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Dementia care in nursing homes: clarification to Appendix P State Operations Manual (SOM) and. Severe dementia has not had a high profile in the clinical literature as until recently. in the management of this complex and vulnerable group of patients. in Prescribing of Antipsychotic Drugs in Elderly Patients with Dementia. include Seroquel (quetiapine), Abilify (aripiprazole), Risperdal (risperidone). 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