Improving-Health-Healthcare-London-Kings-Fund-paper_0
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Improving-Health-Healthcare-London-Kings-Fund-paper_0
Running Head: IMPROVING SYMPTOMS OF DEMENTIA WITH TIP1Improving Behavioral and Psychological Symptoms and Cognitive Status of Participants withDementi Improving-Health-Healthcare-London-Kings-Fund-paper_0ia through the Use of Toy Interactive PetsBryanna StreitFlorida Atlantic UniversityFall 2019Faculty Team Member: Dr. Lisa WieseCommunity Team Member: Dr. Maria OrdonezProposed Title of Project: Improving Behavioral and Psychological Symptoms and Cognitive Status of Participants with Dementia through Improving-Health-Healthcare-London-Kings-Fund-paper_0 the Use of Toy Interactive PetsClinical quest ion (PICOT format): In adults aged 50 and older with Alzheimer’s disease or related dementias in an aduImproving-Health-Healthcare-London-Kings-Fund-paper_0
lt day center (P). how does the use of affordable toy interactive pets (TIP) (I) impact participants’ behavioral and psychological symptoms and cognitRunning Head: IMPROVING SYMPTOMS OF DEMENTIA WITH TIP1Improving Behavioral and Psychological Symptoms and Cognitive Status of Participants withDementi Improving-Health-Healthcare-London-Kings-Fund-paper_0 DEMENTIA WITH TIP2AbstractBackground:In the US. one in three older adults die with Alzheimer's or related dementia (Gaugler et al.. 2019). Currently, there is no cure for the rapidly growing burden, but there are pharmacological treatments to manage the symptoms, which lead to numerous side effects Improving-Health-Healthcare-London-Kings-Fund-paper_0 (Kales et al.. 2015).Method:We tested the effectiveness of a non-phannacological toy interactive pet (TIP) in improving mood behavior and cognition aImproving-Health-Healthcare-London-Kings-Fund-paper_0
mong twelve persons with mild-severe dementia attending an adult day center (ADC) over 12 visits. Mood behavioral symptoms were assessed using the AlzRunning Head: IMPROVING SYMPTOMS OF DEMENTIA WITH TIP1Improving Behavioral and Psychological Symptoms and Cognitive Status of Participants withDementi Improving-Health-Healthcare-London-Kings-Fund-paper_0D). Cognition was assessed via Mini Mental State Examination (MMSE). Paired-sample t-tests. Pearson’s correlation, repeated measures t-test. and a post-intervention qualitative inquiry were used to examine the significance of TIP.Results:All mood scores improved over time, with two showing significa Improving-Health-Healthcare-London-Kings-Fund-paper_0nce: OERS (A/= 73.7/5D=9.6): conditions tị 11) = -19.18. /X.OOI. and CSDD (A/= 8.8/SD = 7.2): conditions t( 11) = 4.12.P=.OO2. Over half (0.67%) scoreImproving-Health-Healthcare-London-Kings-Fund-paper_0
d higher on the MMSE post-test than the pre-test: 3/=10.7(5D = 5.5) and 3/=12.2(5D=7.1), respectively. Participants stroked and spoke often to their pRunning Head: IMPROVING SYMPTOMS OF DEMENTIA WITH TIP1Improving Behavioral and Psychological Symptoms and Cognitive Status of Participants withDementi Improving-Health-Healthcare-London-Kings-Fund-paper_0tive method to improving mood behavior in persons with dementia attending an ADC. MMSE scores also improved, although confounding factors such as inter-rater reliability and a potential endorphin affect may have impacted scores.IMPROVING SYMPTOMS OF DEMENTIA WITH TIP3Improving Behavioral and Psychol Improving-Health-Healthcare-London-Kings-Fund-paper_0ogical Symptoms and Cognitive Status of Participants with Dementia through the Use of Toy Interactive PelsDementia is a syndrome that affects over 50Improving-Health-Healthcare-London-Kings-Fund-paper_0
