Reducing Dementia-Related Agitation in Long-Term Care Residents Through Music Therapy

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dc.contributor.advisorCeria-Ulep, Clementina
dc.contributor.authorLumsden, Kyle Draper
dc.contributor.departmentNursing
dc.date.accessioned2021-09-30T18:17:17Z
dc.date.available2021-09-30T18:17:17Z
dc.date.issued2021
dc.description.abstractBackground: Agitation is the most prevalent neuropsychiatric symptom of dementia. Agitation is a group of symptoms that includes excessive motor activity, irritability, tension, restlessness. As many as 80% of individuals with dementia experience increased levels of agitation. Poor management of agitation creates added stress for caregivers, patients, and family members. Therefore, providing quality care for dementia patients has become a significant challenge for our healthcare system. Purpose: To utilize an evidence-based nonpharmacological intervention to reduce dementia- related agitation in long-term care residents at Kalakaua Gardens in Honolulu, Hawaii. This quality improvement project identified passive music therapy as the optimal nonpharmacological intervention. Methods: Project outcomes were measured using the Pittsburg Agitation Scale (PAS). PAS scores were collected pre-and-post intervention to assess agitation severity. Resident charts were also reviewed to assess for a reduction in PRN medications and deprescribing before and during implementation. Results: Out of 21 residents, only 19% of residents (n = 4) participated in the passive music therapy program. A total of 12 episodes of agitation were observed, addressed, and evaluated using the PAS. PAS total mean scores for each resident revealed a decrease in agitation severity after the intervention. There was a decrease in all four PAS behavioral groups after the intervention. No change was seen in the use of PRN medications or deprescribing. Conclusion: The results suggest that passive music therapy is beneficial for the management of dementia-related agitation. The results are promising; however, additional studies are warranted as the results from this project are preliminary and limited in scope.
dc.description.degreeD.N.P.
dc.identifier.urihttp://hdl.handle.net/10125/76445
dc.languageeng
dc.publisherUniversity of Hawaii at Manoa
dc.subjectNursing
dc.titleReducing Dementia-Related Agitation in Long-Term Care Residents Through Music Therapy
dc.typeThesis
dc.type.dcmiText
local.identifier.alturihttp://dissertations.umi.com/hawii:11012

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