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The Ultimate Outlier: Transitional Care for Persons with Dementia and BPSD
Jiska Cohen-Mansfield1, Colleen A Ray2, Tasmia Hai2
1School of Public Health, Tel Aviv University, Tel Aviv 6997801. Israel.
Current Alzheimer Research
|May 20, 2017
Summary
Transitional care units show promise in reducing behavioral and psychological symptoms of dementia (BPSD). Further research is needed to optimize care for this unique patient population.
Area of Science:
- Gerontology
- Neuroscience
- Healthcare Management
Background:
- Transitional care units (TCUs) are designed to support caregivers managing individuals with dementia exhibiting behavioral and psychological symptoms of dementia (BPSD).
- Limited research exists on the specific characteristics and outcomes within these specialized TCUs.
Purpose of the Study:
- To investigate the patient demographics and behavioral symptoms of individuals admitted to a specialized TCU.
- To evaluate changes in BPSD, psychotropic medication use, and functional status during TCU stays.
Main Methods:
- A retrospective chart review was conducted on 73 residents of a specialized TCU.
- Data on patient characteristics, BPSD, medication, and functional status were collected.
Main Results:
- Patients averaged 75 years old, with 74% being male and a mean Cognitive Performance Scale score of 4.7.
- A significant reduction in BPSD and an increase in central nervous system medication use were observed from admission to discharge.
- No significant changes were noted in cognitive function or activities of daily living.
Conclusions:
- The patient population in this TCU differs from those in typical long-term care settings.
- Further investigation is warranted to enhance patient outcomes in these specialized transitional care environments.
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