Uses of neutral design, soft color scheme, elimination of unnecessary stimulation and consistent daily routines have been proved to reduce behavioral disturbances (Bianchetti, Benvenuti, Ghisla, Frisoni, and Trabucchi, 1997; Cleary, Clamon, Price, and Shullaw, 1988). Multisensory environment (MSE) was also proved to reduce anxiety and agitation in people with dementia. (Riley-Doucet, 2009) Even, enough home safety measures can prevent the people with dementia, who cannot recognize a safety hazard, from trapping into threatening situation. (Ann, Mary, Kathy, and Rose, 2004) Moreover, a study on a home environmental approach as a therapeutic modality based in a competence-environmental press framework and personal control theory was published on 2001. The finding suggested that an environmental approach has a positive impact on both the burden level of caregiver and the functionality of the person with dementia. However, the intervention effects were always examined at one time point immediately following completion of the intervention. Caregiver may need more time to practice the use environmental strategies before beneficial outcomes are measurable. (Laura, Mary, Laraine, Alice, and Walter, 2001) A good design of environment following suggested principle is regarded as a therapeutic resource to promote well being and functionality among people of dementia and relieve the burden level of caregiver. Level I, Grade A
Occupational Therapy Clinical Guideline for People with Dementia Working Group on Psychogeriatrics, Coordinating Committee in Occupational Therapy, Hong Kong Hospital Authority ©256.7 Reminiscence Therapy Reminiscence has been defined as the vocal or silent recall of events in person’s life, either alone or with another person or group of people (Woods, Portnoy, Head, and Jones, 1992). Life review refers to the process of reviewing, organizing and evaluating the overall picture of one’s life, in order that a person can come to see their life as an unique story (Gemma, Jones, Bère, and Miesen, 1992). Reminiscing tends to occur as a short, semi-random, spontaneous recall of the past while life review is a form of structured reminiscing that helps people to formulate their life story according to the hope and goals they have set. Presentation of triggers in a reminiscence activity helps to promote memory recall. It can be any form of stimuli to access and facilitate a particular memory during the activities. Reminiscence performed most effectively with peers in groups while life review preferred to be done in a one-to-one basis. Woods and colleagues (2005) identified the effectiveness of reminiscence therapy to improve cognition and mood for people with dementia, however, the reviewed literatures showed relatively small sample size and diversion on the form of reminiscence activities.
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- Fall '17