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Centre for Policy on Ageing | |
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A comparison of small and large assisted living facilities for the diagnosis and care of dementia
— the Maryland Assisted Living Study | | Author(s) | Iracema Leroi, Quincy M Samus, Adam Rosenblatt |
| Journal title | International Journal of Geriatric Psychiatry, vol 22, no 3, March 2007 |
| Pages | pp 224-232 |
| Source | http://www.interscience.wiley.com |
| Keywords | Dementia ; Diagnosis ; Management [care] ; Care homes ; Nursing homes ; Small ; Large ; Comparison ; United States of America. |
| Annotation | 198 residents in 10 large and 12 small assisted living facilities were comprehensively assessed as part of the Maryland Assisted Living Study (MD-AL). The presence or absence of dementia and psychiatric disturbance and facilities' recognition and management of these disorders were compared across the two types of AL. Aspects of care delivery were also compared. Small facilities had a higher prevalence of dementia (81%) compared to larger facilities (63%), and the mean Mini Mental State Examination (MMSE) across all residents was 13.04 in small facilities and 19.93 in large facilities. Psychosis in particular was more prevalent in the smaller homes and the mean Neuropsychiatric Inventory score, a measure of neuropsychiatric symptoms was higher compared to large homes. Falls were more common in larger homes, despite a greater number of personal care hours per week. The use of safety devices and restraints was significantly less common in large facilities compared to smaller homes where 'gen-chair' and bed-rails were more often used. Rates of dementia and psychiatric disorder differ in assisted living facilities depending on size of facility. (RH). |
| Accession Number | CPA-070627209 A |
| Classmark | EA: LK7: QA: KW: LHB: 54: 55: 48: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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