This abstract presents a case history in which an alternative nursing intervention was implemented for the purpose of reducing the intensity of psychotic features associated with dementia and reducing the use of anti-psychotic medications. Aromatherapy has been well documented in the literature as an alternative treatment approach. It is however, relatively new to dementia care. The facility was an assisted living 24-hour care center that specialized in dementia care; care at this facility was based on an activity, behavioral oriented model, rather than a medical model. After collaboration and permission from with the medical director, physician, the treatment team, and family, the Nurse Practitioner introduced a protocol for aromatherapy use to the facility. Staff at all levels were then trained by the Nurse Practitioner prior to implementing the treatment protocol.
The outcome in this case resulted in two positive, measurable improvements. First, quality of life for this female resident with advancing dementia and severe behavioral problems improved considerably as demonstrated over a six week time period in which the frequency and intensity of episodes of paranoia, agitation, and hyperactivity were greatly reduced. Eventually, the patient was gradually tapered off all anti-psychotic medications. The second outcome resulted in the significantly improved family satisfaction with the provision of care to their loved one. More studies are needed in demonstrating the efficacy of this alternative approach. Similar results occurred with other residents.