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Individualized behavior management program for Alzheimer's/dementia residents using behavior-based ergonomic
Govind Bharwani1, Pratik J Parikh, Larry W Lawhorne
1Nursing Institute of West Central Ohio, Wright State University, Dayton, OH, USA. govind.bharwani@wright.edu
American Journal of Alzheimer'S Disease and Other Dementias
|April 21, 2012
Summary
A new multi-component, nonpharmacological intervention, Behavior-Based Ergonomic Therapy (BBET), individualizes care for dementia patients. This approach reduced falls by 32.5% and decreased agitation through enhanced engagement.
Area of Science:
- Gerontology
- Behavioral Science
- Therapeutic Interventions
Background:
- Alzheimer's and dementia-related behavioral disturbances are significant challenges in care.
- Existing nonpharmacological interventions are often single-modality, limiting comprehensive benefits.
- Person-centered approaches are increasingly recognized for managing dementia symptoms.
Purpose of the Study:
- To introduce and evaluate the Behavior-Based Ergonomic Therapy (BBET), a novel, comprehensive nonpharmacological intervention.
- To assess the quantitative and qualitative benefits of BBET in a dementia care setting.
- To demonstrate a low-cost, 24/7 individualized therapeutic program.
Main Methods:
- Developed BBET, a multi-therapy program utilizing resident learning, personality, behavioral profiles, and cognitive function.
- Created an accessible resource library of music, videos, games, puzzles, and memory props for individualized therapy delivery.
- Conducted a 6-month pilot study at a dementia care unit in Ohio.
Main Results:
- The BBET pilot study demonstrated a 32.5% reduction in falls.
- Significant reduction in agitation was observed, linked to increased resident engagement.
- The program provided individualized comfort and stimulation based on resident assessments.
Conclusions:
- BBET offers a comprehensive, multi-component nonpharmacological strategy for managing dementia-related behavioral disturbances.
- Individualized, resource-based interventions can effectively reduce falls and agitation in dementia care.
- BBET presents a promising low-cost, 24/7 model for enhancing the quality of life for residents with dementia.
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