With constant cuing every 20 seconds, attention can be sustained for one to five minutes. We need data about the length of rest periods in between sensory stimulation periods. We also need data on the number of sessions per day that are needed to prevent troublesome behaviour.
The length of the sessions could be affected by the selection of cues. The question is: Is there a difference between the length of sessions when sessions A) alternate positive and negative cues or B) provide all positive cues? The longer sessions are the best for that person.
To prevent troublesome behaviours, the following frequency is suggested: twice in the morning, three times in the afternoon, once in the evening. Effectiveness must be measured by a positive response to the sensations and the length of sustained attention to each sensation. Records of cues linked to responses and attention will be needed to maximise effectiveness, but a table to record the cues and time should be easy to develop and quick to fill out.
Date / Time of day | ||
Auditory bell | ||
Smiling face | ||
Warm towel | ||
Horseradish |
The table lists the cues in the sensory stimulation supplies left at the bedside. The dates or time of day can be listed across the top. Record the length of the session in the cells. Keeping it simple gets it done.
The length of sessions and rest periods varies. The variation is often attributed to the person's physical health status, but the distinction between physical and mental strength is nearly impossible to separate with progressive mental disorders. Beginning with short sessions and gradually lengthening them is the safest approach for now.
Arousal and endurance may also be related to the time of day, usually best in the morning and diminishing throughout the day. If so, the longest sessions for that person should be scheduled in the morning.