The Namaste Care programme can reduce behavioural symptoms in care home residents with advanced dementia

Miranda Stacpoole*, Jo Hockley, Amanda Thompsell, Joyce Simard, Ladislav Volicer

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

ObjectiveThe objective of the study was to evaluate the effects of the Namaste Care programme on the behavioural symptoms of residents with advanced dementia in care homes and their pain management.

MethodsSix dementia care homes collaborated in an action research studyone withdrew. Inclusion criteria were a dementia diagnosis and a Bedford Alzheimer's Nursing Severity Scale score of >16. Primary research measures were the Neuropsychiatric InventoryNursing Homes (NPI-NH) and Doloplus-2 behavioural pain assessment scale for the elderly. Measures were recorded at baseline and at three 1-2 monthly intervals after Namaste Care started.

ResultsManagement disruption occurred across all care homes. The severity of behavioural symptoms, pain and occupational disruptiveness (NPI-NH) decreased in four care homes. Increased severity of behavioural symptoms in one care home was probably related to poor pain management, reflected in increased pain scores, and disrupted leadership. Comparison of NPI-NH scores showed that severity of behavioural symptoms and occupational disruptiveness were significantly lower after initiation of Namaste Care (n=34, p

ConclusionsWhere there are strong leadership, adequate staffing, and good nursing and medical care, the Namaste Care programme can improve quality of life for people with advanced dementia in care homes by decreasing behavioural symptoms. Namaste is not a substitute for good clinical care Copyright (c) 2014 John Wiley & Sons, Ltd.

Original languageEnglish
Pages (from-to)702-709
Number of pages8
JournalInternational Journal of Geriatric Psychiatry
Volume30
Issue number7
Early online date22 Oct 2014
DOIs
Publication statusPublished - Jul 2015

Keywords / Materials (for Non-textual outputs)

  • advanced dementia
  • behavioural symptoms of dementia
  • quality of life
  • care homes
  • pain
  • Namaste Care
  • NEUROPSYCHIATRIC INVENTORY
  • AGITATED BEHAVIOR
  • OF-LIFE
  • ENGAGEMENT
  • PEOPLE

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