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

dc.contributor.advisor Ceria-Ulep , Clementina Lumsden, Kyle Draper
dc.contributor.department Nursing 2021-09-30T18:17:17Z 2021-09-30T18:17:17Z 2021 D.N.P.
dc.subject Nursing
dc.subject Agitation
dc.subject Dementia
dc.subject Long-Term Care
dc.subject Music Therapy
dc.title Reducing Dementia-Related Agitation in Long-Term Care Residents Through Music Therapy
dc.type Thesis
dcterms.abstract Background: 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.
dcterms.extent 36 pages
dcterms.language en
dcterms.publisher University of Hawai'i at Manoa
dcterms.rights All UHM dissertations and theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission from the copyright owner.
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