Management of Dementia Condition Essay

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Introduction

Dementia is one of the most common disorders in society that is associated with the loss of cognitive ability in aged adults. The condition may stem from brain injury or disease, which may interfere with the mind of an individual. Dementia presents a wide range of syndromes that entail language problems, memory loss, difficulties in communication, and problem-solving ability. To solve the problem, different measures are used with various levels of effectiveness. It is in this regard that is study highlights the management of dementia condition concerning the question stated below.

Framing of the Question

How effective is reminiscence group therapy in eliminating symptoms of depression in dementia patients?

The above-stated research question can be analyzed using the PICO model as stated below.

  • Patient or Population: Patients with dementia
  • Anticipated intervention: Reminiscence group therapy
  • Current standard: Non-Pharmacological tool
  • Outcome: Reducing depressive symptoms

Search Strategy

Five scholarly articles were identified for the topic. The articles presented information that could be used for evidence-based practice since the information provided the correlation between reminiscence group and its effectiveness as a non-pharmacological tool for reducing symptoms of depression. The scholarly articles include the following:

Blake, M. (2013). Group reminiscence therapy for adults with dementia: a review. British Journal of Community Nursing, 18(5), 228-233.

Bohlmeijer, E. Kramer, J. Smit, F. Onrust, S, & Marwijk, H. (2009).The effects of integrative reminiscence on depressive symptomatology and mastery of older adults. Community Mental Health Journal, 45(6), 476-484.

Croucher, M. (2009). Effects of reminiscence group in elderly people with Alzheimer disease and the vascular dementia in a community setting. Geriatrics and Gerontology International, 7(2), 167-273.

Robinson L, Hutchings D, Dickinson HO, et al. (2009). Effectiveness and acceptability of non-pharmacological interventions to reduce wandering in dementia: a systematic review. International journal of Geriatrics Psychiatry, 22 (1), 9–22

Van, P.J., & Maes, B. (2009). The Effect of Reminiscence Group Work on Life Satisfaction, Self-Esteem and Mood of Ageing People with Intellectual Disabilities. Journal of Applied Res Intellectual Disabilities, 22(1), 23-33.

Resources

Electronic DatabasesResearch or Professional OrganizationsExperts in the Field to ConsultBooks, Encyclopedias, Handbooks
CINAHLAlzheimer’s AssociationRober Stein, President of American Society on AgingNancy Mace, and Peter Rabins. (2012). The 36-Hour Day: A family guide to caring for people who have Alzheimer’s Disease, Related Dementias, and Memory. London: Sage Publications
MedlineAmerican Association of Homes and Services for the AgingTom Magnuson, Managing Director, Home Instead Center for Successful AgingGarry Null Reboot Your Brain: (2013)A natural Approach to Fight Memory Loss, Dementia: Sage Publications
ScopusAmerican Academy of Home Care PhysiciansEric Rodriguez, Managing Director, University of Pittsburg Medical CenterRoger Kurlan. (2006).Handbook of Secondary Dementias New York: Springer Publishing
Wiley Online LibraryAmerican Health Care AssociationAmy Aprix, P.H.D., Chairman, Essential Conversations Inc.Richard Schulz (2000). Handbook on Dementia cares giving: Evidence-Based Interventions for Family Caregivers. New York: Springer Publishing
ScopusLewy Body Dementia AssociationMedline Plus
Informa HealthcareAlzheimer’s SocietyEncylopedia.com
ProQuest Central
Informit Health Collection

Search Terms

To conduct an accurate search, appropriate guidelines were used as outlined in the table below.

Keywords & PhrasesMajor AuthorsInclusion CriteriaExclusion Criteria
Group reminiscence therapy in dementiaMarrianne BlakeBased on specific issues related to the topicWords or phrases that gave general ideas on dementia were ignored during the search
Evidence-based management of dementiaHoward CrystalMaterials that touched on dementia intervention approaches were considered
Non-pharmacological interventions in dementiaMartin CroucherEmphasis was also given to the words or phrases that touched on dementia management strategies.
How to manage dementiaSmaranda Ioana Mitran
Intervention strategies in dementia managementLaura Gitlin
Depressive symptoms of dementia

Boolean Search Strings

The first step used in the search process entailed writing down the main phrase that was specific to the topic of the study. The phrase used in the search enabled the researcher to get the right information on the topic. The researcher typed the following phrase ‘Group reminiscence therapy for adults with dementia’ on the Google search engine. The next stage was the identification of a specific website that provided the required information. The researcher then proceeded to search for related terms from specific websites. Nice.Com was used as the website. The site provided information on other related issues of the topic such as non-pharmacological treatment. The search process can be justified as shown in the provided screen shorts.

