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The Effect of Multisensory Stimulation on Persons Residing in an Extended Care Facility

School of Nursing, University of Missouri, Kansas City, Missouri, wardsmithp{at}umkc.edu

Sarah M. Llanque, RN, MSN, MEd

School of Nursing, University of Missouri, Kansas City, Missouri

Denise Curran, RN, BSN

LaVerna Village and Apartments, Savannah, Missouri

Background: Non-pharmacological interventions, such as multisensory stimulation environments (MSSE), have demonstrated the ability to reduce inappropriate behavior among individuals with Alzheimer’s disease. Methods: In this study, we compared the incidences of problematic behavior among individuals with Alzheimer’s disease residing in a long-term care facility who were and were not exposed to an MSSE. Retrospective data were obtained using the Psychotic Behavior Assessment Record (PBAR), mandated by Medicare to be used when antipsychotic medications are administered. Psychotic Behavior Assessment Record data were collected using the first and sixth month of admission for residents after appropriate consent was secured. Results: Documented disruptive behavior included pacing, exit-seeking activities, hitting, yelling, and aggressive talking. The use of the MSSE resulted in a decrease in the number of incidences of disruptive behavior, but not the behaviors present. Conclusion: The use of MSSE, as a non-pharmacological intervention, demonstrates the ability to decrease the number of incidences of disruptive or problematic behavior. The use of these interventions, where feasible, should be considered prior to the use of pharmacological methods.

Key Words: Alzheimer’s disease • dementia • multisensory stimulation • disruptive behavior

This version was published on December 1, 2009

American Journal of Alzheimer's Disease and Other Dementias®, Vol. 24, No. 6, 450-455 (2009)
DOI: 10.1177/1533317509350153


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