Diagnosing dementia in long-term care facilities.

摘要: SUMMARY Detection and accurate diagnosis of cognitive impairmentand dementia in LTCF remains deficient. Failure to recognizedementia can lead failure protect the patient from theirown poor decision-making, produce misunderstandingsbetween residents caregivers who are not aware howdementia is influencing resident’s behavior. toassess document related problems de-crease reimbursement under skilled nursing facility pro-spective payment system survey citations. Failureto accurately LTCFs deprives resi-dent advantages early treatment increase therisk medication errors, falls, delirium, other dementia-related problems. prepare staff provide necessaryphysical emotional care will unnecessary sufferingof with dementia, entry into facilityto end-of-life. REFERENCES 1. Roe C, Anderson M, Spivack B. Use anticholinergic medications byolder adults dementia. J Am Geriatr Soc 2002;50:836 –842.2. Jantti P, Pyykko V, Hervonen A. Falls among elderly homeresidents. Public Health 1993;107:89–96.3. Jensen J, Nyberg L, Gustafson Y, Lundin-Olsson L. Fall injuryprevention residential care—Effects higher lowerlevels cognition. 2003;51:627–635.4. McNicoll Pisani MA, Zhang et al. Delirium intensive careunit: Occurrence clinical course older patients. Soc2003;51:591–598.5. Rahkonen T, Luukkainen-Markkula R, Paanila S, episodeas a sign undetected community dwelling elderlysubjects: A two-year follow-up study. Neurol Neurosurg Psychiatry2000;69:519–521.6. McCusker Cole Dendukuri N, medicalinpatients subsequent functional status: prospectivestudy. Can Med Assoc 2001;165:575–583.7. Fick D, Foreman M. Consequences recognizing delirium superim-posed on hospitalized individuals. Gerontol Nurs2000;26:30–40.8. Agostini Inouye S. superimposed dementia: Asystematic review. 2002;50:1723–1732.9. Cohen-Mansfield Creedon Nursing members’ perceptions ofpain indicators persons severe Clin Pain 2002;18:64–73.