The benefits of Montessori method in the treatment of persons with dementia
DOI:
https://doi.org/10.14528/snr.2017.51.1.117Keywords:
nurses, nursing, person with dementia, therapeutic activities, Maria MontessoriAbstract
Introduction: Dementia is a chronic disease with the tendency of declining patient's cognitive and mental abilities. Treatment is primarily focused on prolonging the period of independent life. Various newer complementary approaches and methods that are aimed at maintaining and encouraging cognitive abilities have been implemented across the globe. One of these methods is the approach of Maria Montessori, which has been adapted to adult persons suffering from dementia. The article presents the Montessori Method in the treatment of people with dementia and its effects on the patient's quality of life. Methods: The descriptive research methodology was used to review of domestic and foreign literature. The PRISMA method was used to review five databases accessible online and make decisions on the applicability of the reviewed sources. The conceptual model by Walker and Avant was used for data analysis. The final review included 19 studies published before May 2016. The included studies have been conducted mainly in the United States of America. Results: The three thematic areas have been identified based on reviews: (1) the effects of the Montessori-based activities on engagement and effort, (2) the impact of the Montessori-based activities on eating behaviours and (3) the benefits of the Montessori-based activities on the broader group of cognitive abilities. Discussion and conclusions: Despite the small number of publications that describe the use of the Montessori Method in the treatment of patients with dementia, the method can be represented as effective. Several authors note that this approach not only enables the preservation of cognitive and mental abilities, but even improves them.Downloads
Metrics
References
Bäckman, L., 1992. Memory training and memory improvement in Alzheimers disease: rules and exceptions. Acta Neurologica Scandinavica, 84(Suppl 139), pp. 84–89. https://doi.org/10.1111/j.1600-0404.1992.tb04461.x PMid:1414274
Boote, D.N. & Beile, P., 2005. Scholars before researchers: on the centrality of the dissertation literature review in research preparation. Educational Researcher, 34(6), pp. 3–15. https://doi.org/10.3102/0013189X034006003
Bourgeois, M.S., Brush, J., Elliot, G. & Kelly, A., 2015. Join the revolution: how Montessori for aging and dementia can change long-term care culture. Seminars in Speech and Language, 36(3), pp. 209–214. https://doi.10.1055/s-0035-1554802 PMid:26190512
Bowlby Sifton, C., 2000. Maximizing the functional ability of persons with Alzheimer's disease and related dementias. In: M.P. Lawton & R.L. Rubinstein, eds. Interventions in dementia care toward improving quality of life. New York: Springer, pp. 11–38.
Bowlby, C., 1993. Therapeutic activities with persons disabled by Alzheimer’s disease and related disorders. Gaithersburg: Apsen Publishers, pp. 155–203.
Camp, C.J. & Skrajner, M.J., 2004. Resident assisted Montessori programming (RAMP): training persons with dementia to serve as group activity leaders. The Gerontologist, 44(3), pp. 426–431. https://doi.org/10.1093/geront/44.3.426 PMid:15197297
Camp, C.J. & Lee, M.M., 2011. Montessori-based activities as a transgenerational interface for persons with dementia and preschool children. Journal of Intergenerational Relationships, 9(4), pp. 366–373. https://10.1080/15350770.2011.618374 PMid:22423215; PMcid:PMC3298115
Camp, C.J., & Mattern, J.M., 1999. Innovations in managing Alzheimer’s Disease. In: D.E. Biegel & A. Blum, eds. Innovations in practice and service delivery across the lifespan. New York: Oxford University Press, pp. 276–294. https://doi.org/10.1093/acprof:oso/9780195111552.003.0012
Camp, C.J., 1999. Montessori-based activities for persons with dementia: volume 1. Beachwood: Menorah Park Center for the Aging, pp. 20–25.
Camp, C.J., 2010. Origins of Montessori programming for dementia. Non-pharmacological Therapies in Dementia, 1(2), pp. 163–174. PMid:23515663; PMCid:PMC3600589
Camp, C.J., Judge, K.S., Bye, C.A., Fox, K.M., Bowden, J., Bell, M., et al., 1997. An intergenerational program for persons with dementia using Montessori methods. The Gerontologist, 37(5), pp. 688–692. https://doi.org/10.1093/geront/37.5.688 PMid:9343920
Cronin, P., Ryan, F. & Coughlan, M., 2008. Undertaking a literature review: a step-by-step approach. British Journal of Nursing, 17(1), pp. 38–43. https://doi.org/10.12968/bjon.2008.17.1.28059 PMid:18399395
Darovec, J., Kogoj, A., Kores Plesničar, B., Muršec, M., Pišljar, M., Pregelj, P., et al., 2013. Smernice za obravnavo pacientov z demenco. Ljubljana: Združenje psihiatrov Slovenije.
