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American Journal of Alzheimer's Disease and Other Dementias®, Vol. 9, No. 4, 23-29 (1994)
DOI: 10.1177/153331759400900405

The use of visual cues in mid-stage Alzheimer's disease

Cathy Bailey, RN, MSN, CNDR

Education Program Manager/Operating Room, St. Mary s Hospital, West Palm Beach, Florida

Barbara K. Haight, RNC, DrPH, FAAN

Medical University of South Carolina, College of Nursing, Charleston, South Carolina

This study tested the ability of mid-stage Alzheimer's disease patients to recognize bath day through specific visual cues. Reisberg's theory of global cognitive deterioration in concert with Piaget's staging of cognitive development guided this study. A convenience sample of 16 nursing home residents received the MSQ and calendar recognition chart as preand post-test. Eight subjects, randomly assigned to the experimental group, received the intervention of a pictorial cue reinforced on a daily basis for four weeks. The control group was exposed to the bath calendar only during the first week and on post-test. Gain scores on the recognition chart from preto post-test were clearly higherfor the experimental group. A Kruskal-Wallis 1-Way ANOVA of 12.1739 p < .005 demonstrated a direct relationship between pictorial cue reinforcement and recognition of bath day.


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