Cent Eur J Nurs Midw 2011, 2(4):312-318
Nonpharmacological approaches to treatment of cognitive functions in clients with dementia
- 1 Mental Hospital Kromeriz
- 2 Department of Social Medicine and Health Policy, Faculty of Medicine and Dentistry, Palacky University in Olomouc
Aim: Aim of the study was to evaluate the effectiveness of non-pharmacological approaches influencing cognitive functions that are used in routine practice in inpatient women psycho-geriatric ward in Mental hospital in Kromeriz. Furthermore the study tried to evaluate satisfaction with these activities in hospitalised clients.
Methods: At the beginning and at the end of hospitalisation was used range of Mini-Mental State Examination (MMSE) and Clock Drawing Test (CDT) to make an indicative assessment of cognitive functions, and at the end of hospitalization was used a controlled interview.
Results: At the end of hospitalisation there was no significant evidence of improving cognitive functions (short period of research is the most probable reason). Nevertheless, psychotherapeutic activities were evaluated by clients positively.
Conclusion: Nonpharmacological approaches have important position in treatment of dementia, together with pharmacological and support therapy.
Keywords: dementia, pharmacological therapy, nonpharmacological approaches, cognitive functions, psycho-geriatrics, MMSE, Clock Drawing test
Published: September 30, 2011 Show citation
References
- CLÉMENT, J. P. et al. 2006. Guide pratique de psychogériatrie. 2. vyd. Issy-les-Moulineaux: Elsevier Masson SAS, 2006. 263 s.
- FOLSTEIN, M. F. et al. 1975. Mini-Mental State: A practical method for grading the cognitive state of patients for the clinicians. J Psychiat Res. 1975, vol. 12, p. 196-198.
Go to original source...
- FRANKL, V. E. 2006. Lékařská péče o duši. 1. vyd. Brno: Nakladatelství Cesta, 2006. 240 s.
- HOLMEROVÁ, I. 2009. Nefarmakologický management demence. In JIRÁK, R. et al. Demence a jiné poruchy paměti. Komunikace a každodenní péče. 1. vyd. Praha: Grada Publishing, 2009. 176 s.
- HORT, J., JIRÁK, R. 2007. Alzheimerova choroba a jiné demence aneb co v učebnicích 20. století nebylo. 1.vyd. Praha: MediMedia Information, 2007. 32 s.
- JIRÁK, R., BORZOVÁ, C. 2006. Demence. In RABOCH, J. et al. Psychiatrie. Doporučené postupy psychiatrické péče II. 1. vyd. Praha: Infopharm, 2006. 204 s.
- KAPLAN, H. I., SADDOCK, B. J. 2009. Manuel de poche de psychiatrie clinique. 2. vyd. Rueil-Malmaison: Pradel a Wolters Kluver France, 2009. 542 s.
- KAŠPARŮ, M. 2002. Základy pastorální psychiatrie pro zpovědníky. 1. vyd. Brno: Nakladatelství Cesta, 2002. 156 s.
- KOUKOLÍK, F., JIRÁK, R. 1998. Alzheimerova nemoc a další demence. 1. vyd. Praha: Grada Publishing, 1998. 232 s.
- LUŽNÝ, J. 2011. Quality of Life in Mentally Ill People. In UEHARA, T. Psychiatric Disorders. Worldwide Advances. 1. vyd. Rijeka: Intech. 2011. 336 s.
Go to original source...
- MIOVSKÝ, M. 2006. Kvalitativní přístup a metody v psychologickém výzkumu. 1. vyd. Praha: Grada Publishing, 2006. 332 s.
- MONFORT, J.C. 2009. La Psychogériatrie. 3. vyd. Paris: Presses Universitaires de France. 2009. 182 s.
Go to original source...
- OLAZARÁN, J. et al. 2010. Nonpharmacological therapies in Alzheimer´s disease: a systematic review of efficacy. J Am Geriatr Soc. 2010, vol. 58, no. 8, p. 1465-1474.
Go to PubMed...
- PIDRMAN, V. 2007. Demence. 1. vyd. Praha: Grada Publishing. 2007. 184 s.
- PIDRMAN, V. 2005. Kognitiva a další léky pro léčbu demencí a kognitivních poruch. In BOUČEK, J., PIDRMAN, V. Psychofarmaka v medicíně. 1. vyd. Praha: Grada Publishing. 304 s.
- SEMPLE, D. et al. 2005. Oxford Handbook of Psychiatry. 1. vyd. New York: Oxford University Press, Inc. 2005. 953 s.
- SHULMAN, K., et al. Clock-Drawing and dementia in the community: A longitudinal study. Int J Geriatr Psychiatry. 1993, vol. 8, p. 487-496.
Go to original source...
- SMOLÍK, P. 2001. Duševní a behaviorální poruchy. Průvodce klasifikací, nástin nozologie, diagnostika. 2. rev. vyd. Praha: Maxdort Jessenius, 2001. 506 s.
- SPAR, J.E., LA RUE, A. 2003. Geriatrická psychiatria. Stručný sprievodca. 1. vyd. Trenčín: Vydavateľstvo F. 239 s.
- TOPINKOVÁ, E. 2005. Geriatrie pro praxi. 1. vyd. Praha: Galén, 2005. 270 s.
- VENGLÁŘOVÁ, M. 2007. Problematické situace v péči o seniory. Příručka pro zdravotnické a sociální pracovníky. 1. vyd. Praha: Grada Publishing. 2007. 96 s.
- VIOLA, L. F. et al. 2011. Effects of a multidisciplinar cognitive rehabilitation program for patients with mild Alzheimer´s disease. Alzheimer Dis Assoc Disord. 2011, vol. 25, no. 3, p. 213-219.
Go to PubMed...
- YU, F. et al. 2008. Cognitive training for early-stage Alzheimer´s disease and dementia. Am J Alzheimers Dis Other Demen. 2008, vol. 23, no. 2, p. 150-161.
Go to original source...
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