Study Document
Nursing Implications the Preceding Evidence Lends Itself Thesis
Pages:2 (598 words)
Sources:2
Subject:Arts
Topic:Music Therapy
Document Type:Thesis
Document:#68567240
Nursing Implications
The preceding evidence lends itself to a number of specific nursing implications that are very likely to improve the conditions of a variety of patients affected with the miasma of symptoms that encompass dementia. The specific care for each individual patient will vary based on whether the data used to assess a particular symptom applies to that patient or not. In the case of the latter circumstance, the patient will merely forego the recommendation (which solely applies to patients suffering from that particular manifestation of dementia) in favor of one that coincides with the specific needs of that patient.
The empirical evidence of Vance and Cowen (2010) indicates that the deployment of light therapy yields positive affects for those suffering from Alzheimer's disease. The administration of light therapy from a light box generating between 1500 and 2500 lux will be used for one to two hours both in mornings (typically around 9:30 A.M.) as well as in the evening (around 7:30 P.M. Or close to the patient's bedtime). Staff is to ensure that patient's rooms are otherwise dark during the evenings, particularly after the final light therapy treatment has been utilized in order to assist in the secretion of endogenous melatonin.
The supplementation of melatonin is another nocturnal care practice which staff should engage most patients in nightly. Particularly in the case of patients with a confirmed deficiency of melatonin, an oral administration of 2.5to 10 mg will be given to patients at the conclusion of the evening's light therapy session. Evidence from Cardinali, Furio and Brusco's (2010) studies have indicated that such measures are likely to aid in the regulation of the circadian clock, which is of particular importance to those with neurodegenerative processes affecting their visual systems.
During normal waking hours, music therapy in the…
Sample Source(s) Used
During normal waking hours, music therapy in the form of clock radios that serve as alarms throughout various points in the day (and which play music of the patient's choice) will be utilized, as well as aroma therapeutic practices in which lavender scents (in the form of candles and scented oils) will be used, since the study of Lin et al. (2007) has compiled empirical data to support lavender's alleviation of agitated behaviors. Based on Vance and Cowan's 2010 research that discourages inactivity and daytime napping, residents will be offered a variety of diurnal activities revolving around the outdoors, such as hiking, walking, and other forms of exercise agreeable to the patient.
Paragraph in the Introduction
The term Sundowning Syndrome (reviewed by Bachman & Rabins, 2006) has been used to describe the increased agitation of Alzheimer's patients during the late afternoon and early evening, and has been observed for more than 60 years. Volicer et al. (2001) helped confirm this tendency by monitoring circadian rhythms in dementia patients (with a mean age of 71) through the usage of body temperatures. The studies were extremely effective in producing statistical documentation that indicated a three hour lapse in the peak core of body temperatures for Sundowning patients as opposed to controls, as well as a five hour lapse in the peak motor activity between the same two groups. The strength of these research methods can be determined by the fact that they were able to quantify such information in immediately comparable forms. The fact that these results brought forth a conclusion that circadian control mechanisms were not in optimal operations for such patients is somewhat vague, and could be strengthened by expositions to determine why this is the case. The conclusion of these studies, however, is supported by the work of Serniczuk, Dyck, LaFerla, and Antle (2010) which found frequent SCN atrophy and optic nerve damage in post mortem dementia patients.
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