Letter to the Editor| Volume 21, ISSUE 4, P562-563, April 2020

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The Imperative for Person-Centered Dementia Care: Focus on Assessing and Working With Long-Term Care Residents Rather Than Percentage of People on a Medication

Published:February 26, 2020DOI:
      We appreciate the attention Drs Kale, Gitlin, and Lyketsos bring to CMS's singular focus on antipsychotic use in those long-term care (LTC) residents with dementia and behavior disturbance. As the authors point out, these universal behaviors are themselves associated with poor health outcomes including mortality, injury to peers and staff, and other undesirable outcomes. We agree with their premise: the focus on this 1 class of medication without assessing the resident and the entire situation is both misguided and leads to the use of less effective, more risky, and less evidence-based interventions. The focus on antipsychotic rates distracts from the imperative to implement comprehensive person-centered care for this group of disabled older adults.
      • Nash M.
      • Foidel S.
      Neurocognitive Behavioral Disorders: An Interdisciplinary Approach to Patient-Centered Care.
      All behavior contains communication. For those with dementia, behavior may be the only way they have to communicate.
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        • Foidel S.
        Neurocognitive Behavioral Disorders: An Interdisciplinary Approach to Patient-Centered Care.
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