New Approaches for the Treatment of Delirium: A Case for Robotic Pets

New Approaches for the Treatment of Delirium: A Case for Robotic Pets

Delirium is highly prevalent in hospitalized patients and is a strong and consistent negative predictor of length of stay, mortality, and long-term cognitive outcomes.

 Symptoms commonly associated with delirium include reduced ability to focus, sleep disturbances, psychomotor agitation, and emotional disturbances. The management of the behavioral disturbances of delirium is challenging. Although non-pharmacologic means to reduce the duration or severity of delirium are advocated, there are limited established therapies beyond early physical mobilization, reorientation, attempting to enhance natural sleep patterns, and bedside sitting.

Recently, the use of robotic pets has been reported to be helpful in reducing agitation in nursing home patients with dementia.

 Given that dementia is a major risk factor for delirium, it is reasonable to speculate whether such devices could be useful in a hospital setting. To this end, we initiated a pilot study to assess the feasibility of using robotic pets as a non-pharmacologic behavioral intervention for intensive care unit (ICU) patients with delirium.

We recruited 20 subjects with ICU delirium, at our hospital, from July 2017 to December 2017. The institutional review board approved the study. Delirium was confirmed using the Confusion Assessment Method for the ICU scale.

 After written informed consent was obtained from the subject’s proxy, the subject received a new “Joy for All” robotic cat (Hasbro, Pawtucket, RI). The cat is battery-operated and can purr, meow, and react to touch. The family and bedside nurse were encouraged to use the cat with the subject (Figure). At 3 days post-enrollment, the subject (if able) and family (if available) were asked to complete a 5-question survey and to provide unstructured feedback. The same survey was e-mailed to all ICU nurses, support staff, and clinicians (n ∼ 400). Survey questions were graded on a 5-point Likert scale (from 1 [“strongly disagree”] to 5 [“strongly agree”]). Twenty-three surveys were returned from subjects and their families, and 70 were returned from ICU support staff.

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Robotic Pet Therapy Improves Outcomes for Hospitalized Older Adults

Robotic Pet Therapy Improves Outcomes for Hospitalized Older Adults

This randomized controlled trial at an inner city community hospital examined the effect of a robotic pet (cat or dog) on cognition, loneliness, depression, delirium, falls, restraint use, and 1:1 companion use in 160 adults over age 65. The study utilized robotic pets which have an audible heartbeat and interact by purring or barking, turning their heads, opening/closing their eyes, snuggling, wagging their tails, moving their paws, and showing their bellies.

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Exploring the Effects of Interaction with a Robot Cat for Dementia Sufferers and their Carers

Exploring the Effects of Interaction with a Robot Cat for Dementia Sufferers and their Carers

Abstract

Research has previously demonstrated the positive effects of robotic companion pets, but while this is important from a research perspective, their cost renders their widespread use currently unfeasible.

This research seeks to explore the potential of an affordable robot, with a view to making a realistic difference in quality of life for people with dementia and their carers. Early research results involving participants in the community have proved very positive.

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