Medicine and Health Sciences Commons^™

Social Participation Program For Older Adults With Dementia Residing In Long Term Care Facilities, Keri Mcclelland

Student Capstone Papers

Social participation is characterized by activities that involve social interaction with others and supports social interdependence; individuals engage in this occupation through a variety of contexts including with their community, family, friends, and peers (American Occupational Therapy Association, 2020). Social participation has been discovered to influence general health and well-being, cognitive health, risk of dementia, and stress (Sommerlad et al., 2023). Dementia is a prevalent disease affecting approximately 50 million individuals worldwide (Sommerlad et al., 2023) causing increased dependence and disability among the older adult population and is shown to be growing as the aging population increases in number (Wang …

Art Of Aging – A Portraiture Study, Alaina Mann

Theses/Capstones/Creative Projects

The process of aging can be viewed through different lenses within our society. In the past, scientists and medical professionals performed various studies to better understand and analyze different facets of aging, medicine, and health in general. Historically the arts have reflected multiple aspects of medicine and treatments while more recently, the arts have been used in a research capacity to provide different ways to represent illness, suffering, and care. This study used art-based research methods and portraiture to gather qualitative observations on the older populations within our community. Data collected included drawings, a field journal, and interviews. This study …

The Effects Of Music Therapy On Elderly Adults With Dementia, Jeante J. Jackson

Dissertations, Theses, and Capstone Projects

As people age, the brain is more susceptible to changes that diminish cognitive function. In recent years neuroscience has found convergent evidence between music therapy and brain architecture, as it has shown the generation of new connections in the brain or a reorganization and possible strengthening of existing connections already in the brain. However, the literature regarding music training’s effects on executive control, selective attention, and speech processing is lacking particularly when it comes to older populations.

This study investigated Verbal Working Memory, Visuospatial Attention and Task Initiation, and Auditory Selective Attention in a 91-year-old adult (B.P.) diagnosed with dementia. …

Promoting Early Detection In Primary Care: Program Evaluation Of The Dementia Care Aware Program In Orange County, Ennah Cabading

UNLV Theses, Dissertations, Professional Papers, and Capstones

The aging population is growing quickly, raising concerns about the increasing numbers of those with Alzheimer's disease and related dementias, as age is the common risk factor for acquiring the disease. The increase in the elderly population may influence higher healthcare costs and the need for more healthcare professionals like primary care professionals. However, primary care professionals face challenges meeting this population's demands due to the lack of training, confidence, and understanding of dementia care. A new California initiative called Dementia Care Aware aims to support primary care professionals by offering training, tools, and resources to increase early detection and …

Training Program For Occupational Therapists Working With Skilled Caregivers In Skilled Nursing Facilities, Lovegifty Dudero, Mai Huynh, Ridhee Patel

Occupational Therapy | Graduate Capstone Projects

Dementia impairs one’s ability to live independently and participate in everyday activities (CDC, 2019). Individuals with dementia (IwD) are often referred to skilled nursing facilities (SNFs) for around-the-clock care to receive support for their everyday challenges brought on by dementia symptoms. Although certified nursing assistants (CNAs) help IwD with everyday self-care tasks, they frequently lack specialized dementia care training. Consequently, CNAs experience low self-efficacy when providing care and managing challenging behaviors IwD may have. OTs have expertise and understanding regarding the stages of dementia and how the symptoms of dementia impact participation in daily occupations. OTs working in SNFs are …

Treating Cognition Through Occupational Performance In Individuals With Neurological Disorders In Home Health, Alcina J. Park

Occupational Therapy Capstone Presentations

Neurological Disorders (ND) like Alzheimer’s Disease, is one of the leading chronic diseases in older adults (National Council on Aging, 2023). One of the most common symptoms of ND is cognitive dysfunction, which prevent individuals with NDs from pursuing their daily occupations (Liu et al., 2019). This makes the exploration of treatment that delays functional decline in NDs imperative. Occupational therapy is valued and recognized in literature, but limited research is specific to cognition in occupational performance in home health. This capstone project used cognitive therapy approaches Cognitive Stimulation Therapy, Cognitive Rehabilitation Therapy, and Cognitive Training, to combat cognitive decline …

Occupational Therapists’ Perspectives On Using The Physical Environment In Skilled Nursing Facilities, Jennie L. Digrado