Dreher, B.B., 1997. Montessori and Alzheimer's: a partnership that works. American Journal of Alzheimer's Disease, 12(3), pp. 138–140. https://doi.org/10.1177/153331759701200307
Erskine, R., 2014. Življenjski skripti: nezavedni relacijski vzorci in udeleženost v psihoterapiji. Kairos, 8(1/2), pp. 147–163.
Femia, E.E., 2006. Evaluation of the montessori-based activities program of the Alzheimer's awareness and care program. D.C. Office on Aging by the U.S. Administration on Aging, pp. 2–3.
Fyksen, J.V., 2015. Utilizing Montessori-based occupational therapy interventions for people with dementia. Paper 1. St. Paul, Doctor of Occupational Therapy Doctoral Project.
Gašparovič, M., 2009. Najpogostejši problemi v zdravstveni negi. In: M., Mencej, ed. Bolezni in sindromi v starosti 3. Ljubljana: Gerontološko društvo Slovenije, pp. 51–56.
Giroux, D., Robichaud, L. & Paradis, M., 2010. Using the Montessori approach for a clientele with cognitive impairments: a quasi-experimental study design. International Journal of Aging and Human Development, 71(1), pp. 23–41. https://doi.org/10.2190/AG.71.1.b PMid:20718231
Gozali, T., 2002. Montessori-based activities for persons with dementia: effects on engagement and affect. Blacksburg: Faculty of the Virginia Polytechnic Institute and State University, pp. 10–20.
Grego, M., 2000. Sobivanje z dementnim svojcem kot način življenja. In: A. Kogoj, ed. Celostna obravnava bolnika z demenco. Zbornik prispevkov 2. psihogeriatrično srečanje, Radenci, 17. in 18. november 2000. Ljubljana: Spominčica – Slovensko združenje za pomoč pri demenci, pp. 119–124.
Jarrot, S.E., Gozali T., & Gigliotti, C.M., 2008. Montessori programming for persons with dementia in the group setting: an analysis of engagement and affect. Dementia, 7(1), pp. 109–125. https://doi.org/10.1177/1471301207085370
Judge, K. S., Camp, C. J. & Orsulic-Jeras, S., 2000. Use of Montessori-based activities for clients with dementia in adult day care: effects on engagement. American Journal of Alzheimer's Disease & Other Dementias, 15, pp. 42–46. https://doi.org/10.1177/153331750001500105
Kerin, E., 2011. Etični izzivi pri demenci. Časopis za kritiko znanosti, domišljijo in novo antropologijo, 39(246), pp. 93–102.
Kitwood, T., 1997. Dementia reconsidered: the person comes first. Buckingham: Open University Press, pp. 87–158.
Klanjšček, G., 2009. Zdravljenje bolnika z demenco. In: M. Mencej, ed. Bolezni in sindromi v starosti 3. Ljubljana: Gerontološko društvo Slovenije, pp. 37–50.
Kobentar, R, & Marinič, M. 2000. Organske spremembe in motnje prehranjevanja v starosti. Obzornik zdravstvene nege; 34 (5–6), pp. 209–214. Available at: http://www.obzornikzdravstvenenege.si/2000.34.3.209 [1. 2. 2017]
Kobentar, R., Kogoj, A., Maver, D. & Skela Savič, B., 2015. Ocena samostojnosti stanovalcev, obolelih z demenco, pri zadovoljevanju temeljnih življenjskih potreb v domovih starejših v Ljubljani. Zdravniški Vestnik, 84(7/8), pp. 544–553.
Kogoj, A., 2007. Značilnosti in razumevanje demence. In: J. Mali, et al., eds. Demenca – izziv za socialno delo. Ljubljana: Fakulteta za socialno delo, pp. 15–21.
Kogoj, A., 2008. Kognitivne in duševne motnje v starosti – ocena potreb. Zdravniški vestnik, 77(12), pp. 827–829.
