CONSIDERATIONS REGARDING IMPLEMENTING NON-PHARMACOLOGICAL PRACTICES IN ASSISTED LIVING. (11th November 2018)

• Record Type: Journal Article
• Authors: Zimmerman, S; Sloane, P D; Ward, K; Miller, S; Wretman, C
• Is Part Of: Innovation in aging. Volume 2(2018)Supplement 1
• Page Start: 346
• Page End: 346
• Publication Date: 2018-11-11
• Subjects: Aging -- Periodicals; Gerontology -- Periodicals; 612.67
• DOI: 10.1093/geroni/igy023.1271
• Languages: English
• ISSNs: 2399-5300

Abstract

Abstract: As many as 42% of assisted living (AL) residents have moderate or severe dementia, and 38% have related behavioral and psychological symptoms including agitation and anxiety. More than two-thirds of AL communities administer medications for these symptoms, despite the fact that antipsychotics are generally contraindicated. Instead, non-pharmacological practices are recommended, such as sensory practices, psychosocial practices, and structured care protocols. This presentation will highlight data from a seven-state study of 280 AL residences, indicating that between half and virtually all report using (for example) bright light therapy (55%) and reminiscence therapy (85%) to address behaviors. However, data suggest they are not actually employing these practices, as some describe them as "having a courtyard" and "using shadow boxes." In addition to providing comprehensive data, this presentation will discuss the development, implementation, and evaluation of protocols to help AL providers implement non-pharmacological practices for behavioral and psychological symptoms of dementia.