title: Reduction of Behavioral Psychological Symptoms of Dementia by Multimodal Comprehensive Care for Vulnerable Geriatric Patients in an Acute Care Hospital: A Case Series.
abstract: 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.
authors.affiliation: National Hospital Organization Tokyo Medical Center, Meguro, Tokyo 152-0021, Japan.
authors.forename: Miwako
authors.initials: M
authors.lastname: Honda
authors.affiliation: Tokyo Metropolitan Institute of Gerontology, Itabashi, Tokyo 173-0015, Japan.
authors.forename: Mio
authors.initials: M
authors.lastname: Ito
authors.affiliation: Department of Information, Shizuoka University, Hamamatsu, Shizuoka 432-8011, Japan.
authors.forename: Shogo
authors.initials: S
authors.lastname: Ishikawa
authors.affiliation: Department of Information, Shizuoka University, Hamamatsu, Shizuoka 432-8011, Japan.
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Takebayashi
authors.affiliation: University of California San Francisco, San Francisco, CA 94121, USA.
authors.forename: Lawrence
authors.initials: L
authors.lastname: Tierney