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ICSG launch new report into Reminiscence for People with Dementia in Long-Stay Care

Authors of the Report
Sep 2014

A pioneering trial run jointly by the Irish Centre for Social Gerontology led by Professor Eamon O’ Shea and the School of Nursing and Midwifery at NUIG headed by Professor Kathy Murphy entitled DementiA education programme incorporating REminiscence for Staff (DARES) has highlighted the potential of talking and remembering earlier times as a means of therapy for people with dementia, based on a study of three hundred people with dementia carried out over a period of three years.

It is estimated that there are 50,000 people with dementia in Ireland today with an additional 4,000 new cases every year, which will increase from now on as people are living longer. Dementia is the term used to describe a group of symptoms such as memory loss, language difficulties, confusion and disorientation which affect some people, usually in older age. It is not always clear why some people get dementia and others do not, nor can it be easily predicted, although there may be a genetic component and lifestyle is an influence on some types of dementia.

Dementia is an expensive condition for families and the State. The annual financial burden of the disease has been estimated by researchers at NUI Galway to be 1.7 billion euros, with significant burden falling on family carers, who provide most of the care.

Whilst much of the treatment of people with dementia to date has been pharmacological, studies have shown that psychosocial interventions can also be beneficial.  Reminiscence is increasingly seen as important in the care and support of people with dementia, given its potential to draw on early memories, which often remain intact for people with dementia, thereby highlighting the person’s preserved abilities rather than any cognitive impairment. Despite being widely used in dementia care, evidence on the effectiveness of reminiscence remains uncertain.

The DARES trial involved using reminiscence therapy for people with dementia in long-stay care settings in the West of Ireland. The therapy involved the use of photographs, music, mementos and memorabilia to people with dementia to encourage them to talk about their earlier life. The intervention was a structured education reminiscence-based programme for care staff, who subsequently engaged in individualised reminiscence with long-stay residents under their care. The primary research question focused on the impact of reminiscence therapy on the self-reported quality of life of residents with a diagnosis of dementia. The results showed that reminiscence therapy has a positive effect on people with dementia in long term residential care.  Reminiscence can also improve the quality of the care and support that people with dementia receive as new relationships and connections are formed with staff, who are now more aware of the identity and  personhood of  the person for whom they care.  A copy of the report is available here