Utilizing an individualized music playlist and a receptive music approach to reduce agitation in hospitalized patients with dementia as evidenced by the Agitated Behavior Scale (ABS)
Michelle W. Moreno-Lee, MN, RN III, CCRN and Mary Harris, MSN, RN, NEA-BC
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- Houston Methodist Sugar Land Hospital, Sugar Land, Texas, USA
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The number of patients with Dementia (PwD) admitted to acute care hospitals is increasing worldwide. Prolonged hospital stays are associated with a deterioration in cognitive, functional, and physiological status (Mathews, Arnold, & Epperson, 2014). Dementia is a disease that causes cognitive deterioration leading to a decrease in the stress threshold, and a decreased ability to comprehend verbal language (Wall & Duffy, 2010). The Journal of Alzheimer’s Disease supports the theory that Alzheimer’s is an autoimmune disease characterized by the immune system producing antibodies against ceramide, a lipid contributing to the production of the beta amyloid plaques notoriously found in this vulnerable patient population (Journal of Alzheimer’s Disease [JAD], 2015). Regardless of the type/severity of dementia, caring for these patients is not only difficult for familial caretakers, but poses challenges for clinical nurses to properly care for these patients, especially those admitted to hospitals. The greater the cognitive impairment, the lower the stress threshold, and the more sensitive the PwD is to environmental sensory stimuli (Gomez & Gomez, 2017). As a result, PwD are more prone to experience distress and manifest behavioral symptoms, the most common being agitation. Receptive music is a safe, non-verbal intervention because receptive music abilities are preserved in later stages of the disease (Gomez & Gomez, 2017). It is also an effective, cost-effective, non-pharmacological intervention to reduce neuropsychiatric symptoms that cause increased distress for PwD, caregivers, and nurses (Aleixo, Santos, & Dourado, 2017).
The authors are pursuing traditional publication and the citation will be provided once it is published.
|Review Type||None: Submitted for Open Dissemination|
|Research Approach||Pilot/Exploratory Study|
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