The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.
Psychoactive Medications in the Long-Term Care Setting: Differing Perspectives among Physicians, Nursing Staff, and Patients
Abstract
Differences in perceptions among nursing home patients, nursing staff, and physicians were compared in this preliminary study regarding nighttime disorders and psychoactive medications. Nighttime disorders, including both insomnia and behavior problems, are prevalent among institutionalized elderly and are frequently managed with psychoactive medications. All nursing home patients receiving psychoactive medications, the nursing staff, and the physicians involved in their care were interviewed regarding the description, etiology, management, and impact of the nighttime disorder including side effects of the prescribed medications. Overall, the differences in responses among the three groups ranged from 47% to 63%. While both physicians and nurses reported problems more often than did the patients, nurses reported problems more frequently than did physicians. This preliminary study suggests that patients, nursing staff, and physicians perceive nighttime disorders and their management differently. These differences point to the need for improved methods of communication and education to mutually identify the targeted disorder and develop appropriate management.
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“In seven studies, psychotropic medication was used to manage behaviours and BPSD [49, 53, 57, 63, 65, 80, 81].”
From Stakeholders' views on the use of psychotropic medication in older people: a systematic review (2022) · cites this paper as [63]
In the citing paper
“One study found that nurses reported side effects more frequently than both older people and doctors [63].”
From Stakeholders' views on the use of psychotropic medication in older people: a systematic review (2022) · cites this paper as [63]
In the citing paper
“Some doctors expressed the view that prescribing medication to aid sleep helped care home staff more than care home residents and preferred alternative approaches such as giving space to residents to wander safely at night [53, 59, 63, 80].”
From Stakeholders' views on the use of psychotropic medication in older people: a systematic review (2022) · cites this paper as [63]
In the citing paper
“However, side effects associated with psychotropic medication were also minimised by some older people, doctors and family members [54–56, 59, 63, 65, 74, 81, 82].”
From Stakeholders' views on the use of psychotropic medication in older people: a systematic review (2022) · cites this paper as [63]
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Cited by
Sorted by citations
Stakeholders' views on the use of psychotropic medication in older people: a systematic review
Bednarczyk, E., Cook, S., Brauer, R., & Garfield, S. (2022) · Age and Ageing · doi:10.1093/ageing/afac060 · Cited by 22
“In some cases, psychotropic medicines are also used to manage challenging behaviours, such as the behavioural and psychological symptoms of dementia (BPSD) [2].”
BackgroundInfluential
Metadata
- Authors
- Jacobson, D. H., & Winograd, C. H.
- Affiliations
- Stanford Medicine (US)
- Venue
- Journal of Geriatric Psychiatry and Neurology
- Publisher
- SAGE Publications
- Published
- 1994-07
- Volume
- 7
- Issue
- 3
- Pages
- 176-183
- ISSN
- 0891-9887 (ISSN-L)
- 1552-5708
- OpenAlex
- W2085437437
- Cited by
- 10
- References
- 27
- Citations by year
- 2024: 1 · 2022: 1 · 2021: 1 · 2017: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Geriatric Psychiatry and Neurology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
- Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- psychotropic drugs, nursing homes, long-term care, insomnia, behavioral problems, institutionalized elderly, physician perceptions, nurses' perceptions, patient perspectives, adverse drug reactions, interprofessional communication, geriatric pharmacotherapy
- MeSH terms
- Workforce, Aged, Female, Humans, Long-Term Care, Male, Nursing Homes, Nursing Staff, Physicians, Psychotropic Drugs, Sleep Wake Disorders
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