PMID- 27069478
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20160412
LR  - 20201001
IS  - 1687-9627 (Print)
IS  - 1687-9635 (Electronic)
VI  - 2016
DP  - 2016
TI  - Reduction of Behavioral Psychological Symptoms of Dementia by Multimodal 
      Comprehensive Care for Vulnerable Geriatric Patients in an Acute Care Hospital: A 
      Case Series.
PG  - 4813196
LID - 10.1155/2016/4813196 [doi]
LID - 4813196
AB  - Management of Behavioral and Psychological Symptoms of Dementia (BPSD) is a key 
      challenge in geriatric dementia care. A multimodal comprehensive care 
      methodology, Humanitude, with eye contact, verbal communication, and touch as its 
      elements, was provided to three geriatric dementia patients for whom conventional 
      nursing care failed in an acute care hospital. Each episode was evaluated by 
      video analysis. All patients had advanced dementia with BPSD. Failure of care was 
      identified by patient's shouting, screaming, or abrupt movements of limbs. In 
      this case series, conventional care failed for all three patients. Each element 
      of care communication was much shorter than in Humanitude care, which was 
      accepted by the patients. The average of the elements performed during the care 
      was eye contact 0.6%, verbal communication 15.7%, and touch 0.1% in conventional 
      care and 12.5%, 54.8%, and 44.5% in Humanitude care, respectively. The duration 
      of aggressive behavior of each patient during care was 25.0%, 25.4%, and 66.3% in 
      conventional care and 0%, 0%, and 0.3% in Humanitude, respectively. In our case 
      series, conventional care was provided by less eye contact, verbal communication, 
      and touch. The multimodal comprehensive care approach, Humanitude, decreased BPSD 
      and showed success by patients' acceptance of care.
FAU - Honda, Miwako
AU  - Honda M
AD  - National Hospital Organization Tokyo Medical Center, Meguro, Tokyo 152-0021, 
      Japan.
FAU - Ito, Mio
AU  - Ito M
AD  - Tokyo Metropolitan Institute of Gerontology, Itabashi, Tokyo 173-0015, Japan.
FAU - Ishikawa, Shogo
AU  - Ishikawa S
AD  - Department of Information, Shizuoka University, Hamamatsu, Shizuoka 432-8011, 
      Japan.
FAU - Takebayashi, Yoichi
AU  - Takebayashi Y
AD  - Department of Information, Shizuoka University, Hamamatsu, Shizuoka 432-8011, 
      Japan.
FAU - Tierney, Lawrence Jr
AU  - Tierney L Jr
AD  - University of California San Francisco, San Francisco, CA 94121, USA.
LA  - eng
PT  - Journal Article
DEP - 20160316
PL  - United States
TA  - Case Rep Med
JT  - Case reports in medicine
JID - 101512910
PMC - PMC4812219
EDAT- 2016/04/14 06:00
MHDA- 2016/04/14 06:01
PMCR- 2016/03/16
CRDT- 2016/04/13 06:00
PHST- 2015/10/30 00:00 [received]
PHST- 2016/02/15 00:00 [revised]
PHST- 2016/02/16 00:00 [accepted]
PHST- 2016/04/13 06:00 [entrez]
PHST- 2016/04/14 06:00 [pubmed]
PHST- 2016/04/14 06:01 [medline]
PHST- 2016/03/16 00:00 [pmc-release]
AID - 10.1155/2016/4813196 [doi]
PST - ppublish
SO  - Case Rep Med. 2016;2016:4813196. doi: 10.1155/2016/4813196. Epub 2016 Mar 16.