Falls and Psychotropic Drug Consumption in Long-Term Care Residents: Is There an Obvious Association?

Gerontology ◽  
1997 ◽  
Vol 44 (1) ◽  
pp. 46-50 ◽  
Author(s):  
Harald A. Nygaard
Keyword(s):  
Psychotropic Drug ◽  
Long Term Care ◽  
Drug Consumption ◽  
Term Care ◽  
Obvious Association

P.8.a.013 Psychotropic drug use evaluation after a therapeutic guide in a long term care centre

2009 ◽  
Vol 19 ◽  
pp. S701
Author(s):  
L. García-Sánchez ◽  
G. Porta-Rius ◽  
B. Pascual-Arce ◽  
M. Blanca-Tamayo ◽  
M.C. Pérez-Navarro ◽  
...  
Keyword(s):  
Drug Use ◽  
Psychotropic Drug ◽  
Long Term Care ◽  
Care Centre ◽  
Term Care ◽  
Drug Use Evaluation ◽  
Psychotropic Drug Use

scholarly journals Systematic review on barriers and facilitators of complex interventions for residents with dementia in long-term care

2020 ◽  
pp. 1-17 ◽  
Author(s):  
Claudia M. Groot Kormelinck ◽  
Sarah I. M. Janus ◽  
Martin Smalbrugge ◽  
Debby L. Gerritsen ◽  
Sytse U. Zuidema
Keyword(s):  
Systematic Review ◽  
Drug Use ◽  
Psychotropic Drug ◽  
Long Term Care ◽  
Neuropsychiatric Symptoms ◽  
Complex Interventions ◽  
Barriers And Facilitators ◽  
Term Care ◽  
Psychotropic Drug Use

ABSTRACT Objectives: Psychotropic drugs are frequently and sometimes inappropriately used for the treatment of neuropsychiatric symptoms of people with dementia, despite their limited efficacy and side effects. Interventions to address neuropsychiatric symptoms and psychotropic drug use are multifactorial and often multidisciplinary. Suboptimal implementation of these complex interventions often limits their effectiveness. This systematic review provides an overview of barriers and facilitators influencing the implementation of complex interventions targeting neuropsychiatric symptoms and psychotropic drug use in long-term care. Design: To identify relevant studies, the following electronic databases were searched between 28 May and 4 June: PubMed, Web of Science, PsycINFO, Cochrane, and CINAHL. Two reviewers systematically reviewed the literature, and the quality of the included studies was assessed using the Critical Appraisal Skills Programme qualitative checklist. The frequency of barriers and facilitators was addressed, followed by deductive thematic analysis describing their positive of negative influence. The Consolidated Framework for Implementation Research guided data synthesis. Results: Fifteen studies were included, using mostly a combination of intervention types and care programs, as well as different implementation strategies. Key factors to successful implementation included strong leadership and support of champions. Also, communication and coordination between disciplines, management support, sufficient resources, and culture (e.g. openness to change) influenced implementation positively. Barriers related mostly to unstable organizations, such as renovations to facility, changes toward self-directed teams, high staff turnover, and perceived work and time pressures. Conclusions: Implementation is complex and needs to be tailored to the specific needs and characteristics of the organization in question. Champions should be carefully chosen, and the application of learned actions and knowledge into practice is expected to further improve implementation.

ASSOCIATION BETWEEN PSYCHOTROPIC DRUG USE AND HEART FAILURE THERAPY IN ELDERLY LONG-TERM CARE RESIDENTS

2006 ◽  
Vol 54 (12) ◽  
pp. 1973-1975 ◽  
Author(s):  
George A. Heckman ◽  
Brian Misiaszek ◽  
Fatima Merali ◽  
Irene D. Turpie ◽  
Christopher J. Patterson ◽  
...  
Keyword(s):  
Heart Failure ◽  
Drug Use ◽  
Psychotropic Drug ◽  
Long Term Care ◽  
Heart Failure Therapy ◽  
Term Care ◽  
Psychotropic Drug Use

scholarly journals Prevalence of neuropsychiatric symptoms and psychotropic drug use in patients with acquired brain injury in long-term care: a systematic review

Brain Injury ◽  
2018 ◽  
Vol 32 (13-14) ◽  
pp. 1591-1600 ◽  
Author(s):  
Roy F. Kohnen ◽  
Debby L. Gerritsen ◽  
Odile M. Smals ◽  
Jan C.M. Lavrijsen ◽  
Raymond T.C.M. Koopmans
Keyword(s):  
Systematic Review ◽  
Brain Injury ◽  
Drug Use ◽  
Psychotropic Drug ◽  
Long Term Care ◽  
Neuropsychiatric Symptoms ◽  
Acquired Brain Injury ◽  
Term Care ◽  
Psychotropic Drug Use

Psychotropic Drug Use in Long-term Care Facilities: A Review of the Literature

1992 ◽  
Vol 32 (6) ◽  
pp. 822-833 ◽  
Author(s):  
C. Harrington ◽  
C. Tompkins ◽  
M. Curtis ◽  
L. Grant
Keyword(s):  
Drug Use ◽  
Psychotropic Drug ◽  
Long Term Care ◽  
Review Of The Literature ◽  
Term Care ◽  
Psychotropic Drug Use ◽  
Care Facilities

Impact of Triplicate Prescription Program on Psychotropic Prescribing Patterns in Long-Term Care Facilities

