Evaluation of a clinical intervention for wanderers on a geriatric nursing unit
Abstract
In this article, a clinical intervention designed to decrease unsafe wandering and reduce interpersonal tension on a dementia unit of a nursing home is described and evaluated. The intervention, a walking program for physically active persons with severe dementia, was designed to meet residents physical activity and social needs. Based on therapeutic milieu concepts, positive effects in the environment, were expected in addition to the individual benefits for participants. To measure the effect of the intervention on the nursing unit environment, the frequency of resident-to-resident and resident-to-staff aggression in the 24 hour period after the walking group was compared to time periods when the group did not meet. T-test analysis revealed a statistically significant reduction in the frequency of aggression in the 24 hour periods after the walkers group. An average reduction of aggressive events by 30% shown in this small study is important clinically. Further study of modifications in care on geriatric nursing units is warranted.
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TRIs of a physical nature, designed to meet the specific needs of individuals, can improve physical functioning and decrease agitated behaviors.
“Research indicates that TRIs of a physical nature, that are designed to meet the specific needs of individuals, can improve physical functioning, 23,27,28 and decrease agitated behaviors. 29-32”
From Therapeutic recreation interventions for need-driven dementia-compromised (2002) · cites this paper as [32]
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- Authors
- Holmberg, S. K.
- Affiliations
- Indiana University Indianapolis (US)
- Corresponding author
- Holmberg, Sharon K.
- Venue
- Archives of Psychiatric Nursing
- Publisher
- Elsevier BV
- Published
- 1997-02
- Volume
- 11
- Issue
- 1
- Pages
- 21-28
- ISSN
- 0883-9417 (ISSN-L)
- OpenAlex
- W1989763465
- Cited by
- 74
- References
- 38
- Citations by year
- 2026: 1 · 2021: 1 · 2019: 1 · 2018: 1 · 2016: 4 · 2015: 5 · 2014: 4 · 2013: 1
- FWCI
- 8.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Psychiatric Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Keywords
- wandering, dementia, walking program, physical activity, aggression, therapeutic environment, nursing homes, interpersonal tension
- MeSH terms
- Aged, Aged, 80 and over, Aggression, Dementia, Female, Geriatric Nursing, Hospital Units, Humans, Male, Psychiatric Nursing, Regression Analysis, Retrospective Studies, Nursing Evaluation Research, Walking
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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