REPLY TO: “Decisions to Transfer Nursing Home Residents to Emergency Departments: A Scoping Review of Contributing Factors and Staff Perspectives” by L. M. Trahan et al.

2017 ◽  
Vol 18 (5) ◽  
pp. 445
Author(s):  
Danya Khoujah ◽  
Jon Mark Hirshon
Keyword(s):  
Nursing Home ◽  
Scoping Review ◽  
Emergency Departments ◽  
Nursing Home Residents ◽  
Contributing Factors

Psychoactive Drug Misuse in Long-Term Care: Some Contributing Factors

1988 ◽  
Vol 1 (3) ◽  
pp. 189-194 ◽  
Author(s):  
David S. Sherman
Keyword(s):  
Nursing Home ◽  
Adverse Effects ◽  
Nursing Home Residents ◽  
Psychoactive Drug ◽  
Prescribing Patterns ◽  
Drug Misuse ◽  
Psychoactive Drugs ◽  
Contributing Factors ◽  
Term Care ◽  
Home Setting

Surveys have identified inappropriate psychoactive drug prescribing patterns as a major problem in the care of nursing home residents. Residents without a documented history of mental illness often receive drugs intended to treat psychiatric problems. One of the greatest areas of misuse of these drugs is in the treatment of agitation in elderly demented residents. For example, although this purpose is likely the most common reason antipsychotic drugs are used in the nursing home setting, no well designed study has yet demonstrated that these agents are effective for this problem. Elderly individuals are particularly sensitive to the adverse effects of psychoactive drugs. Due to the gradual or insidious onset of some adverse effects, psychoactive drug toxicity may often be underestimated. The most serious example of a clinically underrecognized adverse effect of psychoactive drugs is tardive dyskinesia. Misinterpretation of certain nursing home residents' behaviors may lead to medication with tranquilizing drugs when other approaches may be safer and more effective. Excessive use of psychoactive drugs is not only physically harmful, but also encourages an apathetic attitude toward implementation of more humane ways of dealing with behaviorally disturbed nursing home residents.

scholarly journals A Scoping Review of Strategies for the Prevention of Hip Fracture in Elderly Nursing Home Residents

PLoS ONE ◽  
2010 ◽  
Vol 5 (3) ◽  
pp. e9515 ◽  
Author(s):  
Anna M. Sawka ◽  
Nofisat Ismaila ◽  
Ann Cranney ◽  
Lehana Thabane ◽  
Monika Kastner ◽  
...  
Keyword(s):  
Nursing Home ◽  
Hip Fracture ◽  
Scoping Review ◽  
Nursing Home Residents

scholarly journals Appropriateness of transferring nursing home residents to emergency departments: a systematic review

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sabine E Lemoyne ◽  
Hanne H. Herbots ◽  
Dennis De Blick ◽  
Roy Remmen ◽  
Koenraad G. Monsieurs ◽  
...  
Keyword(s):  
Systematic Review ◽  
Nursing Home ◽  
Emergency Departments ◽  
Nursing Home Residents

scholarly journals Current Psychotropic Medication Use and Contributing Factors Among Nursing Home Residents With Cognitive Impairment

2019 ◽  
pp. 105477381983867 ◽  
Author(s):  
Barbara Resnick ◽  
Ann Kolanowski ◽  
Kimberly Van Haitsma ◽  
Elizabeth Galik ◽  
Marie Boltz ◽  
...  
Keyword(s):  
Nursing Home ◽  
Cognitive Impairment ◽  
Psychotropic Medication ◽  
Medication Use ◽  
Nursing Home Residents ◽  
Contributing Factors
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