Effects of individualized music on confused and agitated elderly patients

Author(s): Swanson, Elizabeth A.

Journal/Book: Archives of Psychiatric Nursing. 1993; 7: 284-291.

Abstract: Used G. R. Hall and K. C. Buckwalter's (1987) progressively lowered stress threshold (PLST) model in conjunction with an identified theoretical basis to provide a framework for the use of individualized music in 5 elderly women (aged 87-97 yrs) with dementia of the Alzheimer type (DAT). Ss were confused and agitated and residing in a long-term care facility. The immediate and 1-hr residual effects of individualized music suggest its potential as an alternative approach to the management of agitation in confused elderly patients. There was a variation in temporal patterning for each S in relation to the peak level of agitation. Temporal patterning, based on the PLST model, must be assessed on an individual basis and interventions planned before the peak level of agitation to achieve optimum effects of individualized music intervention is determined. The Progressively Lowered Stress Threshold Model in conjunction with an identified theoretical basis provides a framework for the use of individualized music in individuals with Dementia of the Alzheimer's Type (DAT). The effects of individualized music is explored in five elderly patients who are confused and agitated and residing in a long-term care facility. The Modified Cohen-Mansfield Agitation Inventory is used to measure the outcome. The immediate and 1-hour residual effects suggest the potential of individualized music as an alternative approach to the management of agitation in confused elderly patients.

Note: individualized music intervention; confusion & agitation; female 87 97 yr olds with Alzheimer's type dementia

Keyword(s): Music therapy; mental confusion; agitation ; alzheimers disease; aged ; very old; adulthood; Aged ; Aged, 80 and over; Alzheimer's Disease nursing; Alzheimer's Disease psychology; Confusion nursing; Confusion psychology; Individuality ; Mental Status Schedule; Nurse Patient Relations; Psychomotor Agitation nursing; Psychomotor Agitation psychology. Alzheimer's Disease therapy; Confusion therapy; Music Therapy; Psychomotor Agitation therapy. Case Report; Female; Human; Male

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