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Title: Improving quality of life in dementia : cognitive stimulation therapy versus reminiscence therapy
Authors: Ally, Gia Marie
Keywords: Dementia -- Malta
Dementia -- Treatment -- Malta
Quality of life -- Malta
Issue Date: 2020
Citation: Ally, G.M. (2020). Improving quality of life in dementia: cognitive stimulation therapy versus reminiscence therapy (Bachelor's dissertation).
Abstract: Background: Dementia is a syndrome of diseases which negatively affects the cognition, emotional control and social interactions of individuals (WHO, 1992). Quality-of-life for dementia individuals is significantly impeded. The debilitating disorder can cause loss of autonomy and motivation, reduced participation in activities of daily living, and burden of care and empathic fatigue in caregivers. There is no cure for dementia, however, neuropsychiatric symptoms can be managed using non-pharmacological treatment (Holmes & Steinman, 2014). This dissertation will focus on comparing the effectiveness of cognitive stimulation therapy (CST) with reminiscence therapy (RT), in improving qualityof- life in persons with dementia (PwD). The research question: Amongst individuals with mild to moderate dementia, does the intervention of cognitive stimulation therapy improve quality-of- life as compared to reminiscence therapy? PICO elements: The target population (P) was individuals suffering from mild-moderate dementia. The intervention (I) being studied is cognitive stimulation therapy, and its comparison (C) is reminiscence therapy. The final outcome (O) measured is the overall improvement in quality-of- life. Method: A systematic literature search was conducted using the appropriate electronic databases. The PICO elements were extracted and used as key terms, including various alternative jargons. Boolean operators and limiters combined the key terms and narrowed down the search, respectively. EBSCO, PubMed Central and Scopus were the three databases accessed for retrieval of relevant studies, according to the research question. The PRISMA (2009) checklist was consulted, and a flow diagram constructed to represent the method of selection of key studies. The inclusion criteria used were; articles in the English language published within the last 10years (2009-2019), preferably peer reviewed. Participants consisted of adult human-beings having any type of mild to moderate dementia. Excluded from the study were; juveniles and participants with multiple comorbidities, including HIV, AIDS and chronic heart failure. The selected key articles consisted of a quasi-experimental study, a randomized controlled trial (RCT), a cohort study and two systematic reviews. Critical appraisal of the aforementioned articles was completed using Critical Appraisal Skills Programme (CASP) and Joanna Briggs Institute (JBI) tools. Results: The review produced an inclination towards CST holding greater potential for improving quality-of- life in PwD. The RCT supports this claim, only if the intervention has been deemed as subjectively enjoyable. Ultimately, partnership in dementia should be emphasized for patients to be more involved in care planning. Implications and recommendations: Population ageing and prevalence of dementia show the importance of promoting active aging and quality-of-life. Therefore, healthcare should seek to engage and enable stakeholders in safe quality care, throughout each tier of the health system. Healthcare personnel should be educated and trained in the provision of dementia care, emphasizing psychosocial therapy with hopes of controlling the epidemic of geriatric polypharmacy. A specified classification of framework for psychosocial therapies should be developed for accurate research of non-pharmacological therapies.
Description: B.SC.(HONS)NURSING
Appears in Collections:Dissertations - FacHSc - 2020
Dissertations - FacHScNur - 2020

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