Walden Dissertations and Doctoral Studies

Occupational therapists (OTs) are among the health care professionals who assist individuals with neurocognitive disorders (NCDs) to engage in self-care and leisure skills in a skilled nursing facility (SNF) environment. Although the SNF environment has been researched, a gap exists regarding how OTs use the built environment to help clients with a NCD engage in self-care and leisure-related activities. The purpose of this qualitative case study was to understand how OTs use the physical environment in a SNF to help individuals with a NCD engage in self-care and leisure related activities. The conceptual framework that guided this study was the …

Occupational Therapists’ Perspectives On Using The Physical Environment In Skilled Nursing Facilities, Jennie L. Digrado

Walden Dissertations and Doctoral Studies

Occupational therapists (OTs) are among the health care professionals who assist individuals with neurocognitive disorders (NCDs) to engage in self-care and leisure skills in a skilled nursing facility (SNF) environment. Although the SNF environment has been researched, a gap exists regarding how OTs use the built environment to help clients with a NCD engage in self-care and leisure-related activities. The purpose of this qualitative case study was to understand how OTs use the physical environment in a SNF to help individuals with a NCD engage in self-care and leisure related activities. The conceptual framework that guided this study was the …

How Do Informal Caregivers Of A Person With Dementia Experience Stress And Which Supports Help Mitigate The Effect Of These Stressors?, Kwandra Andrews Brinson

Occupational Therapy Doctorate Capstone Projects

Background: Alzheimer's disease or related dementias (ADRD) are one of the most rapidly growing epidemics that the world is facing. Caring for a person with ADRD is challenging and often causes informal caregivers stress, loneliness, and social isolation.

Purpose: The aim of this qualitative instrumental case study was to obtain a better understanding of how informal caregivers of persons with ADRD experience stress and which supports helped mitigate the effect of these stressors in their role as a caregiver.

Theoretical Framework: The Model of Human Occupation focuses on therapy helping persons to engage in occupational behaviors that maintain, restore, reorganize, …

Improving Self-Report In Quality Of Life Reporting For Individuals With Dementia, Elizabeth Grace Grade Redford

Theses and Dissertations

People with dementia (PWD) are one of the fastest growing clinical populations for speech-language pathologists. Self-reported quality of life (QoL) assessments are critical patient-reported outcome measures that align with person-centered care principles. However, proxy- report is most often used due to assumptions that PWD cannot provide reliable self-report. Visual analogue scales (VAS) have been successfully used with people with expressive and cognitive deficits to measure subjective constructs, such as QoL, mood, and pain. The purpose of this project is to evaluate the feasibility and reliability of a VAS QoL assessment tool.

Twenty healthy older adults were assessed using the QoL-AD …

Language-Based Strategies That Support Person-Centered Communication In Formal Home Care Interactions With Persons Living With Dementia, Reanne G. Mundadan

Electronic Thesis and Dissertation Repository

Background. Several studies recommend language-based strategies for communication with persons living with dementia. Language-based strategies improve coherence, clarity, reciprocity, and continuity of interactions. Person-centered communication (PCC) strategies are the gold standard, including facilitation, recognition, validation, and negotiation. Only one study has examined the overlap between language-based strategies and PCC in long-term care. Little is known about which language-based strategies support PCC in home care. Accordingly, this study investigated the overlap between language-based strategies and PCC in home care interactions. Method. Conversation analysis of 30 audio-recorded routine care interactions between home care workers and persons living with dementia was conducted. The …

Enhancing Life: Promoting Meaningful Interventions To Support Individuals With Dementia, Keelan N. Blasius

Occupational Therapy Capstone Presentations

This capstone project focused on the implementation of meaningful interventions to support the quality of life in individuals with dementia. Those with dementia often lack the opportunity to participate in meaningful activities, leading to increased loneliness and decreased quality of life. Individual and group sessions were administered to eight participants over the course of fourteen weeks. Progress was tracked through feedback surveys and pre-test/post-test assessments. This project found that engaging in meaningful activities helps to support quality of life while also decreasing feelings of loneliness, anxiety, and depression.

