Van Haitsma KS, Curyto K, Abbot KM, Towsley GL, Spector A, Kleban M. 2015(10). |
Carry out daily activities with the elderly, but always in their interest |
Both the individualized positive psychosocial intervention groups and the individualized intervention group with the nurse experienced similar benefits - they were more alert, involved, had positive touches and a positive verbal behavior compared to the usual care group. The group with individual care showed more negative behaviors, anger, lack of cooperation, than the group of psychosocial intervention and the usual care group. |
McCabe MP, Bird M, Davison TE, Mellor D, MacPherson S, Hallford D, et al. 2015(11). |
Identify the possible causes of behavioral problems associated with dementia |
The results demonstrated the effectiveness of using the behavioral problems protocol for reducing the elderly's behavioral problems and the team's stress, improving self-efficacy. |
Tjia J, Hunnicutt JN, Herndon L, Blanks CR, Lapane KL, Wehry S. 2017 (12). |
Meet the daily needs of the elderly through a care program |
The program helped to reduce the use of antipsychotics during the intervention period, but this decrease did not continue during the conservation stage. However, there was no increase in the use of psychotropics or in the occurrence of behavioral problems. The evidence suggests the use of non-pharmacological interventions to treat the behavioral and psychological symptoms of dementia. |
Hall GR, Gallagher M, Hoffmann-Snyder C. 2013(13). |
Bathing techniques for patients with dementia |
Decrease in the frequency and severity of negative episodes during the bath of patients with dementia. |
Jutkowitz, E, Brasure M, Fuchs E, Shippee T, Kane RA, Fink HA, et al. 2016(14). |
Non-pharmacological interventions to control agitation and aggression in patients with dementia |
There is insufficient evidence on the effectiveness of care provided through non-pharmacological interventions to reduce agitation or aggression in long-term care facilities. |
Söderman M, Rosendahl SP. 2016(15). |
Verbal and non-verbal communication and cultural activities for elderly from different cultures |
Although the nursing team that did not speak the same language as the elderly could provide care with equal quality, it was more difficult for them than for the team whose members were able to communicate in the language of the elderly. |
Roberts G, Morley C, Walters W, Malta S, Doyle C. 2015(16). |
Care model that promotes activities based on the preferences of the elderly, considering their life history |
The team reported increased knowledge about meeting the needs of people with dementia and changing organizational culture, demonstrating the efficiency of the model. The families were very pleased with the changes. |
Sprangers S, Dijkstra K, Romijn-Luijten A. 2015(17). |
Communication between nursing and the elderly |
Lower stress rate for the team and increased use of short instructions and positive communication between the team and the elderly. |
Rodriguez-Martín B, Martínez-Andres M, Notario-Pacheco B, Martínez-Vizcaíno V. 2016(18). |
Communication and interaction skills with the elderly with dementia |
Due to the tendency of technification of care, families demand personalized and small-scale attention, in which they themselves are an active part of the care process. |
Soderlund M, Cronqvist A, Norberg A, Ternestedt B, Hansebo B. 2016 (19). |
Communication skills with the elderly with dementia |
Considering the positive results after the intervention, the training given to nurses on communication may have improved their communication skills with elderly people with dementia. |
Registered Nurses Association of Ontario. 2016 (20). |
Guideline care for patients with dementia |
This document provides numerous evidence-based interventions (through systematic reviews) in various areas of nursing care for elderly people with dementia. |
Palm R, Trutschel D, Simon M, Bartholomeyczik S, Holle B. 2016 (21). |
Case study |
Case discussion is an intervention widely used in institutions for the elderly in Germany as a way to treat behavioral problems of dementia, with no distinction between traditional and specialized units. |
Karel MJ, Teri L, McConnel E, Visnic S, Karlin BE. 2016 (22). |
Program to address the behavioral effects of dementia |
Frequency and severity of target behaviors and symptoms of depression, anxiety and restlessness decreased significantly. The team assessed the benefits for patients, considering the program feasible. |
Van de Ven G, Draskovic I, Adang EMM, Donders R, Zuidema SU, Koopmans RTCM, et al. 2013 (23). |
Nursing care model |
Findings did not confirm the effect on the primary outcome of agitation. Perhaps the model's nature, with such a variable and extensive implementation, explains this lack of effect. |
Moyle W, Venturato L, Cooke M, Murfield J, Griffiths S, Hughes J, et al. 2016 (24). |
Nursing care model |
Despite the several limitations that the study has, the model appears to be more effective for providing dementia care than usual practice. The model should be evaluated in greater depth with participants from a diverse range of institutions and different stages of cognitive impairment. |
Cooke M, Moyle W, Venturato L, Walters C, Kinnane J. 2014 (25). |
Elderly care model |
The results suggest that the education protocol had positive impacts on participants' knowledge, skills, and attitudes, providing quality dementia care to residents. |
Park M, Lim S, Kim E, Lee S, Chang S. 2017(26). |
Promote elderly's physical capacities |
The evidence provided new ideas for developing specialized nursing interventions and practical nursing models for elderly care institutions. |
Kovach CR, Hekel B, Rababa M. 2015(27). |
Protocol to track and suspend ineffective treatments |
The protocol was evaluated as useful and easy, although the nurses showed some difficulty in keeping the information organized. |
