Engagement for patients with dementia.

Criteria Article 1 Article 2 Article 3 Article 4
Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article

Bray, J., Evans, S., Bruce, M., Carter, C., Brooker, D., Milosevic, S. & Hutt, L.

https://eprints.worc.ac.uk/id/eprint/4029

Hays, K.

https://digitalcommons.otterbein.edu/cgi/viewcontent.cgi?article=1004&context=stu_doc

Lim, S. C.

https://www.oatext.com/managing-the-elderly-with-dementia-and-frequent-falls.php

Rochester, L., Lord, S., Yarnall, A. J., & Burn, D. J.

https://link.springer.com/chapter/10.1007/978-1-4471-6365-7_3

Article Title and Year Published Improving activity and engagement for patients with dementia.
(2015)

Advanced Practice Nurses Knowledge and Use of Fall Prevention Guidelines.
(2015)

Managing the elderly with dementia and frequent falls.
(2017)

Falls in Patients with Dementia
(2015)

Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study The article’s purpose is to strengthen staff-patient’s relationships within the unit and allow staffs to increase their engagement with dementia patients to reduce disconnect and feeling of isolation. Research’s hypothesis focus on education practice nurses on how to prevent occurrence of falls to dementia patients using appropriate prevention strategies. The main aim of the research is to manage older dementia patients who often experience falls. These patients according to the article should be managed with effectives established strategies. The ultimate goal of the study is to assess different falls risk factors and combating strategies to prevent and reduce rates of fall in the hospital.
Design (Type of Quantitative, or Type of Qualitative) Descriptive Quasi-experimental study Descriptive Descriptive
Setting/Sample Sample = 25
Setting: Acute care hospitals.

Sample= 15
Setting: Acute care hospitals.

Sample=20
Setting: a long-term care facility

Sample=16
Setting: a long-term care facility

Methods: Intervention/Instruments Linking the gap between dementia patients with hospital staff. Both pre- and post-intervention groups. Exercise programme and personalized interventions. Personalized interventions
Analysis SPSS Pre-intervention and post-intervention groups. The study shows 90% of the adverse drug interactions experienced by the elderly are manageable. It requires prompt mitigation strategies to reduce risky factors for elderly falls.
Key Findings The relationship between staff and patients increases through proper engagement, activities and connection. Dementia patients are well managed by practice nurses with improved knowledge and skills. Dementia patients experiencing frequent falls can be well-managed with improved strategies. Patients with dementia are at a higher risk of falling.
Recommendations Dementia patients are supposed to connect and engage with staffs actively in different activities. Practicing nurses should improve prevention strategies to reduce fall rates among dementia patients. Proper strategies to reduce and prevent falls among elderly should be improved in home care facilities. Effective therapeutic strategies should be established in home care and long-term care facilities to prevent and reduce rates of falls in dementia patients.
Explanation of How the Article Supports EBP/Capstone Project The study decisively employed evidence-based interventions to develop recommendations for dementia patients. Authors have used substantial knowledge to enhance prevention strategies for dementia patients. The research evidently supported and used prevention approaches to mitigate falls among the elderly. dementia.
Patient’s fall were managed by therapeutic strategies using evidence.

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Criteria Article 5 Article 6 Article 7 Article 8
Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article

Aizen, E.

https://europepmc.org/abstract/med/26168645

Knight, S., & Singh, I.

https://www.sciencedirect.com/science/article/pii/S2210833516300168

Eshkoor, S. A., Hamid, T. A., Nudin, S. S. A. H., & Mun, C. Y.

https://www.hindawi.com/journals/ijad/2014/769062/abs/

Burton, E., Cavalheri, V., Adams, R., Browne, C. O., Bovery-Spencer, P., Fenton, A. M., … & Hill, K. D.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4330004/

Article Title and Year Published Falls in patients with dementia.
(2015)

Profile of inpatient falls in patients with dementia: A prospective comparative study between 100% single rooms and traditional multi-bedded wards
(2016)

Research on functional status, environmental conditions, and risk of falls in dementia.
(2014)

The effectiveness of exercise programs to reduce falls in older people with dementia living in the community: a systematic review and meta-analysis.
(2015)

Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study The study’s focus is to draw a connection between dementia and falls. It is therefore this association that the research seeks to establish. The hypothesis of this study is to asses inpatients falls for dementia patients. The hypothesis is drawing a connection between the risk of falls, environmental conditions, and functional status in dementia patients. Research is trying to answer the question “are exercise programs effective in reducing falls for older patients with dementia?” authors are seeking to determine the effectiveness of the exercise program to reduce falls amongst dementia patients.
Design (Type of Quantitative, or Type of Qualitative) Quasi-experimental study Descriptive Descriptive Descriptive
Setting/Sample Sample = 25
Setting: long-term care facility

Sample = 100
Setting: Acute care hospitals.

Sample = 10
Setting: long-term care facility

Sample = 20
Setting: community

Methods: Intervention/Instruments Therapeutic intervention strategies Therapeutic intervention strategies Individualized interventions Individualized interventions
Analysis SPSS SPSS Environmental intervention SPSS
Key Findings The research established a link between falls for elderly patients and dementia. Acute care hospitals are continually recording high rates of falls from elderly. The results of the study show increased environmental quality and reduced risks of falls. Deductions from this article showed that elderly falls can be reduced by exercise programs.
Recommendations There is a relationship between dementia and elderly patient falls. High fall rates are common amongst patients with dementia. Falls rates should be reduced by altering environmental quality and increased functional status. Elderly patients
Exercise programs should be encouraged to dementia elderly patients by caregivers.

Explanation of How the Article Supports EBP/Capstone Patients with dementia
Were effectively managed with therapeutic strategies

Patients with dementia
Were effectively managed with therapeutic strategies

The article uses environment and activity as evidence for managing falls in patients with dementia. The article uses exercise programs as evidence for managing falls in patients with dementia.

References

Bray, J., Evans, S., Bruce, M., Carter, C., Brooker, D., Milosevic, S. & Hutt, L. (2015). Improving activity and engagement for patients with dementia. Nursing older people, 27(8), 22-26.

Hays, K. (2015). Advanced Practice Nurses Knowledge and Use of Fall Prevention Guidelines. Philadelphia: Lippincott Williams & Wilkins.

LIM, S. C. (2017). Managing the elderly with dementia and frequent falls. New York, NY: Springer.

Rochester, L. L. (2014). Falls in patients with dementia. New York, NY: Springer Publishing Company.

Aizen, E. (2015). Falls in patients with dementia. Harefuah, 154(5), 323-6.

Knight, S., & Singh, I. (2016). Profile of inpatient falls in patients with dementia: a prospective comparative study between 100% single rooms and traditional multi-bedded wards. Journal of Clinical Gerontology and Geriatrics, 7(3), 87-92. Discussion: Engagement for patients with dementia.

Eshkoor, S. A., Hamid, T. A., Nudin, S. S. A. H., & Mun, C. Y. (2014). Research on functional status, environmental conditions, and risk of falls in dementia — International Journal of Alzheimer’s disease, 2014.

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