Scheduled Medications and Falls in Dementia Patients Utilizing a Wander Garden
American Journal of Alzheimer’s Disease and Other Dementias
Among dementia residents, fall risk is often compounded by the side effects of the medications routinely used to treat comorbid medical issues, in addition to treating concurrent depression, agitation, psychosis, anxiety, and insomnia. Of all the types of medications involved in increased fall risk, psychotropic medications have been identified as having the highest risk. Studies suggest that dementia patients using a wander garden may have decreased indices of agitation and reduced use of as-needed (pro re nata [PRN]) medications. In addition, the wander garden has been reported to be a positive environmental intervention to reduce falls in residents with dementia.
The impact of health facilities on healthcare workers’ well-being and performance
International Journal of Nursing Studies
There is extensive research on the effect of healthcare environments on patients. But much less is known about health facilities’ impact the staff, even while there is growing recognition of the need for healthy working environments. Poor healthcare working environments can relate to the nature of the work—long and antisocial hours, little administrative support, physical labor, and, sometimes, violence.
Using evidence-based environmental design to enhance safety and quality.
IHI Innovation Series white paper
Improving the quality of healthcare through facility design
Evidence-based hospital design forum
The relationship between destination proximity, destination mix and physical activity behaviors
Relationships between street characteristics and perceived attractiveness for walking reported by elderly people
Journal of Environmental Psychology
Conveniently located “napping rooms” provide opportunity for night- and extended-shift providers to rest, leading to less fatigue and better performance.
2008, last updated October 23, 2013
US Department of Health and Human Services; AHRQ (Agency for Healthcare Research and Quality) website
Healthcare providers are known for working unacceptably long hours and being chronically sleep deprived. Often, physicians and nurses work 24+ hour shifts, leading to fatigue and avoidable errors that put both caregivers and patients at risk of serious injury or death. Acute and chronic sleep deprivation can mimic the effects of drunkenness.
Effects of indoor gardening on sleep, agitation, and cognition in dementia patients - A pilot study
International Journal of Geriatric Psychiatry
Pharmacological intervention including sedative hypnotics and neuroleptics is a common treatment for sleep and behavioral problems in dementia. However, the high risk of adverse effects of those drugs indicates that non-pharmacological interventions are needed as well. Among those non-pharmacological interventions physical activity is one approach that influences the circadian timing system and was suggested to be effective for sleep and behavioral disturbances of dementia patients. In addition, the positive effects of physical activities, especially exercise, on cognition were suggested.
Does a wander garden influence inappropriate behaviors in dementia residents?
American Journal of Alzheimer's Disease and Other Dementias
Most cognitively impaired dementia unit residents are dependent and confined to a safe custodial environment with limited exposure to natural settings. However, the mandatory indoor confinement of dementia residents has been known to increase verbal and physical agitation and use of psychotropic medications. Several studies have reported that having access to unlocked doors leading to a garden or outdoor area may reduce the level of inappropriate behaviors in both residential and long-term dementia care facilities. This study explores the effect of adding a wander garden to an existing dementia unit on inappropriate behaviors of residents.
Cancer Patients' Satisfaction With Care in Traditional and Innovative Ambulatory Oncology Clinics
Journal of Nursing Care Quality
Recent advances in cancer care allow more cancer patients to be treated on an ambulatory care basis, whether chemotherapy, radiation therapy or follow-up care. Care can include physical, psychological, and emotional challenges. Ambulatory oncology clinics have the opportunity to create positive treatment experiences for patients.