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Help-Seeking For Cognitive Impairment By The Patient : The Role Of Self-Compassion., Allison J. Midden

Electronic Theses and Dissertations

Older adults represent one of the fastest growing population groups with estimates predicting global growth from 617 million in 2015 to 1.6 billion in 2050. As the aged population increases, incidence of Alzheimer’s disease (AD) and other dementias will also increase. Professionals agree that early intervention is essential for therapeutic and quality of life purposes. However, many older adults wait several months or years to seek medical help after first noticing signs of cognitive impairment. The present study seeks to identify the predictors of help-seeking for cognitive impairment by an individual for him/herself and the role that self-compassion may play …

Functional Analysis In The Home Setting Of An Older Adult With Neurocognitive Disorder, Emily Norton

Masters Theses

Currently within the behavioral gerontology literature there are no published studies that include a functional assessment in the home setting. The primary goal of the present study was to address this gap by conducting a functional analysis on a challenging behavior of an older adult with neurocognitive disorder in the home. This study occurred in two phases. During phase one, researchers conducted an antecedent functional analysis on the bizarre speech of an 81-year-old female with suspected dementia across four conditions (television on, no interactions initiated; television on, interactions initiated; television off, no interactions initiated; television off, interactions initiated). Results from …

The Impact Of A Multisensory Stimulation Environment Within A Memory Care Assisted Living Facility, Dana M. Prince

Dissertations

The use of Multisensory Stimulation Environments (MSSE) has grown increasingly more common in the United States (U.S.) as a nonpharmacological intervention for Behavioral and Psychological Symptoms of Dementia (BPSD). However, typical MSSE designs require a secluded room isolated from outside stimulation and demand direct supervision from the care provider during treatment. Due to projected shortages in the clinical workforce and the population of older adults on the rise, a study was designed to reveal the effectiveness of an open-floorplan MSSE to reduce the demand of care providers during the use of the MSSE while allowing subjects diagnosed with dementia to …

Dementia Caregiver Coping Strategies And Caregiver-Care Recipient Relationship Closeness: Associations With Care-Recipient Outcomes, Stephanie Behrensberg

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This project used data from the Dementia Progression Study, a longitudinal, population-based study based out of Cache County, Utah. Statistical models were used to examine the association between caregiver factors, the care environment, and cognitive outcomes in persons with dementia. Mediational analyses were also used to examine if the care environment, inferred for nutritional status, engagement in physical and cognitively stimulating activities, mediated the relationship between the closeness/caregiver coping strategies and cognition in persons with dementia. Results showed that closer caregiver-care recipient relationships were associated with better nutritional status and more engagement in number of cognitively stimulating activities as well …

The Utility Of Music-Based Interventions In Dementia Care, Adriana C. Doerr

Dissertations

While research has investigated the impact of music-based interventions on management of behavioral and psychological symptoms of dementia (BPSD), there is limited discussion of which music-based interventions are most effective for various levels of dementia severity, or of how to determine which music-based interventions are both accessible and feasible for caregivers and nursing staff. This review sought to identify the benefits of music-based interventions in dementia care within various domains of functioning and determine whether music-based interventions are effective for various levels of dementia severity. Peer-reviewed articles and studies that evaluated the effectiveness of various music interventions or demonstrated music's …

Assisting Elders With Dementia In Residential Settings Through Music Therapy: A Literature Review, Benjamin Burke

Expressive Therapies Capstone Theses

Dementia is one of the most prevalent diagnoses for elders causing strain and debilitation of their social, mental, physical, emotional, behavioral and psychological faculties. Due to the nature of this condition, treatments for dementia have been structured to aid and improve the well-being and quality of life for those afflicted. Some of the goals that assisted-living services establish include reducing anxiety, increasing levels of comfort, improving mood, memory care and bettering verbal processing. Music therapy has been an intervention that assists with establishing these goals and implementing strategies resulting in short-term and long-term effects for those receiving treatment for dementia. …

Executive Function Deficits In Patients With Mild Cognitive Impairment: Exploring The Impact Of Substance Use, William C. Dooley

MSU Graduate Theses

Substance use is pervasive in the United States. With overdose deaths on the rise for the past decade, studies have examined the detrimental effects of a range of substances. Substance use has been shown to affect the domains of executive functioning, while diseases such as Human Immunodeficiency Virus (HIV) and Hepatitis-C (Hep-C) have been shown to increase the severity of these deficits when comorbid with substance use. Alzheimer’s Dementia (AD) also affects many of the same domains of executive functioning as substance use. However, because of the rapid degenerative nature of the disease, individuals clinically determined to have Mild Cognitive …