Boolean Search Strings

Boolean Search Strings

Literature Analysis

Analysis of the articles
CitationTheoretical/Conceptual FrameworkKey FindingsResearch MethodStrengths of StudyWeaknessesEvidence
Blake , M.(2013)Brings into perspective the issue of reminiscence among adult dementia patientsReminiscence treatment is effective of non-pharmacological l intervention in dementia managementApplied quantitative research methodVery effective in highlighting how reminiscence treatment can be used to reduce depressionDoes not embrace the fact that non-pharmacological treatment also causes depressionVery strong. Provides substantial information related to the study
Bohlmeijer E, Kramer J, Smit F, Onrust S, van Marwijk H. (2009)Highlights the issue of integrative reminiscence in dementia managementIntegrative reminiscence influences depressive symptoms and mastery skills among dementia patientsApplied experimental research to find the effects of integrative reminiscence on depressive symptoms and mastery skillsProvided reliable results, which showed how integrative reminiscence influences depressive symptoms and mastery skillsthe study however does not embrace other factors, which may affect depressive symptoms and mastery skills among patientsThe study provides a sufficient amount of evidence on the topic of understudy.
Van, P.J., & Maes, B. (2009)The major theoretical underpinning highlighted by the study was based on the relationship between group reminiscence and. self-satisfaction and self-esteem.The result of the study indicated that group reminiscence was very important in enhancing self-esteem and self-confidence among patientsThe study applied qualitative research to highlight how group reminiscence influences self-esteem and confidence among dementia patientsThe results of the study indicated how group reminiscence is an effective non-pharmacological method that can be used to improve self-evaluation among dementia patientsThe weaknesses of the study stemmed from its inability to highlight how self-confidence and self-esteem affect dementia patientsThe study was based on actual findings that were supported by both primary and secondary data
Croucher, M. (2009).The study brings into perspective how group reminiscence affects elderly people with Alzheimer and dementiaThe major findings of the study reveal that has group reminiscence positive effects on elderly people with Alzheimer and dementiaThe study applied qualitative researchThe study effectively applied qualitative research to produce reliable findingsThe study did not indicate how group reminiscence can be applied as a non-pharmacological approachThe evidence was backed by both primary and secondary data
Robinson L, Hutchings D, Dickinson HO, et al. (2009)The study takes a systematic review approach to evaluate the effectiveness and acceptability of non-pharmacological interventions to reduce wandering in dementia patientsThe review revealed that many researchers tend to agree that non-pharmacological interventions are effective in reducing wandering among dementia patientsThe study applied a systematic review approachProperly analyzed the findings of other studies on the same topicIs purely based on a systematic review, therefore, lack adequate supporting informationThe level of evidence is very low since it is not a pure research

History and Purpose of the Research Question

Reminiscence group therapy is one of non-pharmacological approaches that was developed in the late 1990s to replace the use of pharmacological methods. Early researchers in the field of dementia discovered that pharmacological methods were not very effective in eliminating certain problems that affected dementia patients such as depression, low esteem, and self-confidence. The researchers also discovered that depression was one of the key problems that affect dementia patients. The position, therefore, justifies the ground for this research question.

Existing Literature

StrengthsWeaknesses
Provide reliable information on reminiscenceMainly based on systematic reviews
Highlights the effectiveness of non-pharmacological methodsCannot be entirely used to develop evidence-based management of dementia since they lack adequate evidence

Gaps in the Current Literature

Current literature does not provide information on how non-pharmacological approaches such as group reminiscence can be used to ensure evidence-based practice in the management of dementia. The current literature tends to overemphasize the use of pharmacological methods in the treatment of dementia. Moreover, the current literature tends to over-rely on systematic reviews, which cannot provide adequate information on a given topic of research (Blake, 2013).

References

Blake, M. (2013). Group reminiscence therapy for adults with dementia: a review. British Journal of Community Nursing, 18(5), 228-233.

Bohlmeijer, E. Kramer, J. Smit, F. Onrust, S, & Marwijk, H. (2009).The effects of integrative reminiscence on depressive symptomatology and mastery of older adults. Community Mental Health Journal, 45(6), 476-484.

Croucher, M. (2009). Effects of reminiscence group in elderly people with Alzheimer disease and the vascular dementia in a community setting. Geriatrics and Gerontology International, 7(2), 167-273.

Robinson L, Hutchings D, Dickinson HO, et al. (2009). Effectiveness and acceptability of non-pharmacological interventions to reduce wandering in dementia: a systematic review. International journal of Geriatrics Psychiatry, 22 (1), 9–22.

Van, P.J., & Maes, B. (2009). The Effect of Reminiscence Group Work on Life Satisfaction, Self-Esteem and Mood of Ageing People with Intellectual Disabilities. Journal of Applied Res Intellectual Disabilities, 22(1), 23-33.

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