Cognition-Enhancing, Antipsychotic, and Opioid Medication Use Among Assisted Living and Residential Care Residents in Oregon

Author(s):  
Sarah Dys ◽  
Ozcan Tunalilar ◽  
Paula Carder
2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 726-727
Author(s):  
Diana White ◽  
Tunalilar Ozcan ◽  
Serena Hasworth ◽  
Jaclyn Winfree

Abstract Quality is defined in multiple ways and by different stakeholders (e.g., residents, regulators, informed observers). Using a two-stage stratified sampling strategy, we collected data from N=241 residents living in 31 assisted living and residential care communities (AL/RC) in Oregon. Residents rated their overall satisfaction and satisfaction with the AL/RC as a place to live and to receive care. Each interviewer completed a facility profile summarizing their observations about the setting, including quality of staff-resident interactions and physical environment. Residents and interviewers were also asked whether they would recommend the community to others. Finally, we used deficiency citations given during regular inspections by the licensing agency to proxy regulatory perspective. Results show that perceived quality varied by stakeholder (e.g., residents’ assessments differed from deficiency citations). Given this variation, findings suggest that efforts to make quality indicators publicly available should include multiple measures and perspectives, especially residents.


2019 ◽  
Vol 13 (1) ◽  
pp. 31-40 ◽  
Author(s):  
Barbara Resnick ◽  
Marie Boltz ◽  
Elizabeth Galik ◽  
Sarah Holmes ◽  
Steven Fix ◽  
...  

2020 ◽  
pp. 073346482094832
Author(s):  
Kathleen Abrahamson ◽  
Heather Davila ◽  
Laura Kirk ◽  
German Alarcon Garavito ◽  
Christine Mueller

The objective of this study was to compare implementation of a psychotropic medication reduction project across two types of residential long-term care settings: nursing homes (NH) and assisted living (AL) facilities. Fifteen NHs and 14 AL facilities from within a single corporate chain participated in the psychotropic medication reduction project. Using a comparative case study approach, we conducted in-person and telephone interviews with 62 staff members from participating NH and AL facilities to investigate the experience of project implementation. Project implementation within the more institutional NH model produced dramatic changes in residents’ lives and medication use. Conversely, changes made in the AL environment appeared to have less impact on resident medication use and resident-centric narratives, and AL staff identified numerous barriers to implementation. Identifying methods to monitor processes and outcomes of care without increasing the regulatory burden of AL facilities may increase transferability of quality improvement efforts across settings.


Drugs & Aging ◽  
2015 ◽  
Vol 32 (11) ◽  
pp. 947-955 ◽  
Author(s):  
Anna-Liisa Juola ◽  
Mikko P. Bjorkman ◽  
Sarita Pylkkanen ◽  
Harriet Finne-Soveri ◽  
Helena Soini ◽  
...  

2002 ◽  
Vol 50 (6) ◽  
pp. 1001-1011 ◽  
Author(s):  
Philip D. Sloane ◽  
Sheryl Zimmerman ◽  
Lori C. Brown ◽  
Timothy J. Ives ◽  
Joan F. Walsh

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