scholarly journals PT590. Behavioral and psychological symptoms of dementia and antipsychotic drug use in the elderly with dementia in Korea long-term care facilities

2016 ◽  
Vol 19 (Suppl_1) ◽  
pp. 17-17
2017 ◽  
Vol 49 (4) ◽  
pp. 144-152 ◽  
Author(s):  
Nasrin Saleh ◽  
Margaret Penning ◽  
Denise Cloutier ◽  
Anastasia Mallidou ◽  
Kim Nuernberger ◽  
...  

2009 ◽  
Vol 21 (6) ◽  
pp. 1134-1141 ◽  
Author(s):  
Ting-Wen Cheng ◽  
Ta-Fu Chen ◽  
Ping-Keung Yip ◽  
Mau-Sun Hua ◽  
Chi-Cheng Yang ◽  
...  

ABSTRACTBackground: Behavioral and psychological symptoms of dementia (BPSD) cause caregiver distress and earlier institutionalization. We compared the prevalence and characteristics of BPSD between institution residents and memory clinic outpatients with Alzheimer's disease (AD) to test the hypothesis that there is more BPSD among institution residents than among their outpatient counterparts.Methods: We assessed BPSD by interviewing the patients’ principal caregivers, either family or professionals, using the Behavioral Pathology in Alzheimer's Disease Rating Scale (BEHAVE-AD). Data from 138 patients with probable AD from the memory clinic and 173 residents with possible AD living in the long-term care facilities were collected. The diagnoses followed the NINCDS-ADRDA criteria.Results: BPSD profiles of the two groups were similar but not identical. The prevalence of at least one BPSD was high in both groups (community 81.9%, institution 74.9%). Activity disturbance was the most frequently reported BPSD in both groups (community 52.2%, institution 38.7%). Delusions, hallucinations, anxiety and aggressiveness were seen more frequently in memory clinic outpatients. The outpatients also had higher scores of BEHAVE-AD subscales in delusion/paranoid ideation, affective disturbance, and global rating of severity. With the increase of disease severity there were significantly more activity disturbance, psychosis, and aggressiveness in patients with AD.Conclusions: Caregiver factor and institution effect were two possible reasons for the higher prevalence and the greater severity of BPSD in community patients. BPSD caused more distress to family caregivers than the professional caregivers. High levels of psychotropic prescriptions for patients living in the long-term care facilities may also play a role.


1991 ◽  
Vol 7 (1) ◽  
pp. 13-18
Author(s):  
Darrell T. Hulisz ◽  
Edward D. Sumner ◽  
F. Joseph Hodge ◽  
C. Wayne Weart

2009 ◽  
Vol 9 (4) ◽  
pp. 186-195 ◽  
Author(s):  
Masami KUTSUMI ◽  
Mikiko ITO ◽  
Keiko SUGIURA ◽  
Masahiro TERABE ◽  
Hiroshi MIKAMI

1997 ◽  
Vol 36 (1) ◽  
pp. 77-87 ◽  
Author(s):  
Nicholas G. Castle

Long-term care institutions have emerged as dominant sites of death for the elderly. However, studies of this trend have primarily examined nursing homes. The purpose of this research is to determine demographic, functional, disease, and facility predictors and/or correlates of death for the elderly residing in board and care facilities. Twelve factors are found to be significant: proportion of residents older than sixty-five years of age, proportion of residents who are chair- or bed-fast, proportion of residents with HIV, bed size, ownership, chain membership, affiliation with a nursing home, number of health services provided other than by the facility, the number of social services provided other than by the facility, the number of social services provided by the facility, and visits by Ombudsmen. These are discussed and comparisons with similar studies in nursing homes are made.


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