{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T10:59:41Z","timestamp":1791197981159,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T00:00:00Z","timestamp":1777161600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T00:00:00Z","timestamp":1777161600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Persons with Alzheimer's disease and related dementias (ADRD) are more frequently hospitalized and often experience behavioral and psychological symptoms of dementia (BPSD). This study describes a dementia\u2010focused medical unit that aims to improve the management of BPSD in hospitalized patients with ADRD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The objective of the present paper is to: (1) describe the dementia\u2010focused medical unit; (2) describe the population admitted to the dementia\u2010focused medical unit; (3) present management strategies of BPSD prior to and post unit transfer; and (4) describe patient (e.g., mobility, goals\u2010of\u2010care, mortality) and hospital metrics (e.g., LOS, 30\u2010day hospital readmission) for the unit. The remainder of the abstract is the same.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A 10\u2010bed dementia\u2010focused medical unit was created in a large academic center in New York. The unit consisted of geographic cohorting, dementia care education for staff (e.g., de\u2010escalation, redirection), and environmental modifications (e.g., common area). An interprofessional team conducted daily rounds that focused on the 4Ms (mobility, mentation, matters most, and medication management), and early discharge planning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 165 hospitalized patients were admitted to the dementia\u2010focused medical unit between July 1, 2024, and October 28, 2024. The mean age of patients was 84.7 years old (SD\u2009=\u20099.0); 67.9% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009112) had a documented history of dementia, of which 96.4% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009108) had at least moderate dementia (FAST stage 6A+). A comparison of BPSD management before and after transfer demonstrated a significant reduction in constant observation (30.9% vs. 0.0%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001), benzodiazepines (13.3% vs. 6.7%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.035), and \u201cas\u2010needed\u201d antipsychotics (29.7% vs. 20.0%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.009). While as\u2010needed antipsychotics decreased, there was an increase in scheduled antipsychotics (18.2% vs. 28.5%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001), indicating a shift from reactive to proactive medication management.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There is an urgent need to improve the management of BPSD in hospitalized older adults with ADRD. Dementia\u2010focused medical units are an innovative strategy that requires further investigation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jhm.70336","type":"journal-article","created":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T05:26:05Z","timestamp":1777267565000},"page":"1142-1148","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A multicomponent unit\u2010based approach for hospital care of older adults with behavioral and psychological symptoms of dementia"],"prefix":"10.1002","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-2451-3238","authenticated-orcid":false,"given":"Winnie","family":"Chu","sequence":"first","affiliation":[{"name":"Northwell New Hyde Park New York USA"},{"name":"Department of Medicine at the Donald and Barbara Zucker School of Medicine at Hofstra Northwell Manhasset New York 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Northwell Manhasset New York USA"},{"name":"Institute of Health System Science, Feinstein Institutes for Medical Research Northwell Manhasset New York 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behavioral and psychological symptoms of dementia in acutely ill patients via patient engagement specialists: a pilot feasibility study","volume":"9","author":"Sinvani L","year":"2023","journal-title":"Gerontol Geriatr Med"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-025-09532-4"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/MJT.0000000000000673"}],"container-title":["Journal of Hospital 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