Haloperidol is associated with increased mortality in patients with dementia. This case exposes the difficulties in managing severe aggression in dementia, with few safe and effective treatment options and a lack of consensus guidance in the area of very severe aggression in dementia.
The nature of healthcare provision in Australia in both the private and public sectors is changing rapidly. In the mental health area there has been a dearth of studies examining what actually occurs within the two sectors, and few direct comparisons have been made. Such a lack of data has not prevented suggestions that private psychiatric hospitals ‘skim the cream’ off the market for acute health care, by providing the most profitable services for the best-paying patients [1].
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