Snoezelen Therapy as an Intervention to Reduce Agitation in Nursing Home Patients With Dementia: A Pilot Study
2017; Elsevier BV; Volume: 18; Issue: 12 Linguagem: Inglês
10.1016/j.jamda.2017.09.009
ISSN1538-9375
AutoresScott D. Berkheimer, Qian Chen, Theodore K. Malmstrom,
Tópico(s)Urban Green Space and Health
ResumoNonpharmacologic interventions have been shown to be relatively effective in reducing agitation and improving the quality of life of patients with dementia. 1 de Oliveira A.M. Radanovic M. de Mello P.C. et al. Nonpharmacological interventions to reduce behavioral and psychological symptoms of dementia: A systematic review. Biomed Res Int. 2015; 2015: 218980 Crossref PubMed Scopus (135) Google Scholar , 2 Chen R.C. Liu C.L. Lin M.H. et al. Nonpharmacological treatment reducing not only behavioral symptoms, but also psychotic symptoms of older adults with dementia: A prospective cohort study in Taiwan. Geriatr Gerontol Int. 2014; 14: 440-446 Crossref PubMed Scopus (45) Google Scholar Programs/interventions that have been employed in many long-term care facilities include aromatherapy, 3 Yang M.H. Lin L.C. Wu S.C. et al. Comparison of the efficacy of aroma-acupressure and aromatherapy for the treatment of dementia-associated agitation. BMC Complement Altern Med. 2015; 15: 93 Crossref PubMed Scopus (54) Google Scholar art therapy, 2 Chen R.C. Liu C.L. Lin M.H. et al. Nonpharmacological treatment reducing not only behavioral symptoms, but also psychotic symptoms of older adults with dementia: A prospective cohort study in Taiwan. Geriatr Gerontol Int. 2014; 14: 440-446 Crossref PubMed Scopus (45) Google Scholar exercise therapy, 4 Aman E. Thomas D.R. Supervised exercise to reduce agitation in severely cognitively impaired persons. J Am Med Dir Assoc. 2009; 10: 271-276 Abstract Full Text Full Text PDF PubMed Scopus (94) Google Scholar , 5 Cerga-Pashoja A. Lowery D. Bhattacharya R. et al. Evaluation of exercise on individuals with dementia and their carers: A randomised controlled trial. Trials. 2010; 11: 53 Crossref PubMed Scopus (25) Google Scholar , 6 Volicer L. Simard J. Pupa J.H. et al. Effects of continuous activity programming on behavioral symptoms of dementia. J Am Med Dir Assoc. 2006; 7: 426-431 Abstract Full Text Full Text PDF PubMed Scopus (91) Google Scholar music therapy, 2 Chen R.C. Liu C.L. Lin M.H. et al. Nonpharmacological treatment reducing not only behavioral symptoms, but also psychotic symptoms of older adults with dementia: A prospective cohort study in Taiwan. Geriatr Gerontol Int. 2014; 14: 440-446 Crossref PubMed Scopus (45) Google Scholar pet therapy, and more. 1 de Oliveira A.M. Radanovic M. de Mello P.C. et al. Nonpharmacological interventions to reduce behavioral and psychological symptoms of dementia: A systematic review. Biomed Res Int. 2015; 2015: 218980 Crossref PubMed Scopus (135) Google Scholar Exercise programs in particular have been shown in some studies to be effective in reducing agitation among patients with dementia. 4 Aman E. Thomas D.R. Supervised exercise to reduce agitation in severely cognitively impaired persons. J Am Med Dir Assoc. 2009; 10: 271-276 Abstract Full Text Full Text PDF PubMed Scopus (94) Google Scholar , 6 Volicer L. Simard J. Pupa J.H. et al. Effects of continuous activity programming on behavioral symptoms of dementia. J Am Med Dir Assoc. 2006; 7: 426-431 Abstract Full Text Full Text PDF PubMed Scopus (91) Google Scholar , 7 Neville C. Henwood T. Beattie E. Fielding E. Exploring the effect of aquatic exercise on behaviour and psychological well-being in people with moderate to severe dementia: A pilot study of the Watermemories Swimming Club. Australas J Ageing. 2014; 33: 124-127 Crossref PubMed Scopus (23) Google Scholar One emerging intervention that is not well established or validated, however, is snoezelen therapy. 8 Klages K. Zecevic A. Orange J.B. Hobson S. Potential of Snoezelen room multisensory stimulation to improve balance in individuals with dementia: A feasibility randomized controlled trial. Clin Rehabil. 