Clinical pharmacology of old age syndromes

Broadhurst, C.; Wilson, Ken; Kinirons, Mark; Wagg, A.; Dhesi, Jugdeep

doi:10.1046/j.0306-5251.2003.01877.x

Cited by 5 publications

(2 citation statements)

References 164 publications

(151 reference statements)

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“…Shorteracting preparations are preferable [57]. Chlormethiazole is not recommended for older patients because of its effect on respiration, car-diovascular complications and the unpredictability of the serum levels achieved [18].…”

Section: Pharmacological Approachesmentioning

confidence: 99%

Older People and Substance Misuse

Rao¹

2020

Textbook of Addiction Treatment

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Over the past decade, older people have shown higher rises in rates of substance misuse compared with younger age groups. This has impacted upon both public health and clinical outcomes such as hospital admissions and the presence of co-morbid disorders such as alcohol-related cognitive impairment.The presence of accompanying physical and mental disorders and the physiological effects of ageing call for greater vigilance over the adverse effects of substances in older people. Greater complexity in clinical presentations calls for special considerations in assessment, treatment and care planning. This also applies to legal and ethical considerations and alcohol-related cognitive impairment.Older people with substance misuse experience positive health and social outcomes that are equal if not better than younger people. To sustain and improve the mental and physical health of older people with substance misuse, an integrated approach to care is required. This will need to involve old age psychiatry, addiction psychiatry, geriatrics, primary care and their interface with housing and social care.

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Section: Pharmacological Approachesmentioning

confidence: 99%

Older People and Substance Misuse

Rao¹

2020

Textbook of Addiction Treatment

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“…Long-term use can lead to tolerance, habituation, dependence and withdrawal syndromes. 21,45,58 Withdrawal can give rise to a syndrome that manifests as tremors, diaphoresis, photophobia, insomnia, abdominal discomfort, hypertension, and seizures. 59 Despite concerns about efficacy and substantial evidence of problematic side-effects, antipsychotics and anxiolytics are commonly administered for the calming of agitated older patients, especially when nursing shortages are acute and/or expert review is unavailable.…”

Section: Chemical Restraintmentioning

confidence: 99%

Physical and chemical restraints in acute care: Their potential impact on the rehabilitation of older people

Mott

Poole

Kenrick

2005

Int J of Nursing Practice

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Agitation is a major problem for older people and is present in over half of the hospitalizations for people > 65 years of age. In a previous study by the authors, results indicated that nursing actions often did not meet best-practice standards in the care of older, agitated patients. This paper builds on these results by reviewing the literature pertaining to the use of restraints and contributes to the body of knowledge surrounding the impact of the acute-care experience on rehabilitation outcomes. Successful rehabilitation relies on the improvement of functional health outcomes and, for this to happen, physical and emotional well-being are important. The sequelae of restraint use in acute care have the potential to alter peoples' ability to participate fully in a rehabilitation programme, thereby placing their future placement at risk. This paper explores the outcomes of restraint use in the acute-care setting and presents the argument that their effects are likely to be detrimental to rehabilitation outcomes.

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Multidisciplinary team interventions for delirium in patients with chronic cognitive impairment

Britton

Russell²

2000

The Cochrane Database of Systematic Reviews

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Clinical pharmacology of old age syndromes

Cited by 5 publications

References 164 publications

Older People and Substance Misuse

Older People and Substance Misuse

Physical and chemical restraints in acute care: Their potential impact on the rehabilitation of older people

Multidisciplinary team interventions for delirium in patients with chronic cognitive impairment

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