Dementia wander garden aids post cerebrovascular stroke restorative therapy: A case study

Edward Via College of Osteopathic Medicine, Блэксбург, Virginia, United States
Alternative therapies in health and medicine (Impact Factor: 1.24). 07/2005; 11(4):54-8.
Source: PubMed


An increasing amount of literature suggests the positive effects of nature in healthcare. The extended life expectancy in the US and the consequent need for long-term care indicates a future need for restorative therapy innovations to reduce the expense associated with long-term care. Moving carefully selected stroke patients' sessions to the peaceful setting of a dementia wander garden, with its designed paths and natural stimuli, may be beneficial. Natural settings have been shown to improve attention and reduce stress--both important therapy objectives in many post-stroke rehabilitation programs. In this case study, using the dementia wander garden for restorative therapy of a non-dementia patient was a novel idea for the restorative therapy group, which does not have a horticultural therapy program. The dementia wander garden stage of the post-stroke rehabilitation helped the patient through a period of treatment resistance. The garden provided both an introduction to the patient's goal of outdoor rehabilitation and a less threatening environment than the long-term care facility hallways. In part because the patient was less self-conscious about manifesting his post-stroke neurological deficits, falling, and being viewed as handicapped when in the dementia wander garden setting, he was able to resume his treatment plan and finish his restorative therapy. In many physical and mental rehabilitation plans, finding a treatment modality that will motivate an individual to participate is a principal goal. Use of a dementia wander garden may help some patients achieve this goal in post-stroke restorative therapy.

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    • "In many occupational therapy treatment plans, finding a treatment modality that will motivate an individual to participate is a principal goal. For patients rehabilitating poststroke, it was found that a peaceful garden setting designed with curved pathways and natural stimuli provided both an introduction to the patient's goal of outdoor rehabilitation and a less threatening and more motivating environment than long-term care facility hallways and clinics (Detweiler & Warf, 2005). Patients' experiences of working in a training garden while receiving occupational therapy services after neurological damage were studied and the results revealed that activities in a training garden were experienced as beneficial and productive (Jonasson, Marklund, & Hildingh, 2007). "

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    • "Several studies have suggested that being able to see trees and flowers reduces agitation and aggression and promotes healing.7,96,102 In a prospective observational study, Detweiler et al.48 investigated the effect on dementia resident behaviors by adding a wander garden to an existing dementia facility. "
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    ABSTRACT: Horticulture therapy employs plants and gardening activities in therapeutic and rehabilitation activities and could be utilized to improve the quality of life of the worldwide aging population, possibly reducing costs for long-term, assisted living and dementia unit residents. Preliminary studies have reported the benefits of horticultural therapy and garden settings in reduction of pain, improvement in attention, lessening of stress, modulation of agitation, lowering of as needed medications, antipsychotics and reduction of falls. This is especially relevant for both the United States and the Republic of Korea since aging is occurring at an unprecedented rate, with Korea experiencing some of the world's greatest increases in elderly populations. In support of the role of nature as a therapeutic modality in geriatrics, most of the existing studies of garden settings have utilized views of nature or indoor plants with sparse studies employing therapeutic gardens and rehabilitation greenhouses. With few controlled clinical trials demonstrating the positive or negative effects of the use of garden settings for the rehabilitation of the aging populations, a more vigorous quantitative analysis of the benefits is long overdue. This literature review presents the data supporting future studies of the effects of natural settings for the long term care and rehabilitation of the elderly having the medical and mental health problems frequently occurring with aging.
    Full-text · Article · Jun 2012 · Psychiatry investigation
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    • "In one facility for Alzheimer's patients, a " wandering garden " featuring a secure area for walking through a garden of non-toxic plants helps to evoke memories and to reconnect patients with the world (Rauma 2003). Similar " wander gardens " have been used elsewhere with patients undergoing post-stroke rehabilitation, and have been shown to be beneficial for stimulating both mental and physical functions (Detweiler and Warf 2005). Horticultural therapy is based on our emotional responses to nature, in this case to plants. "
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    ABSTRACT: Ed. note: With the increasing recognition of the value of nature to human health and well-being, Parks Victoria will host the first International Healthy Parks Healthy People Congress in 2010. The aim of the congress is to raise awareness of recent research, highlight case stud-ies, and facilitate discussion regarding the advantages of, and opportunities for, future collab-oration. The congress will be staged in Melbourne, Australia, 11–16 April 2010. See for further details. This paper is an abridgment, made with the authors' permission, of a much longer mono-graph, "Healthy Parks, Healthy People: The Health Benefits of Contact with Nature in a Park Context—A Review of Relevant Literature (2nd ed., March 2008). The original monograph in its entirety can be found at the congress website, above. This version focuses on the sections of the monograph most directly related to parks.
    Full-text · Article · Jan 2009 · The George Wright forum
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