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Cognitive Stimulation Program

Aimee Pywell &

Bonnie Edwards

What is a Cognitive Stimulation Program?

An intervention made up of a range of activities that stimulate thinking, concentration, attention and memory.

Project Focus

Project Focus

- The focus was on creating a room-based cognitive stimulation program for the GEM inpatient ward at Barwon Health's McKellar Centre.

- The program is made of a range of paper-based activities that are delivered to patients rooms daily by the AHA.

Background Information

Cognitive decline is a common effect of ageing and is a major concern amongst a large percentage of the population as they grow older

(Eckroth-Bucher, & Siberski, 2009)

Neuroplasticity

Neuroplasticity

Cognitive stimulation studies regarding age-related cognitive changes are well supported by evidence of neuroplasticity in the elderly population

(Fernandez-Prado, Conlon, Mayan-Santos, & Gandoy-Crego, 2011)

Project Objective

The overarching objective of the project was to create a resource folder that is readily available to used as a part of a daily cognitive stimulation program

Project Objective

Project Aims

Project Aims

  • To increase/maintain outcomes for patients in regards to their cognition and quality of life both during their stay and post discharge from the inpatient rehabilitation centre

  • To increase the amount of time that patients are cognitively stimulated during their stay at the inpatient rehabilitation centre

Limitations/risks/benefits

Limitations:

  • Inadequate time for trial phase
  • No designated staff member to continue program

Risks:

  • Sustainability/time constraints
  • Activities may not be suitable for all patients

Benefits:

  • Stimulation of thinking, memory, processing speed, and problem solving skills
  • Prevention of cognitive deterioration

Methods

Mixed methods approach; both qualitative and quantitative methods were used.

Inclusion Criteria:

All patients in the ward at the time were invited to participate.

Exclusion Criteria:

If patients did not have sufficient attention to complete basic tasks such as colouring; no patients at the time met this criteria.

Phase One

Phase One

(First Four Weeks)

  • Meeting with supervisor
  • Background to project
  • Creating aims and objectives
  • Literature review
  • Development of key stages and timelines
  • Drafting project proposal
  • Creating resources
  • Creating surveys
  • Seeking and implementing feedback

Phase Two

(Weeks 5 & 6)

  • Submitting final project proposal
  • Aiming to meet timelines and objectives
  • Implemtation of program with patients
  • Conducting surveys with patients

Phase Two

Phase Three

(Week 7)

  • Ethical considerations
  • Data collection
  • Information gathering
  • Analysis of data

Phase Four

(Week 8)

  • Discuss results with supervisor
  • Identify challenges for future sustainability
  • Implement any last changes

Phase Four

Participants

  • 34 beds on the ward
  • All patients were invited to participate in program
  • 17 patients provided complete data and were included in the study

Participants

Data Collection

Qualitative data was collected using surveys

Quantitative data was collected using the Abbreviated Mental Test (AMT)

Storage of Information

Storage of Information

  • All information was collected using paper surveys and entered into an online survey system once completed
  • All paper data was destroyed as soon as it was entered into the online system
  • All electronic data will be stored for 5 years from the completion of the project, then it will be permanently deleted

Data Analysis

  • Qualitative data was collated into general themes
  • Quantitative data was analysed using an online tool on the survey system

Results

  • The pre-survey consisted of six questions asked to patients regarding their views on their views on their own level of both memory and thinking.

  • The post-survey consisted of the same six questions as well extra questions to gain some insight and feedback on the program

Question One.

Question Two

Question Three

Question Four

Question Five

Question Six

Question Seven

Question Eight

Question Nine

Question Ten

Question Eleven

Question Twelve

Why/Why not?

Question Twelve

Question Thirteen

What could we do to improve the program?

Question Thirteen

AMT Scores

Recommendations

  • Allocate one person to the program and ensure there is someone available to hand out the activities each day
  • Add to or change the activities if/when required; some resources may need updating
  • Replicate the data collection over a longer period of time

Facilitators

  • Having a designated person to run the program
  • Highlighting cognition as an important aspect of rehabilitation
  • Having support from the wider multidisciplinary team
  • Having the resources readily available

Barriers

  • Not having a designated person running the program
  • Lack of support from the wider multidisciplinary team
  • Resources no being suited to patients

Summary

Overall the program has been a success!

Resources available

Positive feedback from patients

Objective met

References

Eckroth-Bucher, M., & Siberski, J. (2009). Preserving cognition through an integrated cognitive stimulation and training program. American Journal of Alzheimer’s Disease and Other Dementias, 24(3), pp 234-245. DOI: 10.1177/1533317509332624

Fernandez-Prado, S., Conlon, S., Mayan-Santos, J.M., & Gandoy-Crego, M. (2012). The influence of a cognitive stimulation program on the quality of life perception among the elderly. Archives of Gerontology and Geriatrics, 54, pp 181-184. DOI: 10.1016/j.archger.2011.03.003

Woods, B., Aguirre, E., Spector, A.E., & Orrell, M. (2012). Cognitive stimulation to improve cognitive functioning in people with dementia (review). The Cochrane Library, 15(2), pp 1-31. DOI: 10.1002/14651858.CD005562.pub2

Questions?

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