ABSTRACT
The daughter of an older woman with dementia approached my trust, Tameside Hospital NHS Foundation Trust, to seek care for her mother. The daughter was aware of community-based Admiral Nursing services and believed providing the service in hospital would meet the gap in specialist provision. The trust acknowledged this and sought to address the gap.
Subject(s)
Dementia/nursing , Community Health Nursing , Dementia/diagnosis , Hospitals , HumansABSTRACT
OBJECTIVE: By means of a controlled trial, to investigate the efficacy, tolerability and feasibility of a multi-component sleep therapy intervention versus basic sleep hygiene education in PD patients with sleep disturbances and their live-in carers. METHODS: Patient-carer dyads were randomised to either of the two interventions. Quantitative measures of sleep, psychiatric and overall functioning were administered at baseline and two weeks after the intervention to patients and carers. RESULTS: Sleep disturbances in the PD patients improved significantly in both the groups. Between group comparisons in both carers and patients revealed no significant differences on any outcome measures. The intervention was found to be well tolerated, feasible and could easily be translated into the clinical setting. CONCLUSIONS: This pilot study makes the case for further, more rigorous study of pragmatic, non-pharmacological interventions for sleep disturbances in PD.
Subject(s)
Parkinson Disease/therapy , Sleep Wake Disorders/therapy , Sleep/physiology , Aged , Aged, 80 and over , Caregivers/psychology , Feasibility Studies , Female , Humans , Life Style , Male , Parkinson Disease/complications , Patient Satisfaction , Pilot Projects , Sleep Wake Disorders/etiology , Time FactorsABSTRACT
The Tameside Hospital Admiral Nursing Service, which I am part of, was introduced as a direct result of a complaint raised by the carer of a patient living with dementia.