Music Therapy to Decrease Agitation and Anxiety in Dementia Patients
Overview of Agitation and Anxiety in Patients with Dementia
Dementia
Dementia is a major neurocognitive disorder that impairs cognitive and intellectual ability, memory, language, reasoning and judgments, which can interfere with daily functioning (American Psychiatric Association, 2013). Symptoms of dementia differ among patients; however, the most common initial symptom is a gradual deterioration associated with memory recall (American Psychiatric Association, 2013). Additional signs and symptoms associated with dementia include confusion, forgetfulness, disorientation, difficulty …show more content…
In 2010, an overwhelming 215 billion dollars was spent on dementia care in the US (Hurd et al., 2013). Direct costs in dementia care in the US are expected to total over 226 billion dollars by the end of 2015 (Hurd et al., 2013). Moreover, the average Medicare spending rates for individuals 65 years of age and older with dementia is three times more than older adults without dementia (Hurd et al., 2013). Due to the anticipated population influx, it is expected by 2050 that every one in three dollars will be spent on dementia care for older adults (Hurd et al., 2013).
Agitation and Anxiety Associated with Dementia
Dementia patients often exhibit behavioral and psychological symptoms, specifically agitation and anxiety, which become more pronounced in the advanced stages of the disease (Trivedi, Goodman & Dickinson, 2013). These symptoms often occurs in clusters and include depression, psychosis, aggression, wandering, agitation and anxiety (Trivedi et al., 2013). The described behavioral and psychological symptoms can lead to patient distress and have been linked to functional and cognitive decline, often serving as a contributing factor to long term care institutionalization (Trivedi et al., 2013).
Dementia Patients Residing in Long Term Care