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Residents in extended-care facilities often have multiple physical conditions for which multiple medications are prescribed. In addition, drugs are given for constipation, diarrhea, sleep, or pain. Either physical illnesses or medications can alter the mental status of the elderly, and all too frequently, when that occurs, additional antipsychotic or tranquilizing medications are added.'
The institutionalized elderly experience a high incidence of adverse drug reactions because, generally, they have more physical or mental disability than those elderly who live on their own . The older and more disabled the resident, the more susceptibility to the ...