Effects of individualized music on confused and agitated elderly patients

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      The Progressively Lowered Stress Threshold Model in conjunction with an identified theoretical basis provides a framework for the use of individualized music in individuals with Dementia of the Alzheimer's Type (DAT). The effects of individualized music is explored in five elderly patients who are confused and agitated and residing in a long-term care facility. The Modified Cohen-Mansfield Agitation Inventory is used to measure the outcome. The immediate and 1-hour residual effects suggest the potential of individualized music as an alternative approach to the management of agitation in confused elderly patients.
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        • Anthony J.C.
        • LeResche L.
        • Niaz U.
        • Von Korff M.R.
        • Folstein M.
        Limits of the ‘mini-mental state’ as a screening test for dementia and delirium among hospital patients.
        Psychological Medicine. 1982; 12: 397-408
        • Bright R.
        Music geriatric care.
        Musicgraphics, U.S.A1982
        • Buckwalter K.
        • Hartsock J.
        • Gaffney J.
        Music therapy.
        in: Bulechek G. McCloskey J. Nursing Interventions Treatments for Nursing Diagnosis. Saunders, Philadelphia, PA1985: 58-74
        • Clair A.A.
        • Bernstein B.
        The effect of no music, stimulative music and sedative music on agitated behaviors in persons with severe dementia.
        1991 (Unpublished manuscript)
        • Cohen-Mansfield J.
        Agitated behaviors in the elderly II. Preliminary results in the cognitively deteriorated.
        Journal of American Geriatrics Society. 1986; 34: 722-727
        • Cohen-Mansfield J.
        • Billig N.
        Agitated behaviors in the elderly I. A conceptual review.
        American Geriatrics Society. 1986; 34: 711-721
        • Cohen-Mansfield J.
        • Leatherman J.
        • Meads W.
        • Watson V.
        • Gordan M.
        Temporal patterns of agitated behavior in residents of an alzheimer's unit: Preliminary results.
        in: Paper presented at the 1987 meeting of Gerontological Society of America, Washington, DC1987
        • Cohen-Mansfield J.
        • Marx M.
        • Rosenthal A.S.
        A description of agitation in a nursing home.
        Journal of Gerontology. 1989; 44: 77-84
        • Cohen-Mansfield J.
        • Werner P.
        • Marx M.S.
        Should agitated nursing home residents be exposed to either music or television?.
        1988 (Unpublished manuscript)
        • Cohen-Mansfield J.
        • Werner P.
        • Marx M.S.
        An observational study of agitation in agitated nursing home residents.
        International Psychogeriatrics. 1989; 1: 153-165
        • Crystal H.
        • Grober E.
        • Mauser D.
        Preservation of musical memory in alzheimer's disease.
        Journal of Neurology, Neurosurgery, and Psychiatry. 1989; 52: 1415-1416
        • Folstein M.F.
        • Folstein S.E.
        • McHugh P.R.
        “Mini mental state” a practical method for grading the cognitive state of patients for the clinician.
        Journal of Psychiatric Research. 1975; 12: 189-198
        • Gerdner L.A.
        The effects of individualized music on elderly patients who are confused and agitated.
        in: Unpublished master's thesis. University of Iowa, Iowa City1992
        • Hall G.R.
        • Buckwalter K.C.
        Progressively lowered stress threshold: A conceptural model for care of adults with alzheimer's disease.
        Archives of Psychiatric Nursing. 1987; 1: 399-406
        • Hartsock J.W.
        The effects of music on levels of depression in orthopedic patients on prolonged bed rest.
        in: Unpublished master's thesis. University of Iowa, Iowa City1982
        • Swanson E.
        • Maas M.
        • Buckwalter K.
        Catastrophic reactions of alzheimer's patients: Special unit compared to traditional units.
        1992 (Unpublished manuscript)
        • Swartz K.P.
        • Hantz E.C.
        • Crummer G.C.
        • Walton J.P.
        • Frisina R.D.
        Does the melogy linger on? Music Cognition in alzheimer's disease.
        in: Seminars in Neurology. 9. 1989: 152-157
        • Thaut M.H.
        Neurophysiological processes in music perception and their relevance in music therapy.
        in: Unkefer R.F. Music Therapy in the Treatment of Adults with Mental Disorders. Schirmer Books, New York, NY1990: 3-32
        • Thomas D.R.
        Assessment and management of agitation in the elderly.
        Geriatrics. 1988; 43: 45-50