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Emmanuel Odugboye

Environmental Impact of Non-Pharmacological Interventions on the care of Frailty and Dementia in the Tropics

I am investigating the effects of Non-Pharmacological functioning in the care of Frailty and Dementia in the Tropics. The Royal College of Psychiatrists (RCPSYCH) studies, in line with other studies, concludes that increase in frailty has been linked with cognitive impairment, hence, studies suggested that cognitive frailty has been a significant and increased risk factor for dementia (Solfrizzi et al., 2017; Fougere et al., 2017; Shimada et al., 2018; RCPSYCH, 2020). The basis of non-pharmacologic interventions and management for People living with frailty and dementia is to identify that the people are frail, and cannot modify their environment (Desai et al, 2001; van Hooft al, 2009). Studies on the Environmental and Behavioural Functioning techniques have indicated that Indoor Built Environment plays a central role in providing comfort as well as have effects on the Behaviour and psychological functioning of people living with frailty and dementia (Saelens et al, 2008; Zavadskas et al, 2011; Berg-Weger, et al, 2017; Mei-Yung et al, 2019.

Globally, the number of people with dementia doubles with every 5 years of age and it was reported that dementia is strongly related to old age (Jorm A.F., 1990; Ineichen B., 2000). In developing countries, just over 100 studies have been conducted on the prevalence of dementia with very few surveys (Chandra et al., 1994; Ineichen B., 2000), while in the United Kingdom, for example, over 5000 research studies with citations of similar cases had been identified (Sibbett et al, 2017). In the Tropics, Ibadan is the only city in Nigeria where epidemiological data was recorded (mainly on pharmacologic interventions), and that is widely recognized as leading research on Frailty and dementia in the last two decades (Olayinka et al, 2014; Adeloye et al, 2019). Though there are few studies on the prevalence of dementia recorded, most of the studies carried out in Nigeria on dementia focused on using various pharmacologic interventions (Ogunniyi et al, 2000; Alzheimer’s Association, 2016; Berg-Weger et al, 2017). Hence, this research will focus on how to influence the level of agitation, Falls, Anxiety and Wandering, as well as lower the high risk of the harm often experienced by the people (Clegg et al., 2013; Meta-analysis, 2016; BGS, 2017; Soysal et al., 2017) living with Frailty and Dementia in the tropics, since the people at the care homes are not of one group.