Virtual Visitation: Promoting Social Occupations In Dementia Care, Carly Spina, Lizann Jovanovich, Ashley Jones, Pamela Baraceros, Rena Ribeiro

Occupational Therapy | Graduate Capstone Projects

Approximately two thirds of skilled nursing facilities (SNFs) residents in the United States have some form of cognitive impairment such as dementia (Gaugler, et.al, 2014). Care practices in SNFs highlighting safety and therapeutic exercises may further isolate and decrease social opportunities, which can contribute to sensory deprivation in this population and result in lower quality of life (Haigh & Mytton, 2015; Nakamae et al., 2014). COVID-19 visitation restrictions, as well as ongoing barriers of geographical distance, present additional challenges when seeking to engage PLwD residing in SNFs in meaningful social occupations.

Reminiscence has potential to remediate effects of isolation and …

Supporting The Role Of Professional Caregivers In Long-Term Care: Education, Training, And Caregiver Mental Health Interventions That Promote Dementia Care Excellence, Katelyn A. Nelson

Occupational Therapy Capstone Presentations

The purpose of this capstone experience was to create a dementia caregiver education program to support caregivers in their role of caring for individuals with dementia. The first four weeks of the capstone experience were spent at Emerald Crest in Burnsville, MN, learning from an occupational therapist with more than 13 years of experience. Advanced knowledge was gained through engaging in OT evaluation and intervention sessions, completing two dementia certifications, interviewing staff members to highlight the value of interdisciplinary collaboration, and applying theory to practice. Knowledge was then synthesized, applied, and built upon to create a training manual for the …

Developing A Resource For Optimizing Occupational Engagement In Adults With Dementia, Maria Del Carmen Rosas Ojeda

OT Student Capstones

Dementia is an umbrella term for cognitive impairments in memory, language, executive function, which may affect behavior and personality. Globally, about 50 million people have dementia, and that number is expected to reach 150 million by the year 2050 (Fortinsky et al., 2020). Dementia is a progressive disease that affects an individual’s ability to perform their daily occupations. The progression of dementia stages can be classified as early/mild, middle/moderate, and late/severe. Alzheimer’s disease makes up 60-80% of all dementia cases, although there are various other types of dementia, including Frontotemporal dementia, Lewy Body dementia, Vascular dementia, and Parkinson’s disease dementia …

Does Spaced Retrieval Therapy Help Improve Quality Of Life For Individuals With Dementia?, Simone E. Fleary

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this systematic EBM review is to determine “Does Spaced Retrieval Therapy Help Improve Quality of Life for Individuals with Dementia?”

Study Design: A systemic review of three peer-reviewed randomized controlled trials (RCT) published in English between 2016-2017.

Data Sources: All peer-reviewed articles were selected using PubMed. All articles were published in English and selected based on relevance to the clinical question. Exclusion criteria excluded studies with combined intervention methods.

Outcome Measured: Assessment of instrumental activities of daily living (IADL) was determined using the IADL task score assessed by the recruiter. Improvement of hyperphagic behavior assessed by …

Holistic Occupational Therapy Dining Interventions Supporting Individuals With Dementia In Skilled Nursing Facilities, Kathleen Osio, Sabrina Anne Cezar, Ashley Lorton, Lisa Worsham

Occupational Therapy | Graduate Capstone Projects

The purpose of this project is to provide occupational therapy practitioners (OTPs) with a Holistic Occupational Therapy Dementia Dining Toolkit to enhance the dining experience in the SNF setting for individuals in all stages of dementia. Dementia is a prevalent condition seen in skilled nursing facilities (SNF) that is expected to continue to rise; in 2016, 47.8 percent of individuals living in a SNF had a diagnosis of dementia (Center of Disease Control, 2020). Dining experiences for individuals with dementia (IwD) are impacted by an individual’s cognition, physical, environmental, and psychosocial factors. Additionally, the task oriented and structured approach to …

Improving Cognitive Function In Persons With Dementia Through Music Therapy, Jillian Natividad

Nursing | Senior Theses

People diagnosed with dementia experience cognitive alterations that cause overwhelming challenges and lead to distinctive life changes. Declining cognitive function noticeably experienced in dementia not only inflicts difficulty with achieving independent living but increases feelings of agitation and disturbs quality of life. Advanced medical care is widely available for managing mental conditions but may not always be effective in treating cognitive changes like memory loss and confusion. Because the stages of dementia vary from person to person, medical interventions are often patient centered to effectively focus on an individual’s specific needs. With non-pharmacological methods, flexibility in adjusting to an individual’s …

