EVALUATION OF THE STRUCTURED MEANINGFUL ACTIVITY PROGRAM FOR PERSONS WITH DEMENTIA (PWD) IN REN CI NURSING HOME ANGELIA LESTARI, NALINA KUMARI RESMI,

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Presentation transcript:

EVALUATION OF THE STRUCTURED MEANINGFUL ACTIVITY PROGRAM FOR PERSONS WITH DEMENTIA (PWD) IN REN CI NURSING HOME ANGELIA LESTARI, NALINA KUMARI RESMI, NANG SOE MON OO BACKGROUND Management of Behavioural and Psychological Symptoms (BPSD) in Person With Dementia (PWD) is one of the major challenges of the health care workers in the dementia unit. The use of antipsychotic medication for these symptoms is controversial because of its harmful side effects. Current clinical guidelines recommend that management of BPSD should pursue non-pharmacological interventions as first choice and pharmacological interventions to be a second line approach. OBJECTIVES The research study focussed on care delivery of the non-pharmacological interventions (structured meaningful activity) can successfully reduce the incidence of expressive behavior in PWD and thereby cut down the usage of antipsychotic drugs. RESEARCH QUESTION Has the program (structured meaningful activity) successfully controlled the expressive behaviour of persons with dementia (PWD) ? METHODOLOGY Research Design The study applied quantitative research approach Conducted individual and group activities (structured meaningful activities) Subject population was 40 PWD residents from Ren Ci Bukit Batok Nursing Home Measurement Challenging Behaviour scale(CBS)/Nurses’ report Medication usage data Nurses satisfaction survey Data collection For structured activities, researchers focussed on the participation rate and engagement time Challenging behaviour scale used to measure the behaviour in PWD by T-test CHI-SQUARE statistical test used to measure the medication usage Staff satisfaction survey by using staff stress scale Day/Time Monday Tuesday Wednesday Thursday Friday Saturday Sunday 700-8.30AM Preparation of breakfast 8.30-10AM   Paro session Mahjong Session Gardening 10AM-10.30AM Muslim prayer Art and Craft Group Exercise 10.30AM-11AM Walking Exercise 2.30-3PM Cooking Cat therapy (once a month) God Therapy Once a month) 3-5PM Sewing session RESULTS Challenging behaviour scale shows no statistically significant result in terms of behaviour. The Investigators concluded after data analysis that the resident who had more engagement in activities is associated with better outcomes The participation rate for the structured meaningful activity rose with a median score of 77.8% and the most popular activity was group exercise CONCLUSION Structured activities may not have an immediate effect on challenging behaviour, however it may maintain the current condition and there by slow down the natural progression of disease. Acknowledgement: Dr Ong Qi Yan (NUS FASS)