Kogoj, A., 2011. Ko spomini bledijo. In: Wirth, K., ed. Zbornik predavanj 28. Strokovnega srečanja Celostna obravnava starostnika z demenco, Laško 29–30 marec 2011. Ljubljana: Zbornica zdravstvene in babiške nege Slovenije–Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, Strokovna sekcija medicinskih sester in zdravstvenih tehnikov v socialnih zavodih, pp. 7–11.
Kordeš Demšar, M., 2007. Pedagogika Montessori. Sodobna pedagogika, 58(4), pp. 80–92. Lee, M.M., Camp, C.J. & Malone, M.L., 2007. Effects of intergenerational Montessori-based activities programming on engagement of nursing home residents with dementia. Journal of Clinical Interventions in Aging, 2(3), pp. 477–483. PMid:18044197; PMCid:PMC2685273
Liberati, A., Altman, D.G., Tetzlaff, J., Mulrow, C., Gøtzsche, P.C., Ioannidis, J.P.A., et al., 2009. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. British Medical Journal, 339, p. b2700. https://doi.org/10.1136/bmj.b2700 PMid:19622552; PMCid:PMC2714672
Lin, L.C., Huang, Y.J., Su, S.G., Watson, R., Tsai, B.W.J. & Wu, S.C., 2010. Using spaced retrieval and Montessori-based activities in improving eating ability for residents with dementia. International Journal of Geriatric Psychiatry, 25(10), pp. 953–959. https://doi.org/10.1002/gps.2433 PMid:20054841
Lin, L.C., Huang, Y.J., Watson, R., Wu, S.C. & Lee, Y.C., 2011. Using a Montessori method to increase eating ability for institutionalised residents with dementia: a crossover design. Journal of Clinical Nursing, 20(21/22), pp. 3092–3101. https://doi.org/10.1111/j.1365-2702.2011.03858.x PMid:21981704
Mali, J., Mešl, N. & Rihter, L., 2011. Socialno delo z osebami z demenco: raziskovanje potreb oseb z demenco in odgovorov nanje. Ljubljana: Fakulteta za socialno delo, pp. 53–84.
Miloševič Arnold, V., 2006. Celostna obravnava oseb z demenco v domu za stare. Socialno delo, 45(3/5), pp. 119–126.
Miloševič Arnold, V., 2007. Komunikacija z osebami z demenco. In: V.J. Mali & V. Miloševič Arnold, V., eds. Demenca – izziv za socialno delo. Ljubljana: Fakulteta za socialno delo, pp. 131–141.
Mirc, A. & Čuk, V., 2010. Ohranjanje življenjskih aktivnosti varovanca z demenco s pomočjo teoretičnih modelov zdravstvene nege. Obzornik zdravstvene nege, 44(3), pp. 163–172. Available at: http://www.obzornikzdravstvenenege.si/2010.44.3.163 [1. 2. 2017]
Montessori, M., 1990. The discovery of the child. New York:Ballantine Books, pp. 34–49.
Nightingale, D., 2011. Montessori success for people living with dementia. Journal of Dementia Care, 19(2), pp. 36–38.
Orsulic-Jeras, S., Judge, K.S. & Camp, C.J., 2000a. Montessori-based activities for long-term care residents with advanced dementia: effects on engagement and affect. The Gerontologist, 40(1), pp. 107–111. https://doi.org/10.1093/geront/40.1.107 PMid:10750318
Orsulic-Jeras, S., Schneider, N.M. & Camp, C.J., 2000b. Special feature: Montessori-based activities for long-term care residents with dementia. Topics in Geriatric Rehabilitation, 16(1), pp. 78–91. https://doi.org/10.1097/00013614-200009000-00009
Roberts, G., Morley, C., Walters, W., Malta, S. & Doyle, C., 2015. Caring for people with dementia in residential aged care: successes with a composite person-centred care model featuring Montessori based activities. Geriatric Nursing, 36(2), pp. 106–110. https://doi.org/10.1016/j.gerinurse.2014.11.003 PMid:25499658
Skrajner, M.J. & Camp, C.J., 2007. Resident-Assisted Montessori Programming (RAMP): use of a small group reading activity run by persons with dementia in adult day health care and longterm care settings. American Journal of Alzheimer's Disease and Other Dementias, 22(1), pp. 27–36. https://doi.org/10.1177/1533317506297895 PMid:17533999
Skrajner, M.J., Haberman, J.L., Cameron, J., Camp, C.J., Tusick, M., Frentiu, C., et al., 2014. Effects of using nursing home residents to serve as group activity leaders: lessons learned from the RAP project. Dementia, 13(2), pp. 274–285. https://doi.org/10.1177/1471301213499219 PMid:24339109