Occupation-Based Volunteer Training Program To Increase Social Engagement For Residents With Dementia In Skilled Nursing Facilities, Kiyomi Kuroda, Nhat Hoang, Victoria Ramia, Kelsy Wallace

Occupational Therapy | Graduate Capstone Projects

The population of individuals with dementia (IwD) is increasing, and IwD are often admitted into skilled nursing facilities (SNFs) due to greater need for care (Alzheimer’s Association, 2020b). Admittance leads to social isolation as a result of decreased engagement in co-occupations. Co-occupations are occupations, or meaningful activities necessary for wellbeing and survival, that are performed with others (American Occupational Therapy Association [AOTA], 2014). IwD exhibit behaviors and symptoms that create challenges for family caregivers to engage in co-occupations (Ono et al., 2014). Without guidance or support, family members or volunteers may be less likely to visit or facilitate quality visits, …

Supporting Dining Occupations For Dementia Residents In Skilled Nursing Facilities, Esther Yu, Nooshin Moslehi, Vickie Nguyen, Aileen Quach, Cierra Passey, Julia Lee

Occupational Therapy | Graduate Capstone Projects

Dementia Friendly Dining provides skilled nursing facilities (SNFs) with a practice guideline and training resources for caregivers. The program is informed by existing research on environmental modifications, both physical and social, to enhance the occupations of feeding, eating, and dining for individuals with dementia (IwD) in SNF settings. The physical and social environment has a significant effect in supporting the dining experience for IwD and their caregivers (Keller et al., 2015; Hung et al, 2016; Palese et al., 2018), but many facilities have not integrated physical and social modifications, creating a gap in practice. Therefore, an evidence-based dining program that …

Physical Activity Guidelines For People With Alzheimer’S Disease Of Various Ambulatory And Cognitive Status, Amanda Katherine Wright

Kinesiology and Public Health

With the rapidly growing elderly population in the United States, the number of people diagnosed with dementia and Alzheimer’s Disease (AD) is increasing dramatically. For these patients, it is crucial to slow the rate of progression. Research has proven that exercise improves cognition, and recent findings suggest a similar association among those with AD. However, this is complicated by the large majority of AD patients becoming non-ambulatory as the disease progresses. Thus, there is a large gap in the literature to meet the needs of non-ambulatory AD patients working to slow their disease’s progression. The first purpose of this article …

Brain Volumes And Dual-Task Performance Correlates Among Individuals With Cognitive Impairment: A Retrospective Analysis, Jon Basterrechea, Daniel Krist, Caitlin Moreland, Morgan Wise

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Cognitive impairment (CI) is a prevalent condition characterized by loss of brain volume and changes in cognition, motor function, and dual-tasking ability. Objective: To examine associations between brain volumes, dual task performance, and gait and balance in those with CI to elucidate the mechanisms underlying loss of function. Methods: We performed a retrospective analysis of medical records of patients with CI and compared brain volumes, dual task performance, and measures of gait and balance. Results: Greater cognitive function and combined dual task effect (DTE) is associated with smaller brain volumes. In contrast, greater motor DTE is associated with larger …

Animal-Assisted Therapy And Quality Of Life In Patients With Dementia, Karissa D. Thomson

Student Capstone Papers

The aim of this quantitative study was to examine the effects animal-assisted therapy (AAT) had on people diagnosed with dementia living in a nursing home. The study aimed to examine the effects AAT had on depression, blood pressure, social interaction, and how these factors impact quality of life (QOL). The study was conducted once a week for one hour on Thursdays for 6 weeks. 7 participants were included in the study and further broken down into two groups based upon their level of cognition as measured by the Mini-Mental Status Examination. Beck’s Depression Inventory (BDI) and the World Health Organization …

Physiotherapy Is Associated With Improvements In Gait And Balance In Individuals With Cognitive Impairment: A Retrospective Analysis, Steven Jackson, Elbert Chen, Jason Phan