Hanson LC, Song MK, Zimmerman S, Gilliam R, Rosemond C, Chisholm L et al. 2016(28). |
Elderly care model |
The methods used to ensure fidelity to the intervention were effective and allowed the model to be adopted and implemented by the nursing team. In the end, 69% of the discussions between the family and the team were implemented. |
Rosendahl SP, Söderman M, Mazaheri M. 2016 (29). |
Communication skills and cultural adaptation |
The family member is essential in the life of immigrants with dementia residing in an institution. They make it easier for nursing staff to communicate with the person with dementia. |
Allen VJ, Methven L, Gosney M. 2014(30). |
Means for serving water |
A liquid nutritional supplement should be administered to people with dementia in a glass or a glass with a straw. |
Krumm N, Larkin P, Connolly M, Rode P, Elsner F. 2014(31). |
Palliative care model |
The tool presented has the potential to improve palliative care for people with dementia. |
Finucane AM, Stevenson B, Moyes R, Oxenham D, Murray SA. 2013(32). |
Palliative care model |
Despite the increase in adopting essential palliative care tools, the number of hospital deaths increased during the project's development. In order to incorporate palliative care, the presence of specialists in the field and nurses is essential, in addition to project management and leadership. |
Koskenniemi J, Leino-kilpi H, Suhonen R. 2015(33). |
Human treatment for the elderly |
Respect in long-term care settings is manifested in patient care, through the nurses' presence and actions. |
Jordan S, Gabe M, Newson L, Snelgrove S, Panes G, Picek A, et al. 2014(34). |
Drug monitoring program |
Participants benefited from monitored medication systematized by nurses. |
Jordan S, Gabe-Walter ME, Watkins A, Humphreys I, Newson L, Snelgrove S, et al. 2015(35). |
Drug monitoring program |
The program can improve the quality and safety of care; it deserves further investigation as a strategy to mitigate the known adverse effects of prescription drugs. |
Kim H, Woods DL, Phillips LR, Ruiz ME, Salem B, Jeffers-Skrine K, et al. 2015(36). |
Communication with elderly people of other ethnicities |
The model provides guidance on how to improve care and quality of life for residents of different racial and cultural groups. |
Murphy JL, Holmes J, Brooks C. 2017(37). |
Nutritional care model |
This model can help formulating new training and education tools. |
Lykkeslet E, Gjengedal E, Skrondal T, Storjord M. 2016 (38). |
Communication model with the elderly |
Through this model, professionals discovered the value of considering the context of patients. |
Galik E, Resnik B, Hammersla M, Brightwater J. 2014(39). |
Care model with emphasis on mobility and physical activity |
Elderly people with severely impaired cognition can be involved in physical and functional activities. |
Boekhorst ST, Depla MFIA, Francke AL, Twisk JWR, Zwijsen SA, Hertogh CMPM. 2013(40). |
Electronic surveillance |
The residents' quality of life is not related to the use of electronic security, but to the use of physical restrictions. |
Fitzsimmons S, Barba B, Stump M. 2014 (41). |
Non-pharmacological sensory interventions |
In order to treat the behavioral and psychological symptoms of dementia, nursing must strive to identify non-pharmacological actions that are meaningful, easy to apply and easily accepted by the elderly. |
Peisah C, Weaver J, Wong L, Strukovski J. 2014(42). |
Pain assessment and management |
Early and proactive pain care is recommended to address behavioral and psychological symptoms in dementia. |
Mansah M, Coulon L, Bronw P, Reynolds H, Kissiaw S. 2014 (43). |
Elderly care model |
The study highlighted the usefulness of offering training to professionals as a strategy to encourage the development of creative care for residents with dementia. |
Rokstad AM, Rosvik J, Kirkevold O, Selbaek G, Saltyte Benth J Enfedal K, 2013(44). |
Two elderly care models |
Two models of care for the elderly were tested, though no significant results were found for the primary outcome (agitation). Secondary outcomes: neuropsychiatric symptoms, psychotic symptoms, depression (only one of the models) and quality of life (only one of the models), obtained positive results. |
Lejman E, Westerbotn M, Poder U, Wadensten B. 2013(45). |
Physical restrictions |
Despite legal restrictions, nurses still used restrictions as a way to ensure quality and safety in care. |
Fetherstonhaugh D, Tarzi L, Bauer M, Nay R, Beattie E. 2016 (46). |
Aid to the elderly in the decision-making process |
The knowledge of the workers about the elderly should be used to facilitate decision-making in the care of dementia. One must be careful so that this knowledge is not used to manipulate them. |
Niemeijer AR, Depla M, Frederiks B, Francke AL, Hertogh C. 2014(47). |
Electronic surveillance |
Institutions wishing to implement surveillance technology should encourage the dialogue about how team members see and understand the concepts of autonomy and risk for the elderly. |
Harris M, Grando V. 2014(48). |
Sleep patterns |
The results suggest that bedtime can be influenced by night tasks. Meeting these unique sleep patterns can facilitate the development of non-pharmacological forms of interventions to build sleep cycles around individual preferences and institutional routines. |
Lautenbacher S, Sampson EL, Pahl S, Kunz M. 2016(49). |
Pain evaluation |
Although nurses used all facial descriptors, some were used more frequently than others to infer whether a resident with dementia was in pain. |
Kolanowski A, Van haitsma KS, Penrod J, Hill N, Yevchak A. 2015(50). |
Elderly care model |
To improve the use of the model, the flow of information exchange requires: inclusion of all professionals, communication systems that consider available resources, development of educational programs; investment in nursing leadership to effect these changes; and financial approaches to encourage cultural change. |