Literature DB >> 21672880

Dementia-specific assisted living: clinical factors and psychotropic medication use.

Marianne Smith1, Kathleen C Buckwalter, Hyunwook Kang, Vicki Ellingrod, Susan K Schultz.   

Abstract

BACKGROUND: Assisted living (AL) is an increasingly popular long-term care alternative for older adults with dementia, making this setting an important focus for both clinical practice and research among psychiatric nurses.
OBJECTIVES: This article describes results from a pilot study focusing on residents' cognitive and emotional status as well as psychotropic drug use. Findings are compared to reports from larger studies in the literature. STUDY
DESIGN: A descriptive, correlational design was used to collect data from 17 residents in two dementia-specific AL facilities.
RESULTS: Thirty-one psychiatric diagnoses were identified for 17 participants. Anxiety and depression symptoms were endorsed by more than 50% of participants, and 88% were prescribed psychotropic medications.
CONCLUSIONS: AL residents may experience problems with cognition and emotional symptoms such as anxiety and depression, creating important roles for psychiatric nurses in staff education, promotion of nonpharmacologic interventions, and monitoring of psychotropic medication use in this growing population. J Am Psychiatr Nurses Assoc, 2008; 14(1), 39-49. DOI: 10.1177/1078390307310692.

Entities:  

Year:  2008        PMID: 21672880      PMCID: PMC3122161          DOI: 10.1177/1078390307310692

Source DB:  PubMed          Journal:  J Am Psychiatr Nurses Assoc        ISSN: 1078-3903            Impact factor:   2.385


  30 in total

Review 1.  Managing disruptive behaviors with neuroleptics: treatment options for older adults in nursing homes.

Authors:  Philippe Voyer; René Verreault; Pamphile Nkogho Mengue; Danielle Laurin; Louis Rochette; Lori Schindel Martin
Journal:  J Gerontol Nurs       Date:  2005-11       Impact factor: 1.254

2.  Efficacy and adverse effects of atypical antipsychotics for dementia: meta-analysis of randomized, placebo-controlled trials.

Authors:  Lon S Schneider; Karen Dagerman; Philip S Insel
Journal:  Am J Geriatr Psychiatry       Date:  2006-03       Impact factor: 4.105

3.  Limits of the 'Mini-Mental State' as a screening test for dementia and delirium among hospital patients.

Authors:  J C Anthony; L LeResche; U Niaz; M R von Korff; M F Folstein
Journal:  Psychol Med       Date:  1982-05       Impact factor: 7.723

4.  Risk of death with atypical antipsychotic drug treatment for dementia: meta-analysis of randomized placebo-controlled trials.

Authors:  Lon S Schneider; Karen S Dagerman; Philip Insel
Journal:  JAMA       Date:  2005-10-19       Impact factor: 56.272

Review 5.  Tales from the field: what the nursing research textbooks will not tell you.

Authors:  Marianne Smith; Kathleen C Buckwalter; Hyunwook Kang; Susan K Schultz; Vicki Ellingrod
Journal:  Appl Nurs Res       Date:  2008-11       Impact factor: 2.257

Review 6.  The burden of depression and anxiety in general medicine.

Authors:  Y Lecrubier
Journal:  J Clin Psychiatry       Date:  2001       Impact factor: 4.384

7.  The Global Deterioration Scale for assessment of primary degenerative dementia.

Authors:  B Reisberg; S H Ferris; M J de Leon; T Crook
Journal:  Am J Psychiatry       Date:  1982-09       Impact factor: 18.112

8.  The Maryland Assisted Living Study: prevalence, recognition, and treatment of dementia and other psychiatric disorders in the assisted living population of central Maryland.

Authors:  Adam Rosenblatt; Quincy M Samus; Cynthia D Steele; Alva S Baker; Michael G Harper; Jason Brandt; Peter V Rabins; Constantine G Lyketsos
Journal:  J Am Geriatr Soc       Date:  2004-10       Impact factor: 5.562

9.  Behavioral symptoms in residential care/assisted living facilities: prevalence, risk factors, and medication management.

Authors:  Ann L Gruber-Baldini; Malaz Boustani; Philip D Sloane; Sheryl Zimmerman
Journal:  J Am Geriatr Soc       Date:  2004-10       Impact factor: 5.562

10.  The spectrum of behavioral changes in Alzheimer's disease.

Authors:  M S Mega; J L Cummings; T Fiorello; J Gornbein
Journal:  Neurology       Date:  1996-01       Impact factor: 9.910

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  1 in total

Review 1.  Psychotropic medication use among older adults: what all nurses need to know.

Authors:  Pamela L Lindsey
Journal:  J Gerontol Nurs       Date:  2009-09       Impact factor: 1.254

  1 in total

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