UNLV Theses, Dissertations, Professional Papers, and Capstones

BACKGROUND: Evidence suggests that individuals with cognitive impairment (CI) exhibit significant motor impairments; however, these motor impairments receive little treatment attention compared to more prominent CI. Moreover, there is a lack of evidence about physiotherapy (PT) in individuals with CI. OBJECTIVE: The purpose of this study was to determine if PT was effective at improving gait and balance in individuals with Alzheimer disease (AD), vascular dementia (VaD), dementia with Lewy bodies (DLB), and mild cognitive impairment (MCI). METHODS: Retrospective data of 173 individuals with CI conditions and an initial evaluation for PT were extracted from electronic records from January 2016 …

A Sensory-Based Program To Enhance Occupational Performance For Dementia, Ivy Annahi Torres-Flores, Jacob Gantan, Heather Anne August, Naomi Grace Wong

Occupational Therapy | Graduate Capstone Projects

Dementia is a neurological disease, causing behavioral and cognitive symptoms, that progressively impairs an individual’s ability to engage in meaningful activities. Progressive deterioration associated with dementia impacts occupational performance and independence and quality of life. Sensory based interventions, such as drumming groups, have been hypothesized to be a non-pharmacological intervention for individuals with dementia. The purpose of this study was to analyze the effects of a sensory based intervention program, in this case participation in a drumming group, on functional engagement during self-feeding for individuals with dementia. Researchers gathered data over the course of two days using the Functional Behavior …

Development Of A Caregiver Education Support Tool For Family Caregivers Of Older Adults With Dementia, Sarah Guariglia

Occupational Therapy Program Student Theses, Dissertations and Capstones

For every person diagnosed with dementia, four family members are affected and burdened with providing care. Providing familial care is associated with greater psychological, social, and emotional burden on the caregiver. Caregivers are not provided with adequate education to support successful caregiving and aging in place. This capstone project developed and piloted a caregiver education support tool to simplify the process of finding caregiver education. Five caregivers participated in interviews to guide the development of the support tool, next completed the Likert questionnaire, and tested the caregiver education support tool. Four themes were identified: (1) burden, (2) loss, (3) unmet …

The Role Of Evidence-Based Practice In Alzheimer's Disease And/Or Dementia, Laura Leigh Cole

Occupational Therapy Doctorate Capstone Projects

Background: As the aging population continues to grow, it is necessary to identify the most up to date and appropriate Evidenced Based Practice (EBP) treatment methods to ensure quality of life for adults in long term care settings. The rapid increase of dementia and Alzheimer’s Disease with this population treated in skilled nursing facilities impacts understanding of and continued competency for occupational therapy practitioners in effectively evaluate and treat clients with cognitive deficits.

Purpose: To identify the frequency of use of standardized cognitive assessments in evaluation and treatment in long-term care facilities and skilled nursing facilities and to identify which …

The Preferences Of Toileting Habits And Routines In Older Adults, Deanna Orr, Courtney Madary, Bethany Robinson

Older Adult

This abstract will be avaiable for download after an embargo period

Evaluating The Effectiveness Of A Formal Dementia Care Training Program: Abilities Care Experts™, Carmen Joaquin, Michelle D'Amato, April Perez, Louiza Alexandria Villarina, Sophie E. Miller

Dissertations, Masters Theses, Capstones, and Culminating Projects

Overview: Abilities Care Experts™ (ACE™) is an educational training program for nursing staff who care for individuals with dementia in skilled nursing facilities (SNF). The objective of the program is to provide the nursing staff with knowledge, and methods to engage residents’ remaining abilities in order to maximize occupational participation using a stage-specific dementia care approach. ACE™ training has yet to be evaluated for effectiveness in a controlled study design.

Objectives: This study sought to evaluate the effectiveness of the ACE™ training.

Design: The study employed a quantitative, cross-sectional, quasi-experimental design.

Participants: A total of 29 CNAs, 13 ACE™ trained …

Melodies, Memories, And Meaning: The Use Of Music Therapy For Persons With Dementia, Emily A. Carl

Selected Honors Theses

Dementia is a growing public health issue, as there are 24.3 million people currently diagnosed worldwide. Being that there is no cure, non-pharmacological interventions are important to optimize quality of life for this population. Music therapy is a nonpharmacological intervention with fine usability for dementia patients. This thesis will examine the positive effects of music therapy on the behavioral symptoms, mood management, self-esteem, language skills, cognition, and reminiscence for the individual with dementia based on existing literature and will provide practice recommendations for the clinical use of music therapy and research. A short literature review will focus on the field …