vieillissement, 1–16. doi:10.1017/S0714980820000392.
[16] Røsvik J, Rokstad AM. What are the needs of people with dementia in acute hospital settings, and what interventions are made to meet these needs? A systematic integrative review of the literature. BMC health services research. 2020 Dec;20(1):1-20. DOI: 10.1186/s12913-020-05618-3
[17] Chaudhury H, Cooke HA, Cowie H, Razaghi L. The influence of the physical environment on residents with dementia in long-term care settings: A review of the empirical literature. The Gerontologist. 2018 Sep 14;58(5):e325-37. DOI: 10.1093/geront/gnw259
[18] Arai A, Ozaki T, Katsumata Y. Behavioral and psychological symptoms of dementia in older residents in long-term care facilities in Japan: a cross-sectional study. Aging & Mental Health. 2017 Oct 3;21(10):1099-105. https://doi.org/10.1080/13607863.2016.1199013
[19] Lee SY, Hung L, Chaudhury H, Morelli A. Staff perspectives on the role of physical environment in long-term care facilities on dementia care in Canada and Sweden. Dementia. 2021 Aug;20(7):2558-72. https://doi.org/10.1177/14713012211003994
[20] Calkins MP. From research to application: Supportive and therapeutic environments for people living with dementia. The Gerontologist. 2018 Jan 18;58(suppl_1):S114-28. doi.org/10.1093/geront/gnx146
[21] Kolanowski A, Boltz M, Galik E, Gitlin LN, Kales HC, Resnick B, Van Haitsma KS, Knehans A, Sutterlin JE, Sefcik JS, Liu W. Determinants of behavioral and psychological symptoms of dementia: A scoping review of the evidence. Nursing outlook. 2017 Sep 1;65(5):515-29. DOI: 10.1016/j.outlook.2017.06.006
[22] Ludden GD, van Rompay TJ, Niedderer K, Tournier I. Environmental design for dementia care-towards more meaningful experiences through design. Maturitas. 2019 Oct 1;128:10-6. https://doi.org/10.1016/j.maturitas.2019.06.011
[23] Prins AJ, Scherder EJ, van Straten A, Zwaagstra Y, Milders MV. Sensory stimulation for nursing-home residents: Systematic review and meta-analysis of its effects on sleep quality and rest-activity rhythm in dementia. Dementia and Geriatric Cognitive Disorders. https://doi.org/10.1159/000509433
[24] Buist Y, Verbeek H, de Boer B, de Bruin SR. Innovating dementia care; implementing characteristics of green care farms in other long-term care settings. International psychogeriatrics. 2018 Jul;30(7):1057-68. https://doi.org/10.1017/S1041610217002848
[25] Gan DR, Chaudhury H, Mann J, Wister AV. Dementia-friendly neighborhood and the built environment: A scoping review. The Gerontologist. 2022 Aug;62(6):e340-56. https://doi.org/10.1093/geront/gnab019
[26] Aigbogun MS, Stellhorn R, Hartry A, Baker RA, Fillit H. Treatment patterns and burden of behavioral disturbances in patients with dementia in the United States: A claims database analysis. BMC neurology. 2019 Dec;19(1):1-1. https://doi.org/10.1186/s12883-019-1260-3
[27] Bessey LJ, Walaszek A. Management of behavioral and psychological symptoms of dementia. Current psychiatry reports. 2019 Aug;21(8):1-1. https://doi.org/10.1007/s11920-019-1049-5
[28] Mukherjee A, Biswas A, Roy A, Biswas S, Gangopadhyay G, Das SK. Behavioural and psychological symptoms of dementia: correlates and impact on caregiver distress. Dementia and geriatric cognitive disorders extra. 2017;7(3):354-65. DOI: https://doi.org/10.1159/000481568
[29] Masopust J, ProtopopovaÌ D, ValisÌŒ M, Pavelek Z, KliÌmovaÌ B. Treatment of behavioral and psychological symptoms of dementias with psychopharmaceuticals: a review. Neuropsychiatric disease and treatment. 2018;14:1211. https://doi.org/10.2147/NDT.S163842
[30] Magierski R, Sobow T, Schwertner E, Religa D. Pharmacotherapy of behavioral and psychological symptoms of dementia: state of the art and future progress. Frontiers in Pharmacology. 2020 Jul 31;11:1168.
https://doi.org/10.3389/fphar.2020.01168
[31] Tible OP, Riese F, Savaskan E, von Gunten A. Best practice in the management of behavioural and psychological symptoms of dementia. Therapeutic advances in neurological disorders. 2017 Aug;10(8):297-309. DOI: 10.1177/1756285617712979
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