Skrajner, M.J., Haberman, J.L., Camp, C.J., Tusick, M., Frentiu, C. & Gorzelle, G., 2012. Training nursing home residents to serve as group activity leaders: lessons learned and preliminary results from the RAP project. Dementia: the International Journal of Social Research and Practice, 11(2), pp. 263–274. https://doi.org/10.1177/1471301212437457
Valenčič, G. & Križmarić, M., 2011. Montessori pristop v obravnavi bolnikov z demenco. In: D. Železnik, et al., eds. Gradimo prihodnost: odprti za spremembe in nove izzive na področju raziskovanja zdravstvenih in socialnih ved : zbornik predavanj z recenzijo / 1. Znanstvena konferenca z mednarodno udeležbo s področja zdravstvenih in socialnih ved, Laško, 21.–22. september 2011. Slovenj Gradec: Visoka šola za zdravstvene vede, pp. 392–398. Van der Ploeg, E.S., Eppingstall, B., Camp, C.J., Runci, S.J., Taffe, J. & O'Connor, D.W., 2013. A randomized crossover trial to study the effect of personalized, one-to-one interaction using Montessori-based activities on agitation, affect, and engagement in nursing home residents with dementia. International Psychogeriatrics, 25(4), pp. 565–575. https://doi.org/10.1017/S1041610212002128 PMid: 23237211
Van Hülsen, A., 2010. Zid molka. Oblike dela z osebami z demenco na primeru validacije in drugih novih teorij. Logatec: Firis Imperl, pp. 111–176.
Vance, D.E., & Johns, R.N., 2002. Montessori improved cognitive domains in adults with Alzheimers disease. Physical & Occupational Therapy in Geriatrics, 20(3/4), pp. 19–36. https://dx.doi.org/10.1080/J148v20n03_02
Vance, D.E. & Porter, R.J., 2000. Montessori methods yield cognitive gains in Alzheimers day cares. Activities, Adaptation & Aging, 24(3), pp. 1–21. https://doi.org/10.1300/J016v24n03_01
Vance, D.E., Camp, C.J., Kabavoff, M. & Greenwalt, L., 1996. Montessori methods: innovative intervention for adults with Alzheimer's disease. Montessori Life, 8, pp. 10–13.
Velikonja, I., 2005. Demenca: v skrbi za naše zdravje. Novo Mesto: Krka, pp. 2–5.
Walker, L.O. & Avant, K.C., 2011. Strategies for theory construction in nursing. 5th ed. Boston: Prentice Hall, pp. 178–215.
Welch, V., Petticrew, M., Tugwell, P., Moher, D., O'Neill, J., Waters, E., et al., 2012. PRISMA-equity 2012 extension: reporting guidelines for systematic reviews with a focus on health equity. PLoS Medicine, 9(10), p. e1001333. https://doi.org/10.1371/journal.pmed.1001333 PMid:23222917; PMCid:PMC3484052
Wu, H. & Lin, L., 2013. The moderating effect of nutritional status on depressive symptoms in veteran elders with dementia: a spaced retrieval combined with Montessori-based activities. Journal of Advanced Nursing, 69(10), pp. 2229–2241. https://doi.org/10.1111/jan.12097 PMid:23444942
Zgola, J.M., 1999. Care that works: a relationship approach to persons with dementia. London: The Johns Hopkins University, pp. 5–16.
Downloads
Published
How to Cite
Issue
Section
License
As the author undersigned hereby, I transfer, assign, or otherwise convey the following authorship rights as comprised in the Copyright and Related Rights Act (CRRA) to the Slovenian Nursing Review, Ob železnici 30A, 1000 Ljubljana: the right of reproduction - the exclusive right to fix the work in a material medium or in another copy directly or indirectly, temporarily or permanently, by any means and in any digital form, in whole or in part (CRRA, Article 23); the right of distribution (CRRA, Article 24); the right of making a work available and accessible through the internet (CRRA, Article 32a); the right of transformation, especially the exclusive right to translate a pre-existing work (CRRA, Article 33). The transfer of author rights applies to the article in its entirety, including pictorial and/or graphic works and possible supplements. The transfer of rights is exclusive and unlimited in duration or territory.
