PMID- 36862020
OWN - NLM
STAT- MEDLINE
DCOM- 20230609
LR  - 20230614
IS  - 1440-1665 (Electronic)
IS  - 1039-8562 (Print)
IS  - 1039-8562 (Linking)
VI  - 31
IP  - 3
DP  - 2023 Jun
TI  - Access to a dementia-friendly garden on behavioural and psychological symptoms of 
      dementia, falls and psychotropic medication use in residents of an aged care home 
      in Melbourne, Australia.
PG  - 356-362
LID - 10.1177/10398562231160363 [doi]
AB  - OBJECTIVE: Residents of care homes need access to outdoors. This may improve 
      behavioural and psychological symptoms of dementia (BPSD) and quality of life in 
      residents living with dementia. Barriers including lack of accessibility and 
      increased falls risk, which may be mitigated using dementia-friendly design. This 
      prospective cohort study followed a group of residents in the first 6 months 
      after the opening of a new dementia-friendly garden. METHOD: Nineteen residents 
      participated. The Neuropsychiatric Inventory - Nursing Home Version (NPI-NH) and 
      psychotropic medication use were collected at baseline, 3 and 6 months. The 
      facility's falls rate during this time and feedback from staff and residents' 
      next of kin were collected. RESULTS: Total NPI-NH scores decreased, though not 
      significantly. Feedback was positive overall; the falls rate decreased. Usage of 
      the garden was low. CONCLUSIONS: Despite its limitations, this pilot study adds 
      to the literature about the importance of access to the outdoors for people who 
      are experiencing BPSD. Staff remain concerned about falls risk despite the 
      dementia-friendly design, and many residents do not access outdoors frequently. 
      Further education may help to remove barriers to encouraging residents to access 
      the outdoors.
FAU - Lai, Rhoda
AU  - Lai R
AD  - Monash Ageing Research Centre (MONARC), Department of Medicine, Monash 
      University, Melbourne, VIC, Australia.
FAU - Foladkar, Mouhamed
AU  - Foladkar M
AD  - Rehabilitation and Aged Care Services, Monash Health, Melbourne, VIC, Australia.
FAU - Dhaliwal, Gurnik
AU  - Dhaliwal G
AD  - Rehabilitation and Aged Care Services, Monash Health, Melbourne, VIC, Australia.
FAU - Kibria, Anika
AU  - Kibria A
AD  - Monash Ageing Research Centre (MONARC), Department of Medicine, Monash 
      University, Melbourne, VIC, Australia.
AD  - Rehabilitation and Aged Care Services, Monash Health, Melbourne, VIC, Australia.
FAU - Gualano, Rosa C
AU  - Gualano RC
AD  - Monash Ageing Research Centre (MONARC), Department of Medicine, Monash 
      University, Melbourne, VIC, Australia.
AD  - Rehabilitation and Aged Care Services, Monash Health, Melbourne, VIC, Australia.
FAU - Healy, Madeleine L
AU  - Healy ML
AUID- ORCID: 0000-0003-1060-3203
AD  - Monash Ageing Research Centre (MONARC), Department of Medicine, Monash 
      University, Melbourne, VIC, Australia.
AD  - Rehabilitation and Aged Care Services, Monash Health, Melbourne, VIC, Australia, 
      Dementia Support Australia.
LA  - eng
PT  - Journal Article
DEP - 20230302
PL  - England
TA  - Australas Psychiatry
JT  - Australasian psychiatry : bulletin of Royal Australian and New Zealand College of 
      Psychiatrists
JID - 9613603
RN  - 0 (Psychotropic Drugs)
SB  - IM
MH  - Aged
MH  - Humans
MH  - *Dementia/drug therapy/psychology
MH  - Gardens
MH  - Quality of Life
MH  - Prospective Studies
MH  - Accidental Falls
MH  - Pilot Projects
MH  - Psychotropic Drugs/therapeutic use
PMC - PMC10251460
OTO - NOTNLM
OT  - Australia
OT  - Dementia
OT  - gardens
OT  - nursing homes
COIS- The author(s) declared no potential conflicts of interest with respect to the 
      research, authorship, and/or publication of this article.
EDAT- 2023/03/03 06:00
MHDA- 2023/06/09 06:42
PMCR- 2023/06/09
CRDT- 2023/03/02 09:13
PHST- 2023/06/09 06:42 [medline]
PHST- 2023/03/03 06:00 [pubmed]
PHST- 2023/03/02 09:13 [entrez]
PHST- 2023/06/09 00:00 [pmc-release]
AID - 10.1177_10398562231160363 [pii]
AID - 10.1177/10398562231160363 [doi]
PST - ppublish
SO  - Australas Psychiatry. 2023 Jun;31(3):356-362. doi: 10.1177/10398562231160363. 
      Epub 2023 Mar 2.