Psychosocial interventions for reducing antipsychotic medication in care home residents
نویسندگان
چکیده
منابع مشابه
Psychosocial interventions for reducing antipsychotic medication in care home residents.
BACKGROUND Antipsychotic medication is regularly prescribed in care homes to control 'behavioural and psychological symptoms of dementia' despite moderate efficacy, significant adverse effects, and available non-pharmacological alternatives. OBJECTIVES To evaluate the effectiveness of psychosocial interventions to reduce antipsychotic medication in care home residents. SEARCH METHODS The Co...
متن کاملEffect of enhanced psychosocial care on antipsychotic use in nursing home residents with severe dementia: cluster randomised trial.
OBJECTIVE To evaluate the effectiveness of a training and support intervention for nursing home staff in reducing the proportion of residents with dementia who are prescribed neuroleptics. DESIGN Cluster randomised controlled trial with blinded assessment of outcome. SETTING 12 specialist nursing homes for people with dementia in London, Newcastle, and Oxford. PARTICIPANTS Residents of th...
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in the contemporary era, in a trial of 45 852 patients with acute MI, neither a composite outcome of death, reinfarction, or cardiac arrest nor death was significantly reduced by metoprolol compared with placebo. More recent trials suggest that long-term -blocker use is not a necessity for patients without heart failure. While it is true that many patients were excluded from the propensity scor...
متن کاملComparative safety of antipsychotic medications in nursing home residents.
OBJECTIVES To compare the risk of major medical events in nursing home residents newly initiated on conventional or atypical antipsychotic medications (APMs). DESIGN Cohort study, using linked Medicaid, Medicare, Minimum Data Set, and Online Survey Certification and Reporting data. Propensity score-adjusted proportional hazards models were used to compare risks for medical events at a class a...
متن کاملReasons for psychiatric medication prescription for new nursing home residents.
OBJECTIVES This article focuses on justification of psychoactive medication prescription for NH residents during their first three months post-admission. METHOD We extracted data from 73 charts drawn from a convenience sample of individuals who were residents of seven nursing homes (NHs) for at least three months during 2009. Six focus groups with NH staff were conducted to explore rationales...
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ژورنال
عنوان ژورنال: Cochrane Database of Systematic Reviews
سال: 2012
ISSN: 1465-1858
DOI: 10.1002/14651858.cd008634.pub2