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A stimulation-retreat special care unit for elders with dementing illness
Author(s)M Powell Lawton, Kimberly Van Haitsma, Jenneifer Klapper
Journal titleInternational Psychogeriatrics, vol 10, no 4, December 1998
Pagespp 379-395
KeywordsDementia ; Psychogeriatric units ; Nursing homes ; United States of America.
AnnotationTwo equivalent special care nursing home units for older people with dementia were randomly designated as experimental and control units for an intervention called the "stimulation-retreat" model. This model introduced a set of staffing and programme changes whose purpose was to diagnose, prescribe, and apply a package of care according to individual needs for additional stimulation or relief from stimulation ("retreat"). A total of 49 experimental and 48 control unit residents completed 12 months of care and were evaluated at baseline, 6 months and 12 months. It was hypothesised that the intervention would not affect the basic disability (cognitive and activities of daily living functions), would improve negative behaviours and observed affects, and would have maximum impact in increasing positive behaviours and affects. Over time, most functions worsened, including negative attributes and affects. Lesser decline in positive affect and increases in external engagement, however, led to the conclusion that the intervention showed a marginally significant and selective effect on positive behaviours and affect. (AKM).
Accession NumberCPA-990224403 A
ClassmarkEA: LDM: LHB: 7T

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