Abstract
We examined the impact of environmental, person, and stimulus characteristics on pleasure in persons with dementia. Study participants were 193 residents of 7 Maryland nursing homes who were presented with 25 stimuli from these categories: live human social stimuli, live pet social stimuli, simulated social stimuli, inanimate social stimuli, a reading stimulus, manipulative stimuli, a music stimulus, task and work-related stimuli, and two different self-identity stimuli. Systematic observations of pleasure in the natural environment were conducted using Lawton's Modified Behavior Stream. Analysis showed that pleasure is related to stimulus category, personal attributes and environmental conditions. In the multivariate analyses, all types of social stimuli (live and simulated, human and nonhuman), self-identity stimuli, and music were related to significantly higher levels of pleasure than the control condition. Females and persons with higher ADL and communication functional status exhibited more pleasure. Pleasure was most likely to occur in environments with moderate noise levels. These results demonstrate that these nursing home residents are indeed capable of showing pleasure. Caregivers of nursing home residents with dementia should incorporate social, self-identity, and music stimuli into their residents' care plans so that eliciting pleasure from each resident becomes the norm rather than a random occurrence.
| Original language | English |
|---|---|
| Pages (from-to) | 402-406 |
| Number of pages | 5 |
| Journal | Journal of Psychiatric Research |
| Volume | 46 |
| Issue number | 3 |
| DOIs | |
| State | Published - Mar 2012 |
| Externally published | Yes |
Bibliographical note
Funding Information:This study was funded by National Institutes of Health grant AG R01 AG021497.
Funding Information:
This study was supported by National Institutes of Health grant AG R01 AG021497 . We thank the nursing home residents, their relatives, and the staff members and administration of the nursing homes for all of their help, without which this study would not have been possible. The corresponding author had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Funding
This study was funded by National Institutes of Health grant AG R01 AG021497. This study was supported by National Institutes of Health grant AG R01 AG021497 . We thank the nursing home residents, their relatives, and the staff members and administration of the nursing homes for all of their help, without which this study would not have been possible. The corresponding author had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
| Funders | Funder number |
|---|---|
| National Institutes of Health | AG R01 AG021497 |
| National Institutes of Health | AG R01 AG021497 |
UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being
Keywords
- Environment
- Nonpharmacological intervention
- Nursing home residents with dementia
- Personal characteristics
- Pleasure
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