1992 ◽  
Vol 26 (4) ◽  
pp. 539-546 ◽  
Author(s):  
Abraham G. Hartzema ◽  
Miquel S. Porta ◽  
Hugh H. Tilson ◽  
Sergio G. Zullich ◽  
Thaddeus H. Grasela ◽  
...  
Keyword(s):  
New York ◽  
Adverse Events ◽  
Hospital Admission ◽  
Psychotropic Drug ◽  
Long Term Care ◽  
Prescribing Patterns ◽  
Term Care ◽  
Care Facilities ◽  
One Year

OBJECTIVE: To assess the impact of the effect of the New York state triplicate prescription program on psychotropic prescribing patterns in selected long-term care facilities over a one-year period. DESIGN: Retrospective study for changes in psychotropic drug use patterns before and after implementation of the triplicate prescription program. SETTING: Eight private and two public long-term care facilities in the western New York area. PATIENTS: All residents in the long-term care facilities with complete medical records for a one-year period were reviewed. OUTCOME MEASUREMENTS: Charts were reviewed for changes in psychotropic drug patterns and incidence in adverse events such as falls, hip fractures, hospital admission, signs or symptoms of benzodiazepine (BZD) withdrawal syndrome, or behavioral outburst. MAIN RESULTS: BZD use declined precipitously from 25 percent of psychotropic drug orders to 10 percent six months after implementation of the program. The decline in BZD use was accompanied by an increase in the number of orders for alternative psychotropic agents. Although 22 percent of the patients previously receiving BZDs were discontinued from these drugs, more than half of these patients were switched to alternative therapy, including tricyclic antidepressants and antipsychotic drugs. The majority of patients who discontinued BZDs did so without tapering of the dosage; however, few experienced minor withdrawal symptoms and no patient experienced seizures or required hospitalization following discontinuation. The risk of falls, hospital admission for any reason, or combined events was not significantly altered despite a reduction in BZD use. There was a trend, however, for a reduction in falls after implementation of the program. CONCLUSIONS: This study documents that psychotropic drug prescribing patterns were significantly affected by the triplicate prescription program. BZD use declined; however, use of alternative psychotropic drugs increased. Despite changes in psychotropic prescribing patterns, we found no significant risk of adverse events. Further study to evaluate the long-term effect of alternative psychotropic drugs is necessary.

Neuroleptic and benzodiazepine use in long-term care in urban and rural Alberta: characteristics and results of an education intervention to ensure appropriate use

2005 ◽  
Vol 17 (4) ◽  
pp. 631-652 ◽  
Author(s):  
Brad F. Hagen ◽  
Chris Armstrong-Esther ◽  
Paddy Quail ◽  
Robert J. Williams ◽  
Peter Norton ◽  
...  
Keyword(s):  
Time Series ◽  
Drug Use ◽  
Psychotropic Drug ◽  
Psychotropic Drugs ◽  
Long Term Care ◽  
Family Members ◽  
Drug Prescriptions ◽  
Education Intervention ◽  
Term Care

Objectives: To examine the use of psychotropic drugs in 24 rural and urban long-term care (LTC) facilities, and compare the effect of an education intervention for LTC staff and family members on the use of psychotropic drugs in intervention versus control facilities.Methods: Interrupted time series with a non-equivalent no-treatment control group time series. Data on drug use were collected in 24 Western Canadian LTC facilities (10 urban, 14 rural) for three 2-month time periods before and after the intervention. Pharmacy records were used to collect data on drug, class of drug, dose, administration, and start/stop dates. Chart reviews provided demographics, pro re nata (prn) use, and indications for drug use. Subjects comprised 2443 residents living in the 24 LTC facilities during the 1-year study. An average of 796.33 residents (32.7%) received a psychotropic drug. An education intervention on psychotropic drug use in LTC was offered to intervention physicians, nursing staff, pharmacists and family members.Results: Approximately one-third of residents received a psychotropic drug during the study, often for considerable lengths of time. A minority of psychotropic drug prescriptions had a documented reason for their use, and 69.5% of the reasons would be inappropriate under Omnibus Budget Reconciliation Act (OBRA) legislation. Few psychotropic drug prescriptions were discontinued or reduced during the study. More urban LTC residents received neuroleptics and benzodiazepines than their rural counterparts (26.1% vs. 15.7%, and 18.0% vs. 7.6%, respectively). The education intervention did not result in any significant decline in the use of these drugs in intervention facilities.Conclusion: The results suggest substantial use of psychotropic drugs in LTC, although rural LTC residents received approximately half the number of psychotropic drugs compared with urban residents. A resource-intensive intervention did not significantly decrease the use of psychotropics. There is a need for better monitoring of psychotropic drugs in LTC, particularly given that voluntary educational efforts alone may be ineffective agents of change.

Working With Resistance and Encouraging Buy-In to New Programs

2011 ◽  
Vol 16 (1) ◽  
pp. 18-21
Author(s):  
Sara Joffe
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Optimal Outcomes ◽  
Speech Language Pathologist

In order to best meet the needs of older residents in long-term care settings, clinicians often develop programs designed to streamline and improve care. However, many individuals are reluctant to embrace change. This article will discuss strategies that the speech-language pathologist (SLP) can use to assess and address the source of resistance to new programs and thereby facilitate optimal outcomes.

Feeding Dependency Issues in the Long-Term Care Environment

2001 ◽  
Vol 10 (1) ◽  
pp. 19-24
Author(s):  
Carol Winchester ◽  
Cathy Pelletier ◽  
Pete Johnson
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Care Environment
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