million people worldwide, with a new case emerging every three seconds (Alzheimer's Disease international. 2018). Alzheimer’s disease (AD) is expectedRunning Head: IMPROVING SYMPTOMS OF DEMENTIA WITH TIP1Improving Behavioral and Psychological Symptoms and Cognitive Status of Participants withDementi Improving-Health-Healthcare-London-Kings-Fund-paper_0state cancer combined (Gaugler. .Tames. Johnson. Marin. & Weuve. 2019). Tn Florida alone, the rate of AD is expected to increase by 33.3% from 2018 to 2025 (Florida Alzheimer's Statistics. 2018). Currently, there is no cure for the rapidly growing burden of ADRD. There are only treatments to manage Improving-Health-Healthcare-London-Kings-Fund-paper_0the symptoms. Those who have dementia often experience behavioral and psychological symptoms (BPSD), which includes agitation, aggression, depression,Improving-Health-Healthcare-London-Kings-Fund-paper_0
anxiety, psychosis, and disinhibition (Kales. Gitlin, & Lyketsos, 2015). These symptoms usually lead to pharmacological treatment with antipsychoticsRunning Head: IMPROVING SYMPTOMS OF DEMENTIA WITH TIP1Improving Behavioral and Psychological Symptoms and Cognitive Status of Participants withDementi Improving-Health-Healthcare-London-Kings-Fund-paper_0tal admissions due to the numerous side effects including hypotension, extrapyramidal symptoms, dizziness, and weight gain (Kales. Gillin. & Lykclsos. 2015). There arc evidencebased approaches of using live as well as robotic pet therapy tor individuals with dementia that showed a decrease in thefr Improving-Health-Healthcare-London-Kings-Fund-paper_0negative bchav iors and an increase in positive behaviors in institutionalized settings. However, the use of robotic pet therapy, particularly in AdulImproving-Health-Healthcare-London-Kings-Fund-paper_0
t Day Centers (ADCs), lias not been widely tested.Project Purpose. Goals, and Objectivesrhe purpose of this quality improvement project was to evaluatRunning Head: IMPROVING SYMPTOMS OF DEMENTIA WITH TIP1Improving Behavioral and Psychological Symptoms and Cognitive Status of Participants withDementi Improving-Health-Healthcare-London-Kings-Fund-paper_0tive status of individuals with dementia attending an ADC. This project piloted a change in current practice: the use of affordable robotic toy interactive pets (TIP) that could be of use in community settings for improving mood and cognition among persons with ADRD. An added benefit is that this pr Improving-Health-Healthcare-London-Kings-Fund-paper_0oject supports the use of a non-pharmacological approach in reducing psychological symptoms such as sadness, anger, anxiety, and the risk of depressioImproving-Health-Healthcare-London-Kings-Fund-paper_0
n.To attain this goal, specific, measurable, achievable, relevant, and time-bound (SMART) objectives were used to measure the outcomes for this projecRunning Head: IMPROVING SYMPTOMS OF DEMENTIA WITH TIP1Improving Behavioral and Psychological Symptoms and Cognitive Status of Participants withDementi Improving-Health-Healthcare-London-Kings-Fund-paper_0experienced improvement in patient stress levels. The objectives of the project that were implemented at a South Florida Adult Day Center beginning June 18th, 2019 were:Objective 1: 100% of participants will receive a "Joy for All” companion pet and use it two times a week, over 12 visits for a dura Improving-Health-Healthcare-London-Kings-Fund-paper_0tion of 30 minutes each, in a group setting.Objective 2: 80% of participants will demonstrate a one-point increase in Mini Mental State Exam (MMSE) foImproving-Health-Healthcare-London-Kings-Fund-paper_0
llowing the TIP intervention as indicated by pre and post-test MMSE scores (Menna. Santaniello. Gerardi. Di Maggio. & Milan. 2016).Running Head: IMPROVING SYMPTOMS OF DEMENTIA WITH TIP1Improving Behavioral and Psychological Symptoms and Cognitive Status of Participants withDementiRunning Head: IMPROVING SYMPTOMS OF DEMENTIA WITH TIP1Improving Behavioral and Psychological Symptoms and Cognitive Status of Participants withDementiGọi ngay
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