title: Dementia care in assisted living: needs and challenges.
abstract: Assisted living (AL) is an increasingly popular long-term care option for older adults with dementia. Recent reports suggest that as many as 68% of AL residents have dementia, and that frequency of both behavioral symptoms and psychotropic medications are high. This pilot project explored the feasibility of research methods for use in AL facilities. Findings suggest that most AL residents with dementia have moderate to severe dementia, and the majority are taking one or more psychotropic medication. Descriptive and qualitative findings related to health records, caregiver perceptions of behavioral symptoms, and practicality of assessment methods undertaken are described and implications for psychiatric nursing practice and research are reviewed.
authors.affiliation: University of Iowa, College of Nursing, Iowa City, Iowa 52242, USA. Marianne-smith@uiowa.edu
authors.forename: Marianne
authors.initials: M
authors.lastname: Smith
authors.forename: Kathleen C
authors.initials: KC
authors.lastname: Buckwalter
authors.forename: Hyunwook
authors.initials: H
authors.lastname: Kang
authors.forename: Vicki
authors.initials: V
authors.lastname: Ellingrod
authors.forename: Susan K
authors.initials: SK
authors.lastname: Schultz
mesh_terms: D000368:Aged; D001008:Anxiety Disorders / Q000453:epidemiology / Q000451:nursing / Q000523:psychology; D040561:Assisted Living Facilities / Q000706:statistics & numerical data*; D003072:Cognition Disorders / Q000453:epidemiology / Q000451:nursing / Q000628:therapy; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003704:Dementia / Q000453:epidemiology* / Q000451:nursing / Q000628:therapy*; D003866:Depressive Disorder / Q000453:epidemiology / Q000451:nursing / Q000523:psychology; D005240:Feasibility Studies; D006301:Health Services Needs and Demand; D006801:Humans; D008605:Mental Health Services / Q000706:statistics & numerical data*; D009732:Nursing Care / Q000379:methods*; D010865:Pilot Projects; D011568:Psychiatric Nursing / Q000706:statistics & numerical data*; D011619:Psychotropic Drugs / Q000627:therapeutic use*; D012720:Severity of Illness Index
chemical_list: D011619:Psychotropic Drugs