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Journal of the American Psychiatric Nurses Association, Vol. 14, No. 1, 39-49 (2008)
DOI: 10.1177/1078390307310692
© 2008 American Psychiatric Nurses Association

Dementia-Specific Assisted Living: Clinical Factors and Psychotropic Medication Use

Marianne Smith

University of Iowa College of Nursing, Iowa City, Iowa; Marianne-smith{at}uiowa.edu

Kathleen C. Buckwalter

University of Iowa College of Nursing, Iowa City, Iowa

Hyunwook Kang

University of Iowa College of Nursing, Iowa City, Iowa

Vicki Ellingrod

University of Michigan College of Pharmacy, Ann Arbor, Michigan

Susan K. Schultz

University of Iowa College of Medicine, Iowa City, Iowa

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

Key Words: assisted living • dementia • behavioral symptoms • psychotropic mediation


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