Table 1

Non-pharmacological interventions delivered to the patient between April and end November 2018

Non-pharmacological interventionsBrief description of the intervention appliedMonth commencedNo of sessions
Talking therapyParticipating in talking therapy is used to help people living with dementia through specific difficulties such as anxiety, depression or personal growth.36 April 201813
Reality orientationReality orientation aims to help people with Alzheimer’s disease to increase their residual cognitive abilities and maintain social interaction using neurosensory stimulation. The main goal is to reorient people to their current place, date and time.12 37 38 April 201820
Cognitive trainingCognitive training, also known as cognitive stimulation therapy, uses a structured approach to stimulate and engage with the aim of enhancing residual cognitive abilities and functional skills, preserving implicit memory and uses visual imagery, word association and categorisation tasks as the main treatment.12 39
In this case, puzzle and problem solving, cognitive challenges (with books, pictures, numeric exercises), short-term memory exercises and digital cognitive games were used.
April 201863
Reminiscence therapyReminiscence therapy uses a life review procedure to allow the person with Alzheimer’s disease to actively search for memories from their own life and rebuild their life story, which usually involves construction of a life workbook with personal materials such as photographs, music and pictures, which then provides a memory aid.12
In this case, sessions included use of photos, pictures, music, video, traditional and cultural games, game tools, a memory box and a memory book.
May 201814
Garden therapyGarden therapy included planting, potting and maintenance of the garden.10 May 20184
Music therapyMusic therapy usually includes listening to songs or music passively or participating with singing or musical instruments.6 9 10 12 40 This patient sang songs at each session.May 201818
Art therapyArt therapy includes visual arts such as painting, colouring, sculpting or viewing art works.40 The patient participated in painting, drawing, personalised artwork and handcrafts.May 20187
Validation therapyValidation therapy is a method intended to validate the perceived reality and emotional experience of an individual.6 37 In this case, the social worker would provide agreement, support, encouragement, empathy, praise and comfort.June 20186
Smell therapySmell therapy, commonly referred to as aromatherapy, ignites the sense of smell through the diffusion of aromatic oils such as lavender or lemon balm into the environment, or using a skin cream, and has been shown to reduce symptoms of agitation.6 9 August 20182
Sensory stimulationSensory stimulation involved the use of a sensory bag or board to stimulate the sense of touch.October 20181
Total148