The Use Of Behavior Skills Training And Behaviorally Based Interventions In Memory Care, Claire Gallagher

Masters Theses, 2010-2019

Abstract

The current study examines the effects of using Behavior Skills Training (BST), an evidenced-based practice for teaching, to train direct care staff members in a Memory Care Community to employ a multi-component, behaviorally-based intervention with residents that have a memory impairment. This study utilizes single case methodology with a stacked AB design replicated across three staff members, three residents, and three transition environments. The design is comprised of a baseline condition, training with BST, a post-training condition with in-vivo coaching, and a maintenance probe. Results include an increase in the percent independence with which staff participants accurately complete the …

Neuro-Exergaming For Older Adults With Mild Cognitive Impairment (Mci): A Single Bout Of Interactive Physical And Cognitive Exercise (Ipaces V2.5), Alexa Puleio

Honors Theses

Mild Cognitive Impairment (MCI) poses a serious risk to the older population. This disease may be a precursor to a more debilitating dementia, such as Alzheimer’s Disease (AD), and it affects the cognitive abilities as well as overall quality of life of those who suffer from it (Alzheimer’s Association, 2014). Finding preventative ways to combat these neurodegenerative illnesses is imperative for our increasing older population at risk. Prior research has shown benefits to cognition from physical exercise (Colcombe & Kramer, 2003); however, only a fraction of older adults actually achieve recommended levels (Chodzko-Zajko et al., 2009). Some researchers have explored …

The Impact Caregiving And Decision-Making Has On Adult Sibling Relationships, Christina Vroman

PCOM Psychology Dissertations

Dementia is characterized by a decrease in cognitive functioning, usually characterized by a progressive decline in brain function over time. As the condition progresses, individuals require more assistance from others in order to maintain their activities of daily, independent living and decision-making among other functions of life. The responsibility of caring for the aging population usually falls on adult children, which can cause stress and tension within the family dynamic. Adult siblings tend to believe that the responsibility of caregiving should be equally split among siblings (Amaro & Miller, 2016); however, it is often the case that one sibling takes …

Coping Methods Of Caregivers Dealing With Patients Suffering From Geriatric Dementia, Blessing Baridakara Deemua

Walden Dissertations and Doctoral Studies

Dementia is a neurological disorder primarily diagnosed in the geriatric population. A problem for paid caregivers of patients diagnosed with stage-4 dementia is that they may experience caregiving stress while rendering care. However, there was no research that described the lived experiences of paid caregivers. Caregiving stress can be accompanied by behaviors or comorbid conditions and specific symptoms of stress can have a differential wellness impact. This phenomenological study explored the lived experiences of paid caregivers of patients with dementia through Vroom's expectancy theory. Data were gathered through interpretative interviews from a sample of 10 to 15 purposefully selected nursing …

Medical Students' Knowledge, Confidence, And Empathy Towards Dementia And Caregiver Stress, Courtney Williamson

PCOM Psychology Dissertations

Early diagnosis of dementia and dementia-related illnesses provides increased time for treatment, which is aimed at maintaining patient function and delaying decline (Teel, 2004). Empirical studies have shown a decline in empathy during undergraduate and graduate medical education (Hojat et al., 2009). This study examines differences between 2nd and 4th year Doctor of Osteopathic Medicine (DO) students’ knowledge, empathy and confidence in working with individuals diagnosed with dementia and addressing caregiver stress. Students from Philadelphia College of Osteopathic Medicine and Rowan University School of Osteopathic Medicine completed an online survey which included the Knowledge in Dementia Scale (KIDE), Jefferson Scale …

The Effects Of Elderspeak On The Mood Of Older Adults With Dementia: A Preliminary Report, Kenia Torres-Soto

All Graduate Theses, Dissertations, and Other Capstone Projects

Barriers to effective and harmonious communication between caregivers and those affected with dementia are common and inevitable. An example of a common barrier is aphasia, which is a prevalent communication deficit associated with dementia. The social environment may further hinder harmonious communication through the use of well-intended, but ineffective speech patterns. Elderspeak (ES), which is infantilizing speech directed at older adults, is one such speech pattern that is commonly used in long-term care facilities (LTC) and is related to negative outcomes for older adults receiving it. Older adults with mild to moderate cognitive impairment who were residents at a LTC …