Hospital room with funny name has serious purpose for treating Veterans with dementia


shadow

Tucked away in a corner of the Haley’s Cove Community Living Center is a nondescript room with some special equipment and a funny name.

The Snoezelen (pronounced SNOOZE-a-len) Room holds equipment that is an important part of the treatment regimen for patients with severe dementia.  Also called a multi-sensory environment, equipment in the room is used to stimulate the patient’s senses to evoke a calming and therapeutic effect.

The therapy was invented in the late 1970s by two Dutch therapists and the name is a contraction of two Dutch words, “snuffelen” – to seek and explore – and “doezelen” – to relax.

Recreation Therapist Christine Nevah said the environment is used to stimulate dementia patients to give them an outlet and to elicit responses.

“One of our machines is called the bubble tube, which incorporates water and light and changes colors, and they have light strings that you drape on a person like a kind of blanket,” Nevah explained.  “It gives them some sense of security.  A lot of times folks with dementia are in their own kind of world and we’re trying to bring some normalcy to what’s going on inside them.”

James A. Haley Veterans’ Hospital Recreation Therapist Christine Nevah prepares the rope lights and bubble tube in the hospital’s Snoezelen Room for the next patient. The room in the Haley’s Cove Community Living Center is designed to help calm anxious and agitated dementia patients in a multi-sensory environment.

James A. Haley Veterans’ Hospital Recreation Therapist Christine Nevah prepares the rope lights and bubble tube in the hospital’s Snoezelen Room for the next patient. The room in the Haley’s Cove Community Living Center is designed to help calm anxious and agitated dementia patients in a multi-sensory environment.

Nevah also uses the effect wheel, a disc that rotates and projects scenes on the wall including tropical fish, tropical birds and woodland scenes.  Recordings of waves and water sounds, birds chirping and other soothing sounds are complimented by aromatherapy using essential oils so all of the patient’s senses are stimulated.

The desired effect is to calm a patient who may be suffering from anxiety or anger because they are unsure of what’s going on in the environment around them.

“One Veteran in particular, whenever they give him any kind of care, whether it’s bathing or dressing, he usually gets agitated so I’ll try to bring him into this environment with the soothing music and the lights to try to calm him back down after that,” Nevah said.  “The point is to try to help them keep calm.”

Nevah said she also talks with family members to find out what the Veteran liked before his or her illness.  A female Veteran, she said, likes Elvis and Garth Brooks, so playing that kind of music has a relaxing effect on her.

All of the Snoezelen equipment is portable so it can be taken to patients who can’t make it to the room themselves, and all is easily sanitized between patients, Nevah said.  It’s also used on a regular basis since she has a full schedule of patients during the week.

“Depending on the Veteran and how they’re doing, I usually work with them for about 30 minutes and I try to see them twice a week,” Nevah said.  “I work hand-in-hand with psychology and psychiatry because they’re the ones who determine the functionality of what level (the patient) is at, so I go based on their criteria.”

Nevah explained that the ultimate goal is to have several people on each shift at the Community Living Center trained to use the Snoezelen equipment.

“Many disciplines can use the equipment, and our goal is to train people like certified nurse assistants how to use it so that if somebody is having an issue when we’re not here they can bring them into the environment and try to help them,” Nevah said.

While the immediate goal of the Snoezelen Room is to help agitated patients calm down and relax, Nevah said that using the equipment also has longer term effects like helping the patient retain the cognitive abilities they still have intact as long as possible.  She’s also seen improvements in some patients.

“One of our Veterans that I work with, she would only use one statement, say one statement to everything,” Nevah said.  “And since I’ve been working with her she is actually responding to what you’re asking her with more appropriate responses other than that one statement.  So it seems like over time they get more comfortable and it activates another level in them.  Then you’re able to work with them better.”

For some people, Snoezelen is a funny name for a room and may evoke images of a Dr. Seuss character.   But as long as it is a character with a calming, therapeutic effect on those around it, that’s okay.

Author

Ed Drohan

Ed Drohan is a public affairs specialist, at the James A. Haley VA Hospital, Tampa, Florida, and a retired Air Force master sergeant who has reported from Somalia, Haiti, New Orleans (post-Katrina) and Afghanistan.

Comments

  1. Peter Garland    

    Actually, I don’t like the sounds of this. Music and so on. What people need is attention, not to be passively entertained. It takes a lot of time to give people attention but someone gave me ten years of it, a second childhood, and I’ve been happy and creative ever since – I almost never listen to music though I have friends who are singers – and I give my full attention to other people, whenever possible. Try giving a patient yourself rather than Elvis and see if it does not work. Otherwise it’s just “soma” – as in some famous novel “Brave New World”?

    Anyway, all the best. Perhaps you can try my idea.

    Peter Garland M. A.
    Formerly 11th Marines, Da Nang and Chu Lai

  2. Deborah Franklin    

    How do you help veterans that is in denial of first stage dementia?

  3. Ernest Peter Di Nardo    

    I’m a disabled veteran with the first stage of Dementia . Iive in Palm Harbor Florida and registred at the V.A. in St Petersburg , Bill Young VA. unit . what are my options to have this procedure to help me ? Thank You Ernest Di Nardo

  4. Jorge Hernandez    

    snoezelen sounds like a great concept!! Do you have it on You Tube music? I would like to see if that music is available. It could work for people going thru tough times like sathrust loneliness. Thank You.

  5. James Genna    

    If you want to help the Vets each day with the memory and entertainment. Hire me to work at the Va Hosp. in West Palm Beach on using different methods of video games to boost their overall health. I will keep their mind going and wanting more….

Comments are closed.