Application of Behavior-Based Ergonomics Therapies to Improve Quality of Life and Reduce Medication Usage for Alzheimer%26apos;s/Dementia Residents

作者：Mowrey Corinne; Parikh Pratik J^*; Bharwani Govind; Bharwani Meena

来源：American Journal of Alzheimer's Disease and Other Dementias, 2013, 28(1): 35-41.

DOI：10.1177/1533317512467678

• non-pharmacological
• therapies
• quality of life
• medications

Behavior-based ergonomics therapy (BBET) has been proposed in the past as a viable individualized non-pharmacological intervention to manage challenging behaviors and promote engagement among long-term care residents diagnosed with Alzheimer%26apos;s/dementia. We evaluate the effect of BBET on quality of life and behavioral medication usage in an 18-bed dementia care unit at a not-for-profit continuing care retirement community in West Central Ohio. Comparing a target cohort during the 6-month pre-implementation period with the 6-month post-implementation period, our study indicates that BBET appears to have a positive impact on the resident%26apos;s quality of life and also appears to correlate with behavioral medical reduction. For instance, the number of days with behavioral episodes decreased by 53%, the total Minimum Data Set (MDS) mood counts decreased by 70%, and the total MDS behavior counts decreased by 65%. From a medication usage standpoint, the number of pro re nata (PRN) Ativan doses decreased by 57%.

• 出版日期2013-2