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Psychotropic Medication Use in Canadian Long-Term Care Patients Referred for Psychogeriatric Consultation
BACKGROUND AND PUSPOSE: Prior studies have shown a high prevalence of psychotropic medication use among patients residing in long-term care homes (LTCHs). The purpose of this study was to examine psychotropic medication use by LTCH patients in a metropolitan Canadian city referred to outreach teams...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Canadian Geriatrics Society
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3516351/ https://www.ncbi.nlm.nih.gov/pubmed/23251317 http://dx.doi.org/10.5770/cgj.v14i3.18 |
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author | Fischer, Corinne E. Cohen, Carole Forrest, Lauren Schweizer, Tom A. Wasylenki, Donald |
author_facet | Fischer, Corinne E. Cohen, Carole Forrest, Lauren Schweizer, Tom A. Wasylenki, Donald |
author_sort | Fischer, Corinne E. |
collection | PubMed |
description | BACKGROUND AND PUSPOSE: Prior studies have shown a high prevalence of psychotropic medication use among patients residing in long-term care homes (LTCHs). The purpose of this study was to examine psychotropic medication use by LTCH patients in a metropolitan Canadian city referred to outreach teams for psychiatric assessment. METHODS: A retrospective review of charts from specialized psychogeriatric outreach teams serving a large metropolitan city in Canada was undertaken. Data from 68 charts were reviewed. Data were analyzed using descriptive and correlational statistics. RESULTS: Antipsychotic medications were the most frequent drugs prescribed to patients referred for psychogeriatric assessment (55.9%), followed by antidepressants (50.0%), cognitive enhancers (44.1%) and benzodiazepines (29.4%). More than a quarter of patients (26.5%) were on three psychotropic medications. Medications were adjusted in 35.3% of cases mostly resulting in dose increases. Only 5.9% of patients had their medication dose reduced. CONCLUSIONS: This preliminary exploratory study suggests that patients referred to specialized outreach teams may be a difficult-to-treat population. Further studies are required to establish effective prescribing practices and service delivery models. |
format | Online Article Text |
id | pubmed-3516351 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Canadian Geriatrics Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-35163512012-12-18 Psychotropic Medication Use in Canadian Long-Term Care Patients Referred for Psychogeriatric Consultation Fischer, Corinne E. Cohen, Carole Forrest, Lauren Schweizer, Tom A. Wasylenki, Donald Can Geriatr J Original Research BACKGROUND AND PUSPOSE: Prior studies have shown a high prevalence of psychotropic medication use among patients residing in long-term care homes (LTCHs). The purpose of this study was to examine psychotropic medication use by LTCH patients in a metropolitan Canadian city referred to outreach teams for psychiatric assessment. METHODS: A retrospective review of charts from specialized psychogeriatric outreach teams serving a large metropolitan city in Canada was undertaken. Data from 68 charts were reviewed. Data were analyzed using descriptive and correlational statistics. RESULTS: Antipsychotic medications were the most frequent drugs prescribed to patients referred for psychogeriatric assessment (55.9%), followed by antidepressants (50.0%), cognitive enhancers (44.1%) and benzodiazepines (29.4%). More than a quarter of patients (26.5%) were on three psychotropic medications. Medications were adjusted in 35.3% of cases mostly resulting in dose increases. Only 5.9% of patients had their medication dose reduced. CONCLUSIONS: This preliminary exploratory study suggests that patients referred to specialized outreach teams may be a difficult-to-treat population. Further studies are required to establish effective prescribing practices and service delivery models. Canadian Geriatrics Society 2011-11-11 /pmc/articles/PMC3516351/ /pubmed/23251317 http://dx.doi.org/10.5770/cgj.v14i3.18 Text en © 2011 Author(s). Published by the Canadian Geriatrics Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No-Derivative license (http://creativecommons.org/licenses/by-nc-nd/2.5/ca/), which permits unrestricted non-commercial use and distribution, provided the original work is properly cited. |
spellingShingle | Original Research Fischer, Corinne E. Cohen, Carole Forrest, Lauren Schweizer, Tom A. Wasylenki, Donald Psychotropic Medication Use in Canadian Long-Term Care Patients Referred for Psychogeriatric Consultation |
title | Psychotropic Medication Use in Canadian Long-Term Care Patients Referred for Psychogeriatric Consultation |
title_full | Psychotropic Medication Use in Canadian Long-Term Care Patients Referred for Psychogeriatric Consultation |
title_fullStr | Psychotropic Medication Use in Canadian Long-Term Care Patients Referred for Psychogeriatric Consultation |
title_full_unstemmed | Psychotropic Medication Use in Canadian Long-Term Care Patients Referred for Psychogeriatric Consultation |
title_short | Psychotropic Medication Use in Canadian Long-Term Care Patients Referred for Psychogeriatric Consultation |
title_sort | psychotropic medication use in canadian long-term care patients referred for psychogeriatric consultation |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3516351/ https://www.ncbi.nlm.nih.gov/pubmed/23251317 http://dx.doi.org/10.5770/cgj.v14i3.18 |
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