Musical Therapy for the Agitated Alzheimer's Patient By Stephanie Markarian.
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Transcript of Musical Therapy for the Agitated Alzheimer's Patient By Stephanie Markarian.
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Musical Therapy for the Agitated Alzheimer's Patient
By Stephanie Markarian
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Abstract
Alternative therapies during patient care have been implemented in many hospitals and health care facilities. A holistic approach is used as a foundation in order to satisfy patients’ physical, mental, spiritual and social needs. Holistic care has shown to improve the quality of care, providing better prognoses and outcomes. Certain illnesses may benefit from alternative therapies, while others may require use of specific pharmacological measures. Patients with Alzheimer’s have been shown to benefit from alternative therapies. Music therapy has been shown to reduce behavioral interruptions specifically agitated behaviors associated with Alzheimer’s disease. By providing music therapy within the environment, patients are able improve cognitive, behavioral and social skills. These skills help caregivers provide adequate care and help patients function at a maximum level.
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Purpose of Study
Problem StatementAlzheimer’s is a set of progressive symptoms resulting in cognitive, behavioral, emotional and physical impairment. The elderly population is rising in numbers, resulting in an increasing prevalence of dementia seen in health care settings. Medication administration can result in the risk for complications and side effects. Alternative therapies, including a variety of treatment approaches such as group therapy, meditation, relaxation and cognitive learning may serve as effective treatments in decreasing agitation in the Alzheimer’s patient. New interventions that can effectively reduce agitation, with minimal use of medication, must be identified and evaluated.
Statement of purposeThe purpose of this study is to evaluate the implementation and perceptions of nurses regarding music when caring for an agitated Alzheimer’s patient.
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Research Hypothesis
Patients participating in musical therapy will show a reduction in agitated behaviors. The need for further education and implementation of music therapy will be determined.
Research Question
Is music therapy effective in the reduction of agitation of Alzheimer's patients?
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Review of the Literature
Behavior Disruptions Memory lapses, cognitive decline, motor decline, misjudgment and
disorientation Biting, shoving, pushing, restlessness, wandering, shadowing, sun
downing, inappropriate undressing, inappropriate handling of objects, yelling, and repeating ones-self
Cohen-Mansfield Agitation Inventory (CMAI)
Music Therapy Passive and active participation Preference of music Group vs. individual
Nurses Perceptions The majority had positive attitudes Lack of use, knowledge and training in the workplace Research suggests that nurses and staff need more formal
education, training and resources
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Conducting the Study
Research Design
The research design for this quantitative study was a nonexperimental correlation design. Nurses’ perceptions and the need for implementation of music therapy with this patient population were the variables examined. The correlation was detected through statistical analysis of data collected with a thirteen question survey.
Population
The population in this study consisted of nurses working in an assisted living facility for Alzheimer’s patients that use music therapy
Sample
An estimated sample of ten nurses was selected as a representative sample of a larger population
Setting
The data collection took place in a private for profit assisted living facility for Alzheimer’s and dementia patients in an urban area in the northeast United States
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Conducting the Study (continued)
Plan for Data Collecting and Analysis Quantitative questionnaire Participants answered four demographic questions including type of
licensure, education and years of practice and gender during the questionnaire
The remaining nine questions were formatted on a five-level Likert-type scale.
Questions evaluated participants’ perceptions and knowledge concerning the use of music therapy in multiple areas of nursing care
Data was analyzed with statistical analysis. Simple statistics including percentages were used
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Conducting the Study (continued)
Budget and Time
Survey preparations, paper, driving, analyzing results, binding, poster
Estimated Cost: $437.00Actual Cost: $423.00
Estimated Time: 14 hoursActual Time: 13 hours
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Proposed Funding Site
American Nurses Foundation ANF Nursing Research Grants Program (2013)
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Demographics
Demographics
Type of LicensureRN 40%LPN 60%
Level of Education
Bachelors 40%Associates 60%
Masters 0%Other 0%
Years of Experience
Less than 1 year 0%1-5 Years 40%5-10 Years 60%
10-20 Years 0%
GenderFemale 100%
Male 0%
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Results
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Indications for Research & Nursing Care
The research revealed that 100% of nurses agree that music therapy can be effective in reducing agitation in an Alzheimer’s patient
There is not a need for more education in music therapy but there is a need for more implementation in the facility
Offers a safer, non-invasive way to reduce agitation in patients Further education and staff encouragement is indicated in the use of
music therapy Implications for care conclude that the use of music therapy can
reduce agitation, which can make care taking for Alzheimer’s patients easier, more effective, less invasive and safer; leading to a higher level of care and quality of life for patients