2011; 25: 607-616 Crossref PubMed Scopus (28) Google Scholar , 9 Berg A. Sadowski K. Beyrodt M. et al. Snoezelen, structured reminiscence therapy and 10-minutes activation in long term care residents with dementia (WISDE): Study protocol of a cluster randomized controlled trial. BMC Geriatr. 2010; 10: 5 Crossref PubMed Scopus (18) Google Scholar Also called controlled multisensory environment therapy, snoezelen therapy provides patients with dementia with a unique multisensory experience that promotes sensory stimulation while simultaneously reducing mental burden. 10 Ball J. Haight B.K. Creating a multisensory environment for dementia: The goals of a Snoezelen room. J Gerontol Nurs. 2005; 31: 4-10 Crossref PubMed Scopus (24) Google Scholar , 11 Bauer M. Rayner J.A. Tang J. et al. An evaluation of Snoezelen((R)) compared to 'common best practice' for allaying the symptoms of wandering and restlessness among residents with dementia in aged care facilities. Geriatr Nurs. 2015; 36: 462-466 Abstract Full Text Full Text PDF PubMed Scopus (14) Google Scholar , 12 Maseda A. Sanchez A. Marante M.P. et al. Effects of multisensory stimulation on a sample of institutionalized elderly people with dementia diagnosis: A controlled longitudinal trial. Am J Alzheimers Dis Other Demen. 2014; 29: 463-473 Crossref PubMed Scopus (41) Google Scholar It consists of putting a patient in a snoezelen room where they can independently interact with sensory equipment in a supervised manner. 10 Ball J. Haight B.K. Creating a multisensory environment for dementia: The goals of a Snoezelen room. J Gerontol Nurs. 2005; 31: 4-10 Crossref PubMed Scopus (24) Google Scholar This therapy has been used in a number of studies with varying results regarding the effects it has on the various manifestations of dementia. 8 Klages K. Zecevic A. Orange J.B. Hobson S. Potential of Snoezelen room multisensory stimulation to improve balance in individuals with dementia: A feasibility randomized controlled trial. Clin Rehabil. 2011; 25: 607-616 Crossref PubMed Scopus (28) Google Scholar , 9 Berg A. Sadowski K. Beyrodt M. et al. Snoezelen, structured reminiscence therapy and 10-minutes activation in long term care residents with dementia (WISDE): Study protocol of a cluster randomized controlled trial. BMC Geriatr. 2010; 10: 5 Crossref PubMed Scopus (18) Google Scholar , 11 Bauer M. Rayner J.A. Tang J. et al. An evaluation of Snoezelen((R)) compared to 'common best practice' for allaying the symptoms of wandering and restlessness among residents with dementia in aged care facilities. Geriatr Nurs. 2015; 36: 462-466 Abstract Full Text Full Text PDF PubMed Scopus (14) Google Scholar , 12 Maseda A. Sanchez A. Marante M.P. et al. Effects of multisensory stimulation on a sample of institutionalized elderly people with dementia diagnosis: A controlled longitudinal trial. Am J Alzheimers Dis Other Demen. 2014; 29: 463-473 Crossref PubMed Scopus (41) Google Scholar , 13 Maseda A. Sanchez A. Marante M.P. et al. Multisensory stimulation on mood, behavior, and biomedical parameters in people with dementia: Is it more effective than conventional one-to-one stimulation?. Am J Alzheimers Dis Other Demen. 2014; 29: 637-647 Crossref PubMed Scopus (32) Google Scholar It has shown promise, however, in reducing agitation, though research is limited. 14 Sanchez A. Marante-Moar M.P. Sarabia C. et al. Multisensory stimulation as an intervention strategy for elderly patients with severe dementia: A pilot randomized controlled trial. Am J Alzheimers Dis Other Demen. 2016; 31: 341-350 Crossref PubMed Scopus (29) Google Scholar These studies have suggested the need for more research in this area to see how effective snoezelen therapy is at reducing agitation in patients with dementia. 12 Maseda A. Sanchez A. Marante M.P. et al. Effects of multisensory stimulation on a sample of institutionalized elderly people with dementia diagnosis: A controlled longitudinal trial. Am J Alzheimers Dis Other Demen. 2014; 29: 463-473 Crossref PubMed Scopus (41) Google Scholar
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