The prescription of psychotropic medication in local authority old people's homes

Mann, Anthony; Graham, Nori; Ashby, Deborah

doi:10.1002/gps.930010105

Cited by 17 publications

(17 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These findings are in accordance with other reports (Mann et al, 1986;Gilleard et al, 1983;Dehlin and FranzCn, 1985), and neuroleptic medications have become a mainstay in the treatment of the agitated elderly demented patient (Risse and Barnes, 1986). However, their usefulness has been questioned (Barnes et al, 1982;Findlay et al, 1989).…”

Section: Discussionsupporting

confidence: 93%

Mental and physical capacity and consumption of neuroleptic drugs in residents of nursing homes

Nygaard¹,

Bakke

Breivik³

et al. 1990

Int J Geriat Psychiatry

View full text Add to dashboard Cite

SUMMARYThe mental and physical capacity of all persons living permanently in a nursing home in Bergen were estimated and their neuroleptic drug consumption and duration of stay were registered. Fifty-one per cent were severely and 14% moderately mentally impaired. Eighty-seven per cent demanded more extensive nursing care. Physical dependence was significantly associated with mental decline, but not with age. 32.6% received regularly neuroleptic medication, which was most common among restless and wandering residents. Dosage fell with increasing age and decreasing ability to perform personal hygiene.

show abstract

Section: Discussionsupporting

confidence: 93%

Mental and physical capacity and consumption of neuroleptic drugs in residents of nursing homes

Nygaard¹,

Bakke

Breivik³

et al. 1990

Int J Geriat Psychiatry

View full text Add to dashboard Cite

show abstract

“…Both shortly after admission and 6 months later, neuroleptics are the most frequently taken drug classes, which is in accordance with the data of authors using a point-prevalence design (e.g. Mann et al 1984Mann et al , 1986Burns et al 1988;Beardsly et al 1989). To our knowledge, no authors investigating psychotropic drug intake shortly after admission have compared different types of psychotropics.…”

Section: Discussionsupporting

confidence: 71%

Psychotropic drug intake in residents newly admitted to nursing homes

et al. 1997

View full text Add to dashboard Cite

While several surveys have shown that psychotropic drugs are frequently used by nursing home residents, no studies have been performed to investigate whether the rates of drug use increase during the stay in nursing homes or whether residents have taken these drugs already before admission. Therefore, we investigated 262 residents admitted to rural and urban nursing homes in Austria for prevalence of psychotropic drug intake before admission, shortly after admission, and 6 months later. Two weeks after admission, 72.1% of the residents were being treated with psychotropics, while 6 months later 79.0% were receiving these drugs. The significantly higher rates of psychotropic drug use among the psychiatrically ill and in those suffering from sleeping problems suggest that these drugs were prescribed aptly, but residents without appropriate criteria for drug intake were often also treated with psychotropics. During 3 months before admission to nursing homes, 45.5% of the sample reported having taken psychotropics. In more than half of residents without drug intake before admission, psychotropic treatment was initiated within the first 2 weeks after admission, while during the first 6 months after admission the rate of drug use increased only slightly. This suggests that a large percentage of psychotropic intake is due to nursing home orders.

show abstract

“…We found that this scale did not give a proper picture of what happened in patients suffering from both physical and psychiatric disorders (centres I and 3). On the whole our results are in good agreement with those o f other studies (6,7). The main indications for psychotropic medications are behavioural disturbances that created social problems, particularly in patients with senile dementia.…”

Section: Discussionsupporting

confidence: 95%

The use of psychotropic medication in a geriatric population

Kristensen¹,

Olsen²,

Gydesen³

1993

Nordic Journal of Psychiatry

View full text Add to dashboard Cite

e use of psychotropic medication in a geriatric population. Nord J Psychiatry 1993;47 Suppl 28:73-77. Oslo. ISSN 0803-9496.Due to the increased elderly population, an increased number of elderly patients require treatment for mental and behavioural disorders. There are relatively few clinical studies of the prescription of psychotropic drugs for patients over 65 years o f age. A prospective study was undertaken at three centres caring for the elderly, comprising patients from general nursing homes and a psychiatric department. Entry of patients into the study was determined by the clinical decision to prescribe psychotropic medication to patients of 05 years o r older. Included in the study were 160 patients. The main reasons for initiating psychotropic medication, the dose. and anamnestic data were recorded. The clinical condition was assessed at the start of treatment and after 4 and 8 weeks, utilizing the Clinical Global Impressions (CGI) scale. The patient's daily activity was assessed using an abbreviated Stockton Geriatric Rating Scale (SGRS). Side-effects were recorded using the UKU scale. Clinical improvement was seen in about half of the patients. Side-effects were few and generally mild. This may reflect cautious introduction of the medication and adoption of low-dose regimens. All centres avoided psychotropic polypharmacy when possible. 0 Psychotropic, Psychotropic medication in the elderly. Mikael Kristensen, M.D. Registrar, The Geriatric Treatment Centre Tranehaven. Schioldannsvej 31, DK-2920 Charlottenlund, Denmark. Nord J Psychiatry Downloaded from informahealthcare.com by University of Sydney on 01/03/15For personal use only. 161 1 0 * Degree of severity: 0 = no side effects; 1 = minor side effects without certain interference with the patient's perforniance; 2 = side effects with moderate interference with the patient's performance; 3 = side effects with pronounced interference with the patient's performance. Nord J Psychiatry Downloaded from informahealthcare.com by University of Sydney on 01/03/15 For personal use only. Acknowledgemenrs -The authors wish t o thank Mr. Vagn Pedersen, Mr. Poul-Erik Nielscn and Mr. Kjcll Elgen from H. Lundbeck A/S for valuahle discussion during the preparation of the manuscript. Nord J Psychiatry Downloaded from informahealthcare.com by University of Sydney on 01/03/15For personal use only.

show abstract

The prescription of psychotropic medication in local authority old people's homes

Cited by 17 publications

References 9 publications

Mental and physical capacity and consumption of neuroleptic drugs in residents of nursing homes

Mental and physical capacity and consumption of neuroleptic drugs in residents of nursing homes

Psychotropic drug intake in residents newly admitted to nursing homes

The use of psychotropic medication in a geriatric population

Contact Info

Product

Resources

About