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Table 1 Harmony in Bush Study: Intervention principles and strategies

From: The outcomes of a person-centered, non-pharmacological intervention in reducing agitation in residents with dementia in Australian rural nursing homes

Intervention Principles

Intervention Strategies

Maximize safe function by supporting losses in a person-centered manner

Activity based on their ability and preference (previous interests)

To set their own sleep and wake-up cycle as much as possible

Limit choices and serve food one after another and preferred menu

Food and drink stall

Familiar routine; Scheduled afternoon nap time

Provide unconditional positive regard

Polite language, address them with their names and treat them as mature adults

Gentle touch

Provide distraction instead of correction or argument

Use anxiety and avoidance to gauge activity and stimulation levels

Look for early signs of anxiety (toe tapping, fidgety)

Provision of individualized music – preferred playlist

Teach caregivers to observe and listen to patients

Observe and listen to person’s needs

Attend to their needs or stressors (internal or external)

Modify environment to support losses and enhance safety

Reduction of noise level in the environment (transient noise due to TV)

Reduce outside noise (example mowing during rest time) Remove any hazards in the room and outside

Reduce unnecessary lighting during sleep

Provide ongoing education, support and problem solving

On-going education; mentoring

Building relationships among and between staff and residents