Prevalence and Medication Management of Dementia by a Medical Practice Providing Onsite Care in Assisted Living.

摘要: Abstract Background/objectives Assisted living (AL) is an important provider of long-term residential care to people with dementia, but little research has used clinician's records—arguably the most reliable and valid source medically related information. This article uses clinician records examine prevalence treatment dementia-specific medications antipsychotic medications, how prescribing varies by assisted residence (ALR) resident characteristics. Design Analysis medical from a practice. Setting Ninety ALRs that had onsite provided some or all their residents one group practice specializes in home-based primary care. Participants Records for 3175 AL residents. Measurements Thirty-six variables ALR, demographics, conditions pharmaceutical treatment. Results Seventy-six percent patients documented diagnosis 41% who were treated medication dementia other than antipsychotic, 37% received antipsychotic. Dementia more likely be prescribed memory unit, also not Medicaid beneficiaries. Antipsychotic was similarly common units. Conclusion The 76% rate larger 25 beds may accurate reflection reported elsewhere, because it based on diagnoses patients’ clinicians. reporting rates antipsychotics, they vary relation ALR characteristics, meant generate discussion about “best practices” standards management its behavioral comorbidities—topics have scant attention date widespread need reduce prescribing.