Non-Pharmacological Treatments Of Dementia In Nursing Homes

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The possibility of the use of non-pharmacologic interventions among nursing home residents with dementia

Abstract Traditionally problem behaviors in long term care facilities caused by dementia have been treated by pharmacologic methods. But in 1987 The Nursing Home Reform Act, part of the Omnibus Budget Reconciliation Act, stated that more non-pharmacological treatments should be implemented to help stop problem behaviors in residents of long term care facilities rather than the more traditional pharmacological agents that are usually used. Varies methods of non-pharmacological methods can be used such as, social contact, behavior therapy, staff training, structured activities, environmental interventions, and a combination of therapies (Cody, et. al. 2002). In this paper we will discuss the internal barriers to the use of non-pharmacological methods of treatment such as physical setting, social factors and settings and technology as well as external barriers including regulatory, economic and legal restrictions. Some ideas for overcoming these barriers will also be discussed. The possibility of the use of non-pharmacologic interventions among nursing home residents with dementia

There are several factors that affect the estimated prevalence of psychiatric disorders in nursing homes such as, the definition of psychiatric disorders and the type and numbers of nursing homes reviewed. Taking the different factors into consideration the estimated prevalence of psychiatric disorders is about 68 to 94 percent of all problem behaviors in the nursing home setting. These behaviors can cause a ripple effect of problems throughout the nursing home setting such as, symptomatic stress in other residents, complicate medical procedures of other residents; increase stress and work load for the nursing staff, and diminish the quality of life of the home and raise
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