Flashcards in Environmental Modification Deck (17):
What characterizes a long-term care facility
inadequate space, confusing features, and a lack of meaningful cues
What benefits can modifying an environment have
reduced problem behaviours, better performance of daily activities and improved affect
What is the goal of environemental interventions
increase access to safe, stimulating but easily navigated, and pleasant environments.
What is the purpose of the article "The Effects of an Enhanced Environment on Nursing Home Residents who Pace"
To assess the effects of an enhanced environment, on the behavior and mood, as well as on the manifestation of pacing and wandering behaviors, of nursing home residents who pace frequently.
What are the benefits of wandering and pacing in a safe environment
may provide stimulation and exercise
What are the hypotheses of the article "The Effects of an Enhanced Environment on Nursing Home Residents who Pace"
Those who pace frequently do the following in enhanced environment:
- spend more time in location
- sit more and stand less
- manifest less exit-seeking and trespassing behaviors
- manifest less agitated behaviors
- show improved mood
How many participants were in the "The Effects of an Enhanced Environment on Nursing Home Residents who Pace" and what were the ages
27 (21 F. 6M) nursing home residents, age 75-93, who pace/wander at least several times a day.
What were the 6 assessments in "The Effects of an Enhanced Environment on Nursing Home Residents who Pace" article
Exit-seeking and trespassing
What do environmental stimuli consist of
visual, auditory, and olfactory stimuli
What were the 2 simulated environments in
"The Effects of an Enhanced Environment on Nursing Home Residents who Pace" article
1) The nature scene
2) A home and people scene
What elements were within the nature scene
- Wall murals and wall posters of forests, valleys, and other vistas in color.
- Artificial plants and trees were added to enhance the visual and touch senses
- Nature sounds such as the song of birds were provided as auditory stimuli (olfactory stimuli were provided by using aroma diffuser machines emitting the smell of forests)
- Two benches were added in each of the scenes, positioned facing large pictures
What elements were within the home and people scene
-Enlarged black-and-white photographs depicting family scenes from the early 1940s and 50s.
- Wall posters of persons familiar to the participants were added to this scene.
- Artificial plants were located in the scene corridor. Jewish music provided the main auditory stimuli with some periods of classical music
- Citrus aroma provided the olfactory stimulus. - An armchair and a coffee table with books on its top
Did participants spend more time in the enhanced environment
Did participants sit more and stand less in the enhanced environment
Participants sat longer on the benches located in the corridors
Were less trespassing and exit seeking behaviors manifested
Did not reach statistical significance but participants were consistently observed manifesting less trespassing and exit-seeking behaviors at the corridors
Did participants show improved mood
statistically significant increase in pleasure was observed when the participants were at the nature scene compared to the no-scene situation.